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A randomized, 3-arm, neoadjuvant, phase 2 study comparing docetaxel + carboplatin + trastuzumab + pertuzumab (TCbHP), TCbHP followed by trastuzumab emtansine and pertuzumab (T-DM1+P), and T-DM1+P in HER2-positive primary breast cancer.

Norikazu MasudaShoichiro OhtaniToshimi TakanoKenichi InoueEiji SuzukiRikiya NakamuraHiroko BandoYoshinori ItoKazushige IshidaTakashi YamanakaKatsumasa KuroiHiroyuki YasojimaHiroi KasaiTsuyoshi TakasukaTakaki SakuraiTatsuki R KataokaSatoshi MoritaShinji OhnoMasakazu Toi
Published in: Breast cancer research and treatment (2020)
In the neoadjuvant setting, the pCR rate with the standard TCbHP →  T-DM1+P regimen was numerically better than the TCbHP regimen alone and significantly better in patients with ER+. Personalization of the T-DM1+P regimen could serve as a reasonable approach to minimize toxicity while maintaining efficacy. Trial registration ID: UMIN-CTR: UMIN000014649.
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