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Howard A. “Skip” Burris, MD president of Clinical Operations and chief medical officer at Sarah Cannon Research Institute, discuses the MARIANNE trial in advanced HER2-positive breast cancer.
In the overall study results, patients with locally advanced or untreated metastatic HER2-positive disease were randomized to receive T-DM1 plus pertuzumab (Perjeta), T-DM1 alone, or trastuzumab (Herceptin) plus a taxane-based agent. Phase III results of the trial showed that neither T-DM1 arm was associated with improved outcomes compared with the trastuzumab/taxane arm.
However, in patient-reported outcomes of the trial, patients with advanced HER2-positive breast cancer who received treatment with trastuzumab emtanzssine were found to have a lower incidence of treatment-related adverse events.
These means that trastuzumab emtanzssine is still a good option for patients with advanced HER2-positive breast cancer, says Burris.
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