Optimizing Care in HER2+ Breast Cancer: Integrating Fertility Preservation and Advanced Treatment Approaches - Episode 2

Treatment Planning for HER2+ Breast Cancer: The Role of Ovarian Function Suppression

,

Panelists discuss how ovarian suppression combined with endocrine therapy shows benefits for premenopausal patients with triple-positive breast cancer, particularly in younger, high-risk populations.

Video content above is prompted by the following:

Fertility Preservation and Ovarian Suppression

Key Themes:

  • Ovarian suppression recommendations
    • Based on SOFT/TEXT trial data, showing benefit for high-risk premenopausal patients
    • Particularly beneficial for patients under 35 years of age
    • Recommended for patients receiving chemotherapy or considered high risk
    • HER2-positive patients may benefit from ovarian suppression
  • HERA trial analysis
    • Recent analysis presented at ESMO 2024 examined premenopausal women with triple-positive breast cancer
    • Found survival outcomes of ovarian function suppression plus aromatase inhibitor superior to ovarian function suppression plus tamoxifen
    • Ovarian function suppression combined with endocrine therapy was superior to tamoxifen alone

Notable Insights:

  • Dr Vidal shared: “For my premenopausal hormone receptor–positive patients for whom I think there’s high risk, those patients, I definitely add ovarian suppression.”
  • Dr McCann emphasized: “I always tell my patients that my favorite medication for them is the one they’re willing to take.”