Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL
Stefan Gluck , Joyce O'Shaughnessy , Kristi McIntyre , Lee Steven Schwartzberg , Sharon Wilks , Shannon Puhalla , Erhan Berrak , James Song , David Cox , Linda T. Vahdat
Background: Eribulin mesylate, a novel nontaxane microtubule dynamics inhibitor, has demonstrated an overall survival benefit relative to other commonly used agents in pts with at least 2 prior MBC therapies. Primary data presented from 2 phase 2 trials, Study 206 (eribulin in HER2- pts) and Study 208 (combination eribulin + trastuzumab [TRAS] in HER2+ pts), showed clinical activity and acceptable tolerability profiles as first-line therapy (tx). Here we present prespecified efficacy data for both trials based on prior anthracycline (A) and taxane (T) use. Methods: In both studies, pts received eribulin mesylate 1.4 mg/m2IV on Days 1 and 8 of each 21-day cycle. Pts in Study 208 (HER2+ pts) also received initial TRAS (8 mg/kg IV/Day 1), followed by 6 mg/kg/Day 1 of each subsequent cycle. Response, progression-free survival (PFS), and tolerability were assessed. Results: In Study 206 (N=56), 48% and 46% received prior A and T, and in Study 208 (N=52), 21% and 44% received prior A and T, respectively. Objective response rates (ORRs), the primary endpoint, were similar in pts, regardless of prior A or T tx, except in pts w/o prior T in Study 208 whose ORR trended higher (table). In both studies, clinical benefit rate (CBR), PFS, and duration of response (DOR) were either similar or trended higher in pts w/o prior A or T. PFS was higher in HER2+ pts receiving eribulin + TRAS who had not received prior A or T compared with those who had. Grade (G) 3-5 AE rates were similar or lower in pts who had not received prior A or T. Conclusions: As first-line therapy, eribulin in HER2- pts and eribulin + TRAS in HER2+ pts were effective and well tolerated, regardless of prior A or T tx. However, in HER2+ pts receiving eribulin + TRAS, the lack of prior A or T tx may be a predictor of longer median PFS. Clinical trial information: NCT01268150 and NCT01269346.
Prior A/T use | Study 206 (N=56) (eribulin only) |
Study 208 (N=52) (eribulin/TRAS) |
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A | w/o A | T | w/o T | A | w/o A | T | w/o T | |
n | 27 | 29 | 26 | 30 | 11 | 41 | 23 | 29 |
ORR, n (%) | 7 (26) | 9 (31) | 7 (27) | 9 (30) | 7 (64) | 30 (73) | 13 (57) | 24 (83) |
CBR, n (%) | 13 (48) | 16 (55) | 12 (46) | 17 (57) | 9 (82) | 41 (100) | 19 (83) | 25 (86) |
PFS, m (median) | 5.8 | 6.9 | 5.8 | 7.6 | 6.7 | 11.6 | 6.8 | 13.1 |
DOR, m (median) | 5.7 | 7.4 | 4.7 | 9.7 | 11.1 | 11.8 | 7.5 | 11.8 |
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Abstract Disclosures
2014 Breast Cancer Symposium
First Author: Stefan Gluck
2014 ASCO Annual Meeting
First Author: Shannon Puhalla
First Author: Nicholas Patrick McAndrew
2022 ASCO Annual Meeting
First Author: Ian E. Krop