Prognosis factors for long-term eribulin response in a cohort of patients with HER2-negative metastatic breast cancer.

Authors

null

Antoine El Kaddissi

Department of Oncology, CHU Besançon, Besançon, France

Antoine El Kaddissi , Elsa Curtit , Laura Mansi , Christophe Borg , Guillaume Meynard

Organizations

Department of Oncology, CHU Besançon, Besançon, France, Department of Medical Onclogy, Besançon, France, Department of Medical Oncology, Besançon University Hospital, Besançon, France

Research Funding

No funding received
None.

Background: Eribulin is a drug used since 2010 in metastatic breast cancer. Some prognosis criteria for long progression-free survival are already described in small cohorts. We present an historic cohort to determine new prognosis criteria for long-term eribulin response in HER2-negative metastatic breast cancer. Methods: Our retrospective cohort include female patient with HER2-negative metastatic breast cancer treated with eribulin in Franche-Comté, France. We defined a long-term response as six months of eribulin treatment. The primary endpoint is the analysis of criteria that differ according to the progression-free survival. Secondaries outcomes concern overall survival, response rate and analysis of MDM2/p53 axis. Results: Median progression free survival (PFS) is 3.2 months. 23.6 percent of patients have a long-term response to eribulin. Four discriminant criteria appear to separate progression free survival in two arms (PFS < 3 months or > 6 months) predicting nearly 78% the probability of a prolonged response to eribulin: histological grade, presence of meningeal metastasis, response to prior chemotherapy and OMS status. We have developed a nomogram combining these 4 criteria. Median overall survival is 8.5 months. MDM2 amplification appear not being predictive of therapeutic response in metastatic breast cancer. Conclusions: Eribulin response in metastatic breast cancer can be drive by clinical and biological factors. The application of the nomogram proposed by our analysis can assist the clinician in the therapeutic strategy and prescription of eribulin. These results should be confirmed in real life. Multivariate logistic regression to predict PFS < 3 months vs > 6 months.

NOR95%CIp-value
228
Grade (ref=G1)<0.0001
G2 vs G12.1340.843-5.4020.1098
G3 vs G19.6223.158-29.310<0.0001
Best response to previous chemotherapy (ref=Complete esponse)0.0121
Partial response vs complete response3.6650.921-14.5940.0654
Stable disease vs complete response10.2862.266-46.6980.0025
Progression vs complete response9.7041.701-55.3460.0105
Not evaluable vs complete response4.0020.475-33.7110.2021
Meningeal metastasis (ref=No)
Yes vs No9.9971.169-85.5100.0355
ECOG status at initiation (ref=0)0.1056
1 vs 01.6930.687-4.1720.2526
2 vs 01.9720.756-5.1430.1651
3-4 vs 05.4741.391-21.5490.0150

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Abstract Details

Meeting

2023 ASCO Annual Meeting

Session Type

Publication Only

Session Title

Publication Only: Breast Cancer—Metastatic

Track

Breast Cancer

Sub Track

Other Breast Cancer Subtypes

Citation

J Clin Oncol 41, 2023 (suppl 16; abstr e13120)

DOI

10.1200/JCO.2023.41.16_suppl.e13120

Abstract #

e13120

Abstract Disclosures