386 High-dose chemotherapy with stem cell support in high-risk primary breast cancer. An analysis of the effect on overall survival the Danish experience from a comparison study

2003 ◽  
Vol 1 (5) ◽  
pp. S118
Author(s):  
T. Palshof ◽  
S. Werner Hansen ◽  
C. rose ◽  
S. Møller ◽  
P. Hokland ◽  
...  
2014 ◽  
Vol 20 (4) ◽  
pp. 501-506 ◽  
Author(s):  
Paolo Pedrazzoli ◽  
Giovanni Martinelli ◽  
Alessandro Massimo Gianni ◽  
Gian Antonio Da Prada ◽  
Alberto Ballestrero ◽  
...  

2011 ◽  
Vol 29 (24) ◽  
pp. 3214-3223 ◽  
Author(s):  
Donald A. Berry ◽  
Naoto T. Ueno ◽  
Marcella M. Johnson ◽  
Xiudong Lei ◽  
Jean Caputo ◽  
...  

Purpose Adjuvant high-dose chemotherapy (HDC) with autologous hematopoietic stem-cell transplantation (AHST) for high-risk primary breast cancer has not been shown to prolong survival. Individual trials have had limited power to show overall benefit or benefits within subsets. Methods We assembled individual patient data from 15 randomized trials that compared HDC versus control therapy without stem-cell support. Prospectively defined primary end points were relapse-free survival (RFS) and overall survival (OS). We compared the effect of HDC versus control by using log-rank tests and proportional hazards regression, and we adjusted for clinically relevant covariates. Subset analyses were by age, number of positive lymph nodes, tumor size, histology, hormone receptor (HmR) status, and human epidermal growth factor receptor 2 (HER2) status. Results Of 6,210 total patients (n = 3,118, HDC; n = 3,092 control), the median age was 46 years; 69% were premenopausal, 29% were postmenopausal, and 2% were unknown menopausal status; 49.5% were HmR positive; 33.5% were HmR negative, and 17% were unknown HmR status. The median follow-up was 6 years. After analysis was adjusted for covariates, HDC was found to prolong relapse-free survival (RFS; hazard ratio [HR], 0.87; 95% CI, 0.81 to 0.93; P < .001) but not overall survival (OS; HR, 0.94; 95% CI, 0.87 to 1.02; P = .13). For OS, no covariates had statistically significant interactions with treatment effect, and no subsets evinced a significant effect of HDC. Younger patients had a significantly better RFS on HDC than did older patients. Conclusion Adjuvant HDC with AHST prolonged RFS in high-risk primary breast cancer compared with control, but this did not translate into a significant OS benefit. Whether HDC benefits patients in the context of targeted therapies is unknown.


The Lancet ◽  
1998 ◽  
Vol 352 (9135) ◽  
pp. 1220
Author(s):  
Paolo Pedrazzoli ◽  
Gian Antonio Da Prada ◽  
Gioacchino Robustelli della Cuna

2006 ◽  
Vol 17 (10) ◽  
pp. 1479-1488 ◽  
Author(s):  
P. Pedrazzoli ◽  
J.A. Ledermann ◽  
J.-P. Lotz ◽  
S. Leyvraz ◽  
M. Aglietta ◽  
...  

Cancer ◽  
2006 ◽  
Vol 106 (11) ◽  
pp. 2327-2336 ◽  
Author(s):  
Emer O. Hanrahan ◽  
Kristine Broglio ◽  
Deborah Frye ◽  
Aman U. Buzdar ◽  
Richard L. Theriault ◽  
...  

1998 ◽  
Vol 24 (4) ◽  
pp. 249-263 ◽  
Author(s):  
Z.U. Rahman ◽  
G.N. Hortobagyi ◽  
A.U. Buzdar ◽  
R. Champlin

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