Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=27843627
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\27843627
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 ESMO+Open
2016 ; 1
(4
): e000073
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Twenty years of anti-HER2 therapy-associated cardiotoxicity
#MMPMID27843627
Pondé NF
; Lambertini M
; de Azambuja E
ESMO Open
2016[]; 1
(4
): e000073
PMID27843627
show ga
Over the past 20?years, the prognosis of HER2-positive breast cancer has been
transformed by the development of anti-HER2 targeted therapies. In early clinical
trials of trastuzumab (ie, the first anti-HER2 agent to be developed)
cardiotoxicity became a major concern. In the first published phase 3 trial of
trastuzumab, 27% of patients receiving anthracyclines and trastuzumab experienced
cardiac events and 16% suffered from severe congestive heart failure. In
subsequent trials conducted in advanced and early settings, the incidence of
cardiac events was reduced through changes in chemotherapy regimens, more strict
patient selection and close cardiac assessment. However, cardiotoxicity remains a
significant problem in clinical practice that is likely to increase as new agents
are approved and exposure times increase through improved patients' survival.
Though numerous trials have led to improved understanding of many aspects of
anti-HER2 therapy-related cardiotoxicity, its underlying physiopathology
mechanisms are not well understood. The purpose of this article is to provide an
in-depth review on anti-HER2 therapy-related cardiotoxicity, including data on
both trastuzumab and the recently developed anti-HER2 targeted agents.