Table 2.
First-line chemotherapy for metastatic breast cancer
| CHEK2 | Non-CHEK2 | P | |||
|---|---|---|---|---|---|
| N | % | N | % | ||
| Type of chemotherapy | |||||
| Anthracycline baseda | 34 | 55 | 39 | 63 | 0.25 |
| Taxane basedb | 6 | 10 | 10 | 16 | |
| Anthracycline/taxane regimenc | 1 | 2 | 1 | 2 | |
| CMF/CMF-like | 21 | 34 | 12 | 19 | |
| Best response | |||||
| Objective response | 27 | 44 | 32 | 52 | 0.71 |
| Stable disease | 21 | 35 | 18 | 29 | |
| Progressive disease | 13 | 21 | 12 | 19 | |
| Unknown | 1 | ||||
| Clinical benefit (objective response and stable disease >6 months) | 47 | 77 | 48 | 77 | 0.96 |
| Progressive disease | |||||
| During chemotherapy | 26 | 42 | 27 | 44 | 0.92 |
| After chemotherapy | |||||
| No consolidation endocrine therapy | 18 | 29 | 19 | 31 | |
| Consolidation endocrine therapy | 18 | 29 | 16 | 26 | |
| Anthracycline-based therapy | |||||
| Number of patients | 34 | 39 | |||
| Best response | |||||
| Objective response | 18 | 52 | 17 | 43 | 0.70 |
| Stable disease | 8 | 24 | 12 | 31 | |
| Progressive disease | 8 | 24 | 10 | 26 | |
| Clinical benefit (objective response and stable disease >6 months) | 25 | 74 | 27 | 69 | 0.69 |
CMF cyclophosphamide, methotrexate and fluorouracil
aAnthracycline-based chemotherapy consisted of the following regimens: 19 × FAC, 14 × FEC, 3 × AC in the CHEK2 group (for three cases, the specific regimen was unknown) and 23 × FAC, 7 × FEC and 4 × AC in the non-CHEK2 group (FAC fluorouracil, adriamycin, cyclophosphamide, FEC fluorouracil, epirubicin, cyclophosphamide and AC adriamycin, cyclophosphamide)
bTaxanes were given 2× in combination with trastuzumab in the CHEK2 group; and 3× in combination with trastuzumab, 1× in combination with bevacizumab, 1× in combination with trastuzumab and bevacizumab, 2× in combination with methotrexate in the non-CHEK2 group
cAnthracycline/taxane regimen consisted of adriamycin and docetaxel in the CHEK2 patient and of FAC followed by docetaxel in the non-CHEK2 patient