Table 1. Neoadjuvant chemotherapy (NAC) trials that are practice-changing.
CREATE-X Trial Masuda et al. (2017)54 |
Katherine Trial von Minckwitz et al. (2019)58 |
|
---|---|---|
Number of patients randomized |
910 | 1486 |
Breast cancer subtype | HER2-negative | HER2-positive |
Neoadjuvant therapy | Anthracycline, taxane, or both | Taxane (with or without anthracycline) and trastuzumab |
Eligibility* | No complete response (CR) on pathological assessment or a CR with positive lymph nodes |
Residual invasive disease in the breast or axilla at surgery |
Adjuvant therapy | Capecitabine vs. nothing; standard endocrine therapy for hormone receptor positive cancer |
Trastuzumab emtansine vs. trastuzumab; standard endocrine therapy for hormone receptor positive cancer |
Disease-free survival | At 5 years: 74.1% vs. 67.6% | At 3 years: 88.3% vs. 77.0% |
Overall survival | At 5 years: 89.2% vs. 83.6% | To be reported. |
*Eligibility assessed after neoadjuvant therapy.