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Adjuvant breast cancer: Neratinib improves disease free survival


Results from the phase III clinical trial of the investigational drug PB272 ( Neratinib ) for the extended adjuvant treatment of breast cancer ( ExteNET Trial ).
The ExteNET trial is a double-blind, placebo-controlled, phase III trial of Neratinib versus placebo after adjuvant treatment with Trastuzumab ( Herceptin ) in women with early stage HER2-positive breast cancer.

More specifically, the ExteNET trial enrolled 2,821 patients in 41 countries with early-stage HER2-positive breast cancer who had undergone surgery and adjuvant treatment with Trastuzumab.
After completion of adjuvant treatment with Trastuzumab, patients were randomized to receive extended adjuvant treatment with either Neratinib or placebo for a period of one year.
Patients were then followed for recurrent disease, ductal carcinoma in situ ( DCIS ), or death for a period of two years after randomization in the trial.

The primary endpoint of the trial was disease free survival ( DFS ).

The results of the trial have demonstrated that treatment with Neratinib resulted in a 33% improvement in disease free survival versus placebo. The hazard ratio was determined to be 0.67 which was statistically significant with a p-value of 0.0046.

The secondary endpoint of the trial was disease free survival including ductal carcinoma in situ ( DFS-DCIS ). The results of the trial have demonstrated that treatment with Neratinib resulted in a 37% improvement in disease free survival including ductal carcinoma in situ versus placebo.
The hazard ratio was determined to be 0.63 which was statistically significant with a p-value of 0.0009. ( Xagena )

Source: Puma Biotechnology, 2014

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