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Final results of the real-life observational VICTOR-6 study on metronomic chemotherapy in elderly metastatic breast cancer (MBC) patients.


ABSTRACT: Nowadays, treatment of metastatic breast cancer (MBC) has been enriched with novel therapeutical strategies. Metronomic chemotherapy (mCHT) is a continuous and frequent administration of chemotherapy at a lower dose and so whit less toxicity. Thus, this strategy could be attractive for elderly MBC patients. Aim of this analysis is to provide insights into mCHT's activity in a real-life setting of elderly MBC patients. Data of patients ≥ 75 years old included in VICTOR-6 study were analyzed. VICTOR-6 is a multicentre, Italian, retrospective study, which collected data on mCHT in MBC patients treated between 2011 and 2016. A total of 112 patients were included. At the beginning of mCHT, median age was 81 years (75-98) and in 33% of the patients mCHT was the first line choice. Overall Response Rate (ORR) and Disease Control Rate (DCR) were 27.9% and 79.3%, respectively. Median PFS ranged between 7.6 and 9.1 months, OS between 14.1 and 18.5 months. The most relevant toxicity was the hematological one (24.1%); severe toxicity (grade 3-4) ranged from 0.9% for skin toxicity up to 8% for hematologic one. This is a large study about mCHT in elderly MBC patients, providing insights to be further investigated in this subgroup of frail patients.

SUBMITTER: Trevisan B 

PROVIDER: S-EPMC10382472 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature

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Final results of the real-life observational VICTOR-6 study on metronomic chemotherapy in elderly metastatic breast cancer (MBC) patients.

Trevisan B B   Pepe F F FF   Vallini I I   Montagna E E   Amoroso D D   Berardi R R   Butera A A   Cagossi K K   Cavanna L L   Ciccarese M M   Cinieri S S   Cretella E E   De Conciliis E E   Febbraro A A   Ferraù F F   Ferzi A A   Baldelli A A   Fontana A A   Gambaro A R AR   Garrone O O   Gebbia V V   Generali D D   Gianni L L   Giovanardi F F   Grassadonia A A   Leonardi V V   Sarti S S   Musolino A A   Nicolini M M   Putzu C C   Riccardi F F   Santini D D   Sarobba M G MG   Schintu M G MG   Scognamiglio G G   Spadaro P P   Taverniti C C   Toniolo D D   Tralongo P P   Turletti A A   Valenza R R   Valerio M R MR   Vici P P   Clivio L L   Torri V V   Cazzaniga M E ME  

Scientific reports 20230728 1


Nowadays, treatment of metastatic breast cancer (MBC) has been enriched with novel therapeutical strategies. Metronomic chemotherapy (mCHT) is a continuous and frequent administration of chemotherapy at a lower dose and so whit less toxicity. Thus, this strategy could be attractive for elderly MBC patients. Aim of this analysis is to provide insights into mCHT's activity in a real-life setting of elderly MBC patients. Data of patients ≥ 75 years old included in VICTOR-6 study were analyzed. VICT  ...[more]

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