期刊
CANCER TREATMENT REVIEWS
卷 55, 期 -, 页码 10-15出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.ctrv.2017.02.006
关键词
Breast cancer; Brain metastasis; Early phase clinical trials
类别
资金
- Woman's Board of Northwestern Memorial Hospital
Purpose: This systematic review aims to better define the limitations and patterns with which patients with MBC and CNS metastasis are enrolled into early phase developmental therapeutics trials. Methods: In June 2016, PubMed search was conducted using the following keywords: Breast cancer. Drug-development phase 1, phase 2 or phase 1/2 trials for patients with MBC were included. Multiple histology trials and trials without an efficacy endpoint were excluded. Results: In total, 1474 studies were included; Inclusion criteria for 423 (29%) allowed for CNS metastasis, 770 (52%) either excluded or did not document eligibility of patients with CNS disease. Trials accruing patients with HER2-positive MBC and including targeted therapies had higher odds of allowing for patients with CNS disease (adjusted OR 1.56, 95% CI 1.08-2.2.6; p = 0.019 and 1.49, 95% 1.08-2.06; p = 0.014, respectively). There were also higher odds of accrual of patients with CNS involvement into clinical trials over time (odds ratio = 1.10, 95% CI 1.07-1.12; p < 0.0001). Conclusion: Most published early phase clinical trials either did not clearly document or did not allow for accrual of patients with CNS disease. Early phase trials with targeted agents or enrolling HER2+ MBC had higher odds of permitting CNS metastases. (C) 2017 Elsevier Ltd. All rights reserved.
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