RT Journal Article T1 Efficacy and safety of subcutaneous trastuzumab and intravenous trastuzumab as part of adjuvant therapy for HER2-positive early breast cancer: Final analysis of the randomised, two-cohort PrefHer study. A1 Pivot, X. A1 Verma, S. A1 Fallowfield, L. A1 Müller, M. A1 Lichinitser, M. A1 Jenkins, V. A1 Sánchez-Muñoz, Alfonso A1 Machackova, Z. A1 Osborne, S. A1 Gligorov, J. K1 Mamas - Cáncer - Tratamiento K1 Farmacología clínica K1 Cáncer - Inmunoterapia K1 Anticuerpos monoclonales AB Aim: To assess efficacy (event-free survival, EFS) and safety in patients followed up for 3 years in the PrefHer study (NCT01401166).Patients and methods: Post surgery and post chemotherapy in the (neo)adjuvant setting, patients with human epidermal growth factor receptor 2 (HER2)-positive early breast cancer were randomised to receive four cycles of the subcutaneous form of trastuzumab (Herceptin® SC [H SC] via single-use injection device [Cohort 1] or delivery via a hand-held syringe from an SC Vial [Cohort 2]; 600 mg fixed dose) followed by four of the intravenous form of trastuzumab (Herceptin® [H IV]; 8 mg/kg loading, 6 mg/kg maintenance doses) in the adjuvant setting or vice versa every 3 weeks. Patients could have received H before randomisation. H was then continued to complete a total of 18 cycles, including any cycles received before randomisation.Results: A total of 488 patients were randomised across both cohorts. After median follow-up of 36.1 months, 3-year EFS across both groups in the evaluable intention-to-treat population (467 patients) was 90.6% overall, 89.9% in Cohort 1, and 91.1% in Cohort 2. No new safety signals were identified during long-term follow-up, with only one cardiac serious adverse event in the safety population (483 patients).Conclusions: Three-year EFS data following H SC and H IV treatment are consistent with those reported by previous trials for H in the adjuvant setting. The overall safety profile during adjuvant treatment was as expected. PB Elsevier YR 2017 FD 2017-09-28 LK https://hdl.handle.net/10630/31191 UL https://hdl.handle.net/10630/31191 LA eng NO Pivot X, Verma S, Fallowfield L, Müller V, Lichinitser M, Jenkins V, Sánchez Muñoz A, Machackova Z, Osborne S, Gligorov J; PrefHer Study Group. Efficacy and safety of subcutaneous trastuzumab and intravenous trastuzumab as part of adjuvant therapy for HER2-positive early breast cancer: Final analysis of the randomised, two-cohort PrefHer study. Eur J Cancer. 2017 Nov;86:82-90. doi: 10.1016/j.ejca.2017.08.019. Epub 2017 Sep 28. PMID: 28963915. NO Este artículo ha sido publicado en la revista European Journal of Cancer.Esta versión tiene Licencia Creative Commons CC-BY-NC-NDPolítica de acceso abierto tomada de: https://v2.sherpa.ac.uk/id/publication/12493 DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 20 ene 2026