Survival in triple-negative breast cancer patients with post-neoadjuvant residual disease treated with adjuvant capecitabine

Capecitabine in breast cancer

Published

2024-08-30

How to Cite

Oviedo-Tábora, A. J., Vásquez-Trespalacios, E. M., Bravo-Muñoz, F. X., & Cuello-Lopez, J. M. (2024). Survival in triple-negative breast cancer patients with post-neoadjuvant residual disease treated with adjuvant capecitabine: Capecitabine in breast cancer. Oncology Journal (Ecuador), 34(2), 77–88. https://doi.org/10.33821/745

Issue

Section

Original Articles

Authors

DOI:

https://doi.org/10.33821/745

Keywords:

triple-negative breast cancer, Capecitabine, ARB, residual disease, disease free survival, overall survival

Abstract

Background: The scarcity of effective therapies has contributed to poor outcomes in triple-negative breast cancer. Objective: To evaluate overall and progression-free survival in patients with triple-negative breast cancer with post-neoadjuvant residual disease, treated with Capecitabine. Methods: Retrospective cohort study. Kaplan-Meier survival functions were calculated. Additionally, Cox regression models were developed for association analysis. Results: Forty-one patients were included, of whom 25 (61%) were postmenopausal, 23 (56.1%) had initial tumors ?5.1cm. The median PFS was 25.03 months (95% CI, 13.37 - 36.68). Twenty six percent of patients had progression at 36 months follow-up, 54.5% of those who had progression were premenopausal. In women with postmenopausal status, higher PFS was observed (HR0.32, 95% CI 0.09 -0.98, p 0.045). The median OS was 55.60 months (95% CI, 46.5-58.5). There was no significant difference between the RCB (Residual Cancer Burden) score and PFS and OS. Conclusion: favorable results were observed in patients with post-neoadjuvant residual disease treated with adjuvant Capecitabine, particularly in postmenopausal patients with less previous tumor size.

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Author Biographies

Arnon J. Oviedo-Tábora, Universidad CES

Departamento de Mastología, Universidad CES, Medellín, Antioquia, Colombia.

Elsa M. Vásquez-Trespalacios, Universidad CES

Departamento de Mastología, Universidad CES, Antioquia, Medellín, Colombia.

Fernanda X. Bravo-Muñoz, Universidad CES

Departamento de Mastología, Universidad CES, Medellín, Antioquia, Colombia.

Javier M. Cuello-Lopez, Clínica Vida

Departamento de Oncología Clínica, Fundación Colombia de Cancerología Clínica Vida, Medellín, Antioquia, Colombia.

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