학술논문
Final results of the real-life observational VICTOR-6 study on metronomic chemotherapy in elderly metastatic breast cancer (MBC) patients
Document Type
Original Paper
Author
Trevisan, B.; Pepe, F. F.; Vallini, I.; Montagna, E.; Amoroso, D.; Berardi, R.; Butera, A.; Cagossi, K.; Cavanna, L.; Ciccarese, M.; Cinieri, S.; Cretella, E.; De Conciliis, E.; Febbraro, A.; Ferraù, F.; Ferzi, A.; Baldelli, A.; Fontana, A.; Gambaro, A. R.; Garrone, O.; Gebbia, V.; Generali, D.; Gianni, L.; Giovanardi, F.; Grassadonia, A.; Leonardi, V.; Sarti, S.; Musolino, A.; Nicolini, M.; Putzu, C.; Riccardi, F.; Santini, D.; Sarobba, M. G.; Schintu, M. G.; Scognamiglio, G.; Spadaro, P.; Taverniti, C.; Toniolo, D.; Tralongo, P.; Turletti, A.; Valenza, R.; Valerio, M. R.; Vici, P.; Clivio, L.; Torri, V.; Cazzaniga, M. E.
Source
Scientific Reports. 13(1)
Subject
Language
English
ISSN
2045-2322
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.