Subcutaneous vs Intravenous Trastuzumab/Pertuzumab: A Time and Motion Substudy of a Phase II Trial of Adjuvant Trastuzumab/Pertuzumab for Stage I HER2+ Breast Cancer (ADEPT trial).

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Tác giả: Ibrahim Abbass, Vandana G Abramson, Sylvia Adams, Kenneth Almeida, Victoria Attaya, Tarah J Ballinger, Lisa A Carey, Emily L Chen, Wendy Y Chen, Patricia Cortazar, Meredith Faggen, Anna Mae Frey, Anita Fung, Noah Graham, Caroline Harvey, Jose P Leone, Denise Leth, Steve Lo, Jane Meisel, Julia K Rauch, Cari Ryding, Susan T Schumer, Natalie Sinclair, Sarah Sinclair, Jesse Sussell, Nabihah Tayob, Sara M Tolaney, Nadine Tung, Vicente Valero, Adrienne G Waks, Jeanna Walsh, Nicole O Williams, Denise Yardley

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: United States : JCO oncology practice , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 719588

PURPOSE: The time required for in-clinic drug administration can substantially affect breast cancer patients' quality of life. Subcutaneous (SC) drug administration, as opposed to intravenous (IV), may reduce this time commitment. This study sought to estimate the difference in time burden between IV and SC administration of trastuzumab and pertuzumab (HP). METHODS: We prospectively enrolled a subcohort of patients participating in the ADEPT trial (ClinicalTrials.gov identifier: NCT04569747, investigating adjuvant HP plus endocrine therapy for stage I human epidermal growth factor receptor 2-positive breast cancer) to this single-arm crossover time and motion substudy. Patients received two cycles of IV HP followed by two cycles of SC HP. During each cycle, time points in drug preparation and administration were captured. The primary end point was total patient time in the treatment chair. Additional end points included total patient treatment experience time and total pharmacy workflow time. A sample size of 22 patients was estimated to provide 90.7% power with two-sided alpha .05 to detect a difference of 70 minutes in the primary end point by treatment arm (IV RESULTS: Twenty-two patients were enrolled. The mean total patient time in the treatment chair was 61.8 minutes shorter with SC versus IV HP (22.5 CONCLUSION: SC administration of HP shortened patient time burden by approximately 1 hour. SC drug administration can facilitate faster workflows for health care professionals and improve patients' breast cancer treatment experience.
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