Mednet Logo

Based on data from CREATE-X/JBCRG-04, would you consider adjuvant capecitabine in breast cancer patients treated with neoadjuvant chemotherapy who do not achieve a pCR?

Masuda et al. NEJM 2017 If so, how do you sequence it with adjuvant radiotherapy?
2 Answers
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Yale School of Medicine
Answered on

Yes, 6-8 cycles of adjuvant capecitabine has been shown to improve survival in one randomized trial and therefore should be offered and disused with a patient. If capecitabine is given it could be given after surgery followed by radiation therapy or radiation may be completed first. Both options wer...

Join for free or sign in to see the full answer

Mednet Member
Mednet MemberInvited Expert
Medical Oncology · University of Pittsburgh School of Medicine
Answered on

Interesting question. Those of us who were at this presentation at SABCS last week asked the authors about the pathologic CR rate prior to the capecitabine. They did not know the answer. If this rate was lower than expected, the benefit of the adjvuant xeloda may have been from the inadequate neoadj...

Join for free or sign in to see the full answer