KATHERINE

Trastuzumab Emtansine for Residual Invasive HER2-Positive Breast Cancer

Patient / Population Intervention / Exposition Vergleich Endpunkt

In 1,486 patients with HER2+ early breast cancer and residual invasive disease after neoadjuvant taxane + trastuzumab, adjuvant trastuzumab emtansine (T-DM1) reduced invasive disease-free survival events compared with trastuzumab.

N
1.486
Design
Open-label RCT
Endpunkt
Invasive disease-free survival
Relevanz
2
Ergebnis3-yr iDFS 88.3% vs 77.0% (HR 0.50). 8.4-yr OS HR 0.66.
von Minckwitz G, et al. N Engl J Med. 2019;380(7):617-628; Geyer CE, et al. N Engl J Med. 2025;392(3):249-257. 10.1056/NEJMoa1814017
Diskussion & Kritik

Defined post-neoadjuvant escalation in HER2+ early breast cancer with residual disease as standard of care.