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Table 1 Summary of drug therapies

From: Targeted therapy for HER2 positive breast cancer

Target

Agent

Most common adverse events reported to FDA

Relevant protocol(s)

Pharmaceutical source

Heterodimerization of HER2 with HER3 receptor

Pertuzumab

Diarrhea, alopecia, neutropenia, nausea, fatigue, rash, peripheral neuropathy, infusion and hypersensitivity reactions

CLEOPATRA (NCT00567190) NCT01358877

Roche-Genentech

   

VELVET (NCT01565083)

   

PERTAIN (NCT01491737)

   

PERUSE (NCT01572038)

HER2 receptor

Trastuzumab-maytansine [DM1]

Fatigue, nausea, thrombocytopenia, cellulitis, elevated liver enzymes, left ventricular dysfunction, neurotoxicity

EMILIA (NCT00829166)

Roche-Genentech

   

MARIANNE (NCT01120184)

Multi-targeted receptor tyrosine kinase inhibitor

Pazopanib

Diarrhea, change in hair color, nausea, vomiting, loss of appetite, fatigue, liver dysfunction

VEG108838 (NCT00558103)

GlaxoSmithKline

   

NSABP (FB-6) (NCT00849472)

Irreversible binder of the HER receptors [HER1, HER2, and HER3]

Afatinib

Safety and efficacy not fully established by the FDA.

NCT00826267

Boehringer Ingelheim

  

Likely gastrointestinal and skin-related side effects from HER 1 blockade

LUX-Breast 1 (NCT01125566)

   

LUX-breast 2 (NCT01271725)

   

LUX-breast 3 (NCT01441596)

   

NCT01325428

Irreversible binder of the HER receptors [HER1, HER2, and HER3]

Neratinib

Safety and efficacy not fully established by the FDA.

ExteNet (NCT00878709)

Puma Biotechnology

   

NSABP (FB-8) (NCT01423123) NCT01494662

   

NSABP FB-7 (NCT01008150)