Journal of the National Cancer Institute Advance Access originally published online on July 10, 2007
JNCI Journal of the National Cancer Institute 2007 99(14):1064-1065; doi:10.1093/jnci/djm075
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© Oxford University Press 2007.
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Inconsistency of HER2 Test Raises Questions
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The tests that determine who gets the powerful breast cancer drug trastuzumab (Herceptin) may not be as reliable as previously thought, researchers reported at the annual meeting of the American Society of Clinical Oncology. That means some women who should be getting trastuzumab treatment are not, while other women who will not benefit are unnecessarily exposed to a drug that can cause heart problems.
"This is a very big deal," said Larry Norton, M.D., deputy physician in chief for breast cancer programs at Memorial Sloan-Kettering Cancer Center, who was not involved with either of the new studies that uncovered the problem.
Trastuzumab is often cited as the one of the few successful examples of personalized medicine, because only patients whose tumors express the HER2/neu protein are given the drug. It has been shown to reduce the risk of relapse and improve overall survival in those patients.
Currently, two tests are
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