Clinical Study of Endocrine Hormone Combined with Trastuzumab in Maintenance Treatment of HR and HER-2 Positive Advanced Breast Cancer

  • Xulong Zhu Shaanxi Provincial People’s Hospital & Xi’an Jiaotong University
  • Guangshuai Lin Shaanxi Provincial People’s Hospital
  • Xinmiao Liu Shaanxi Provincial People’s Hospital
  • Yangmeng Feng Shaanxi Provincial People’s Hospital
  • Binliang Huo Shaanxi Provincial People’s Hospital
Keywords: Endocrine Hormones, Trastuzumab, Hormone Receptors, Human Epidermal Growth Factor Receptor, Advanced Breast Cancer

Abstract

Objective: To analyze the clinical effect of endocrine hormone combined with trastuzumab in maintenance therapy of HR (hormone receptor) and HER-2 (human epidermal growth factor receptor) positive advanced breast cancer. Methods: A total of 80 patients with HR and HER-2 positive advanced breast cancer admitted to our hospital from January 2020 to December 2022 were selected, and the 80 patients were divided into 2 groups by random number table method, the control group (N= 40) The patients in the observation group (N=40) were treated with trastuzumab, and the patients in the observation group (N=40) were treated with endocrine hormones and trastuzumab for maintenance. The therapeutic effects of the two groups were compared. Results: The two groups of patients had similar serum CD8+, CD4+, CD3+ before treatment and CD8+ after treatment (P>0.05). After treatment, the CD4+ and CD3+ in the observation group were higher than those in the control group (P<0.05). The total effective rate of the observation group was significantly higher than that of the control group. It was higher in the control group (P<0.05); the incidence of adverse reactions in the observation group was lower than that in the control group (P<0.05). Conclusion: Endocrine hormone combined with trastuzumab maintenance therapy for HR and HER-2 positive advanced breast cancer has significant clinical effect, can effectively improve the immune indexes of patients, and has less adverse reactions, which is worthy of clinical application.

References

[1] Song ZJ. Effect of Trastuzumab Combined with Tamoxifen in the Treatment of Estrogen Receptor and Human Epidermal Growth Factor Receptor 2 Positive Advanced Breast Cancer [J]. Chinese Journal of Primary Medicine, 2018,25(11):1424-1427.

[2] Huang L, Wang DF, Li HL, et al. Survival Analysis of Everolimus Combined with Endocrine Therapy in Patients with Advanced Hormone Receptor-positive HER-2 negative Breast Cancer [J]. Chinese Journal of Gerontology, 2019, 39(8):1833-1836.

[3] Shen CY, Jin XX, Wang SL. Effects of Trastuzumab Combined with GEM and CAP Chemotherapy on Serum T cell Subsets, TPS Levels and Quality of Life in Patients with HER-2 Positive Advanced Breast Cancer [J]. China Medical Review,2019,16(19):93-97.

[4] Yun ZH, Li HP. Research Progress of Multi-targeted Therapy for Hormone Receptor-Positive/Human Epidermal Growth Factor Receptor-2 Positive Advanced Breast Cancer [J]. Cancer Progression, 2021,19(18):1852-1857,1867.

[5] Breast Cancer Expert Committee of National Cancer Quality Control Center, Cancer Drug Clinical Research Committee of Chinese Anti-Cancer Association. Clinical Application of CDK4/6 Inhibitor in the Treatment of Hormone Receptor-positive Human Epidermal Growth Factor Receptor-2 Negative Advanced Breast Cancer [J]. Chinese Journal of Oncology, 2021,43(4):405-413.

[6] Chang W, Ding M, Zhou JH, et al. Efficacy and Safety of Trastuzumab Combined with Paclitaxel in the Treatment of Human Epidermal Growth Factor Receptor-2 Overexpressing Metastatic Breast Cancer [J]. Journal of Xinxiang Medical College, 2018, 35(6): 517-520.
Published
2022-11-04
Section
Original Research Article