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Tykerb?+trastuzumab (2nd line) A randomized study of lapatinib alone or in combination with trastuzumab in heavily pretreated HER2+ metastatic breast cancer progressing on trastuzumab therapy. J Clin Oncol. 2008;26(15S):A1015. Tykerb?+trastuzumab (2nd line) HR=0.77(95%CI:0.6-1.0) P=0.029 mPFS延长3.6个月 12.0 8.4 0 2 4 6 8 10 12 mPFS (weeks) Tykerb+trastuzumab Tykerb Tykerb?+trastuzumab (2nd line) A randomized study of lapatinib alone or in combination with trastuzumab in heavily pretreated HER2+ metastatic breast cancer progressing on trastuzumab therapy. J Clin Oncol. 2008;26(15S):A1015. HR=2.1(95%CI:1.1-4.2) P=0.020 CBR提高1.9倍 25.2 13.2 0 5 10 15 20 25 30 CBR (%) Tykerb+trastuzumab Tykerb Randomized study of Lapatinib alone or in combination with trastuzumab in women with ErbB2 -positive, trastuzumab-refractory metastatic breast cancer. J Clin Oncol. 2010;28(7):1124-1130. Tykerb?+trastuzumab (2nd line) HR=0.73(95%CI:0.57-0.93) P=0.008 mPFS延长3.9个月 Randomized study of Lapatinib alone or in combination with trastuzumab in women with ErbB2 -positive, trastuzumab-refractory metastatic breast cancer. J Clin Oncol. 2010;28(7):1124-1130. Tykerb?+trastuzumab (2nd line) HR=0.72(95%CI:0.57-0.93) P=0.008 mPFS延长3.9个月 12.0 8.1 0 2 4 6 8 10 12 mPFS (weeks) Tykerb+trastuzumab Tykerb Randomized study of Lapatinib alone or in combination with trastuzumab in women with ErbB2 -positive, trastuzumab-refractory metastatic breast cancer. J Clin Oncol. 2010;28(7):1124-1130. Tykerb?+trastuzumab (2nd line) HR=2.2(95%CI:1.2-4.5) P=0.01 CBR提高1.99倍 24.7 12.4 0 5 10 15 20 25 CBR (%) Tykerb+trastuzumab Tykerb Tykerb?+trastuzumab (neoadjuvant) Tykerb?+trastuzumab (neoadjuvant) Lapatinib with trastuzumab for HER2-positive early breast cancer (NeoALTTO): a randomised, open-label, multicentre, phase 3 trial. Lancet. 2012;379(9816):633-640. Tykerb?+trastuzumab (neoadjuvant)
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