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Expert Opinion / Cases · February 20, 2018

Hormone Receptor Positive Metastatic Breast Cancer in Patient With Multiple Sclerosis

Written by
Sameer Nasir MD

 

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  • Luca Licata

    Feb 23, 2018

    Why did she receive capecitabine and not palbociclib with fulvestrant? I would consider this combination 

  • Martin Guerrero

    Feb 27, 2018

    Well that is not a proven combination. The combination with fulvestrant is with abemaciclib. In my opinion i believe she would have been a candidate to bilateral lymphadenectomy and fulvestrant only or in case she rejected surgery fulvestrant only

  • Juan Bares

    Mar 02, 2018

    Paloma 3 (The Lancet Oncology2016) is Palbociclib with Fulvestrant. 

  • Luca Licata

    Mar 02, 2018

    In US and Europe palbocicllib is approved in combination with an aromatase inhibitor as initial endocrine based therapy and with fulvestrant for progressive disease following endocrine therapy. 
    https://www.fda.gov/Drugs/InformationOnDrugs/ApprovedDrugs/ucm549978.htm
    http://www.ema.europa.eu/ema/index.jsp?curl=pages/news_and_events/news/2016/09/news_detail_002604.jsp&mid=WC0b01ac058004d5c1
    If the patient received fulvestrant alone, she would be deprived of the possibility to do palbociclib thereafter...

  • May 08, 2024

    Pending Moderator approval.
    Delete

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