US Oncologist Survey: Optimizing Treatment for Metastatic Breast Cancer


January 31, 2011
59 Pages - SKU: TAG6197084
License type:
Countries covered: United States



Treatment decisions for advanced stages of breast cancer are difficult to track as information quickly changes along with the introduction of new products that all have an impact oncologists’ choices. This series of reports will allow you to see what is actually happening at the patient level for different types of patients presenting with a wide range of issues in advanced stages of cancer.

Primary research on the oncology prescribing data that you are missing, directly from high-prescribing US oncologists regarding metastatice breast cancer: what they prescribe, when, and why. Case highlights include:
  • Triple negative metastatic breast cancer
  • Triple positive metastatic breast cancer
  • ER/PR positive HER2neu negative metastatic breast cancer
  • Metastatic breast cancer with multiple comorbidities
This report allows you to:
  • Understand what occurs in the oncologist’s office with actual patients
  • Access the most up-to-date prescribing trends
  • Gain actionable data for developing & improving market strategies
  • Pinpoint needs of your target audience
  • Design messages to advance brand performance
  • Focus resources to maximize the effectiveness of your budget
  • Understand where your competitor’s product fits


Additional Information

Report Excerpt

Introduction

Breast cancers are classified by whether or not they express the genes for estrogen receptor, progesterone receptor or human epidermal growth factor receptor 2 (HER2/neu). These three receptors are known to help the cancers develop, and the most successful breast cancer treatments are hormone-based drugs that directly target these receptors. Breast cancers that have spread to distant sites remain largely incurable; they are managed by various combinations of therapies. The goals of treatment are focused on prolonging overall survival without having a negative impact on quality of life. Optimizing treatment involves an individualized approach based on a number of factors, including previous regimens and responses to them, the specific tumor biology, growth rate of the disease, risks for toxicity, and patient preference and comorbidities. The relative benefits and toxicities of various regimens are important considerations.

The use of combination therapy versus monotherapy or sequential single agents remains a strongly debated issue. As evidence of the controversial nature of the treatment approaches, the FDA recently announced its decision recommending withdrawing Avastin (bevacizumab) as a treatment for breast cancer, although the decision is being appealed. Since there is currently no single standard of care for the management of metastatic breast cancers and since practice patterns vary widely, the purpose of this report is to provide updated data on how U.S. oncologists currently manage ER/PR positive HER2/neu negative metastatic breast cancer.
Executive Summary
Chapter 1: Introduction
Table 1. Treatment Options in Metastatic Breast Cancer
Chapter 2: Respondent Demographics
Table 2. Eligibility Criteria for Survey Participation
Figure 2.1 Gender of Survey Respondents
Figure 2.2 Years since Medical School Graduation
Figure 2.3 Practice Settings
Figure 2.4 Practices in NCI Cancer Centers
Figure 2.5 Geographic Settings
Figure 2.6 Survey Respondents by State’s Breast Cancer Mortality
Figure 2.7 Number of Physicians in Practice Groups
Figure 2.8 Minimal Acceptable Level of Evidence in Determining Treatment Regimen
Chapter 3: Treatment of a Patient with Triple Negative Metastatic Breast Cancer
Choice of chemotherapy regimen, triple negative metastatic breast cancer
Figure 3.1
Single chemotherapy choices, triple negative metastatic breast cancer
Figure 3.2
Combination chemotherapy choices, triple negative metastatic breast cancer
Figure 3.3
Factors influencing treatment of triple negative metastatic breast cancer
Figure 3.4
Confidence managing patient with triple negative metastatic breast cancer
Figure 3.5
Other agents appropriate to include in treatment of triple negative metastatic breast cancer
Figure 3.6
Treatment of progressive triple negative metastatic breast cancer
Figure 3.7
Single chemotherapy agent, progressive triple negative metastatic breast cancer
Figure 3.8
Combination chemotherapy, progressive triple negative metastatic breast cancer
Figure 3. 9
Barriers to optimal treatment of progressive triple negative metastatic breast cancer
Figure 3.10
Changing therapy to manage neuropathy
Figure 3.11
Recommended treatment of progressive triple negative metastatic breast cancer with BRCA-1 mutation
Figure 3.12
Single agent chemotherapy, progressive triple negative metastatic breast cancer with BRCA-1 mutation
Figure 3.13
Combination chemotherapy, progressive triple negative metastatic breast cancer with BRCA-1 mutation
Figure 3.14
Chapter 4: Treatment of Patient with Triple Positive Metastatic Breast Cancer
Next step for patient with triple positive metastatic breast cancer
Figure 4. 1
Treatment of progressive disease, triple positive metastatic breast cancer
Figure 4.2
Single chemotherapy choices for progressive triple positive metastatic breast cancer
Figure 4.3
Combination chemotherapy, progressive triple positive metastatic breast cancer
Figure 4.4
Factors influencing treatment of progressive triple positive metastatic breast cancer
Figure 4.5
Treatment regimen for continued progression of triple positive metastatic breast cancer
Figure 4.6
Decisions regarding the use of lapatinib in progressive triple positive metastatic breast cancer
Figure 4.7
Management of progressive disease, triple positive metastatic breast cancer
Figure 4.8
Chapter 5: Patient with ER/PR Positive HER2Neu Negative Metastatic Breast Cancer
Confidence managing patient with ER/PR positive HER2/neu negative metastatic breast cancer
Figure 5.1
Other than analgesics, treatment of patient’s hip pain with ER/PR positive HER2/neu negative metastatic breast cancer
Figure 5.2
Treatment with ER/PR positive HER2/neu negative metastatic breast cancer
Figure 5.3
Factors influencing treatment choice with ER/PR positive HER2/neu negative metastatic breast cancer
Figure 5.4
Next systemic treatment choice with ER/PR positive HER2/neu negative metastatic breast cancer
Figure 5.5
Chapter 6: Patient with Metastatic Breast Cancer with Multiple Comorbidities
Confidence managing patient with metastatic breast cancer with multiple comorbidities
Figure 6.1
Barriers to managing patient, metastatic breast cancer with multiple comorbidities
Figure 6.2
Treatment in addition to the aromatase inhibitor for patient’s metastatic breast cancer with multiple comorbidities
Figure 6.3
Next treatment regimen for progressive metastatic breast cancer with multiple comorbidities
Figure 6.4
Factors influencing treatment for progressive metastatic breast cancer with multiple comorbidities
Figure 6.5
Chapter 7: Summary
Appendix A: Survey Instrument

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