Safety and tolerability of subcutaneous trastuzumab for the adjuvant treatment of human epidermal growth factor receptor 2-positive early breast cancer: SafeHer phase III study's primary analysis of 2573 patients

J. Gligorov, B. Ataseven, M. Verrill, M. De Laurentiis, K. H. Jung, H. A. Azim, N. Al-Sakaff, S. Lauer, M. Shing, X. Pivot, SafeHer Study Group, Francesco Cognetti

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AIM: To assess the safety and tolerability of adjuvant subcutaneous trastuzumab (Herceptin(R) SC, H SC), delivered from an H SC Vial via hand-held syringe (Cohort A) or single-use injection device (Cohort B), with or without chemotherapy, for human epidermal growth factor receptor 2 (HER2)-positive stage I to IIIC early breast cancer (EBC) in the phase III SafeHer study (NCT01566721). METHODS: Patients received 600 mg fixed-dose H SC every 3 weeks for 18 cycles. The chemotherapy partner was at the investigators' discretion (H SC monotherapy was limited to /= 3 AEs and 326 (12.7%) experienced serious AEs. Grade >/= 3 cardiac disorders were reported in 24 patients (0.9%), including congestive heart failure in eight (0.3%). As expected, the AE rates varied according to the timing of chemotherapy in both cohorts, with higher rates in concurrent versus sequential chemotherapy subgroups. In the concurrent chemotherapy subgroup, AEs were more common during the actual period of concurrent chemotherapy compared with the period when patients did not receive concurrent chemotherapy. CONCLUSION: SafeHer confirms the safety and tolerability of the H SC 600 mg fixed dose for 1 year (every 3 weeks for 18 cycles) as adjuvant therapy with concurrent or sequential chemotherapy for HER2-positive EBC. These primary analysis results are consistent with the known safety profile for intravenous H and H SC.
Original languageEnglish
Pages (from-to)237-246
JournalEuropean Journal of Cancer
Publication statusPublished - Jun 15 2017



  • Adjuvant
  • Breast cancer
  • HER2/neu
  • Herceptin
  • Subcutaneous
  • Trastuzumab

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