EMILIA
Regimen
- Experimental
- T-DM1 (trastuzumab emtansine) 3.6 mg/kg IV every 3 weeks.
- Control
- Lapatinib 1250 mg/day PO + capecitabine 1000 mg/m2 PO BID (days 1-14, q3w).
Population
HER2-positive advanced breast cancer previously treated with trastuzumab and a taxane.
Key finding
EMILIA established T-DM1 as 2L standard in HER2+ MBC, ending the reign of lapatinib + capecitabine. FDA approved 2013; held 2L standard until displaced by DESTINY-Breast03 in 2022. Still relevant where T-DXd is not available.
Source: PMID 23020162
Timeline
- Publication: 2012 Nov 8
Guideline citations
- NCCN BREAST