TAILORx
Regimen
- Experimental
- Adjuvant chemotherapy followed by endocrine therapy for 5 years (various chemotherapy regimens per investigator).
- Control
- Endocrine therapy alone for 5 years.
Population
Women with HR+/HER2-/node-negative early breast cancer and Oncotype DX 21-gene Recurrence Score (RS) 11-25 (mid-range), randomized to chemoendocrine therapy or endocrine therapy alone.
Key finding
TAILORx definitively established that most postmenopausal women with HR+/HER2-/N0 disease and RS 11-25 can safely skip adjuvant chemotherapy. NCCN BINV-N category 1 for using the 21-gene assay in this population. In women <=50 years, chemotherapy benefits those with RS 16-25, linking genomic and clinical risk.
Source: PMID 29860917
Timeline
- Publication: 2018 Jul 12
Guideline citations
- NCCN BREAST