Consensus Guidelines for the Use of Cyclin-Dependent Kinase (CDK) 4/6 Inhibitors in the Management of Hormone Receptor Positive (HR+ve), Her2−ve Early Breast Cancer (EBC)

It is still not possible for all patients with early breast cancer to be cured. Even when they respond well to initial therapy, there exists a substantial risk for recurrence, sometimes after several years. With the availability of cyclin-dependent kinase (CDK) 4/6 inhibitors the role of adjuvant th...

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Main Authors: Purvish M. Parikh, Amish Vora, Rajan Yadav, Akhil Kapoor, Tarini Sahoo, Senthil Rajappa, Govind Babu Kanakashetty, M. Vamshi Krishna, Ghanashyam Biswas, Ankur Bahl, Nikhil Ghadyalpatil, Thirumalairaj Raja, Jyoti Bajpai, Amol Akhade, Randeep Singh, Shyam Aggarwal, Maheboob Basade, S.H. Advani
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2025-01-01
Series:South Asian Journal of Cancer
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1791768
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author Purvish M. Parikh
Amish Vora
Rajan Yadav
Akhil Kapoor
Tarini Sahoo
Senthil Rajappa
Govind Babu Kanakashetty
M. Vamshi Krishna
Ghanashyam Biswas
Ankur Bahl
Nikhil Ghadyalpatil
Thirumalairaj Raja
Jyoti Bajpai
Amol Akhade
Randeep Singh
Shyam Aggarwal
Maheboob Basade
S.H. Advani
author_facet Purvish M. Parikh
Amish Vora
Rajan Yadav
Akhil Kapoor
Tarini Sahoo
Senthil Rajappa
Govind Babu Kanakashetty
M. Vamshi Krishna
Ghanashyam Biswas
Ankur Bahl
Nikhil Ghadyalpatil
Thirumalairaj Raja
Jyoti Bajpai
Amol Akhade
Randeep Singh
Shyam Aggarwal
Maheboob Basade
S.H. Advani
author_sort Purvish M. Parikh
collection DOAJ
description It is still not possible for all patients with early breast cancer to be cured. Even when they respond well to initial therapy, there exists a substantial risk for recurrence, sometimes after several years. With the availability of cyclin-dependent kinase (CDK) 4/6 inhibitors the role of adjuvant therapy has improved, and so has the chance of cure. These consensus guidelines will ensure that the community oncologist will be able to take the right decision for their patient. The expert committee shares their real-world experience as well as the consensus voting results. Patients eligible for adjuvant therapy with CDK4/6 inhibitors should start that treatment at the earliest. Based on current published data, abemaciclib is the preferred CDK4/6 inhibitor that should be used in eligible patients (unless contraindicated). To ensure optimal dose intensity and adherence to treatment schedule, use of literature and patient information material can improves compliance. Treatment modification requires early reporting of adverse effects, a responsibility of the patient and caregiver (relatives).
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institution Kabale University
issn 2278-330X
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language English
publishDate 2025-01-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series South Asian Journal of Cancer
spelling doaj-art-0db26f0ba56a4d05baf8774a1efb24052025-08-20T03:40:41ZengThieme Medical and Scientific Publishers Pvt. Ltd.South Asian Journal of Cancer2278-330X2278-43062025-01-01140104505210.1055/s-0044-1791768Consensus Guidelines for the Use of Cyclin-Dependent Kinase (CDK) 4/6 Inhibitors in the Management of Hormone Receptor Positive (HR+ve), Her2−ve Early Breast Cancer (EBC)Purvish M. Parikh0Amish Vora1Rajan Yadav2Akhil Kapoor3https://orcid.org/0000-0001-6006-2631Tarini Sahoo4Senthil Rajappa5Govind Babu Kanakashetty6https://orcid.org/0000-0002-1303-2226M. Vamshi Krishna7Ghanashyam Biswas8Ankur Bahl9Nikhil Ghadyalpatil10Thirumalairaj Raja11Jyoti Bajpai12Amol Akhade13Randeep Singh14Shyam Aggarwal15Maheboob Basade16S.H. Advani17Department of Clinical Hematology, Sri Ram Cancer Center, Mahatma Gandhi University of Medical Sciences and Technology, Jaipur, Rajasthan, IndiaDepartment of Medical Oncology, Hope Oncology Center, New Delhi, IndiaDepartment of Medical Oncology, Gujarat Cancer Research Institute, Ahmedabad, Gujarat, IndiaDepartment of Medical Oncology, Mahamana Pandit Madan Mohan Malviya Cancer Centre and Homi Bhabha Cancer Hospital, Tata Memorial Centre, Varanasi, Uttar Pradesh, IndiaDepartment of Medical Oncology, Silverline Hospital, Bhopal, Madhya Pradesh, IndiaDepartment of Medical Oncology, Basavatarakam Indo American Cancer Hospital, Hyderabad, Telangana, IndiaDepartment of Medical Oncology, St. John's Medical College and Hospital, Bengaluru, Karnataka, IndiaDepartment of Medical Oncology, AIG Hospital, Hyderabad, Telangana, IndiaDepartment of Medical Oncology, Sparsh Hospitals and Critical Care Pvt Ltd., Bhubaneswar, Orissa, IndiaDepartment of Medical Oncology, Fortis Medical, Gurugram, Haryana, IndiaDepartment of Medical Oncology, Yashoda Hospital, Hyderabad, Telangana, IndiaDepartment of Medical Oncology, Apollo Hospital, Chennai, Tamil Nadu, IndiaDepartment of Medical Oncology, Apollo Hospital, Navi Mumbai, Maharashtra, IndiaDepartment of Medical Oncology, Bethany Hospital, Thane, Maharashtra, IndiaDepartment of Medical Oncology, Narayana Health, Gurugram, Haryana, IndiaDepartment of Medical Oncology, Sir Ganga Ram Hospital, New Delhi, IndiaDepartment of Medical Oncology, Saifee Hospital, Mumbai, Maharashtra, IndiaDepartment of Medical Oncology, Sushrusha Hospital, Mumbai, Maharashtra, IndiaIt is still not possible for all patients with early breast cancer to be cured. Even when they respond well to initial therapy, there exists a substantial risk for recurrence, sometimes after several years. With the availability of cyclin-dependent kinase (CDK) 4/6 inhibitors the role of adjuvant therapy has improved, and so has the chance of cure. These consensus guidelines will ensure that the community oncologist will be able to take the right decision for their patient. The expert committee shares their real-world experience as well as the consensus voting results. Patients eligible for adjuvant therapy with CDK4/6 inhibitors should start that treatment at the earliest. Based on current published data, abemaciclib is the preferred CDK4/6 inhibitor that should be used in eligible patients (unless contraindicated). To ensure optimal dose intensity and adherence to treatment schedule, use of literature and patient information material can improves compliance. Treatment modification requires early reporting of adverse effects, a responsibility of the patient and caregiver (relatives).http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1791768targeted therapyIDFShigh riskregulatory approval
spellingShingle Purvish M. Parikh
Amish Vora
Rajan Yadav
Akhil Kapoor
Tarini Sahoo
Senthil Rajappa
Govind Babu Kanakashetty
M. Vamshi Krishna
Ghanashyam Biswas
Ankur Bahl
Nikhil Ghadyalpatil
Thirumalairaj Raja
Jyoti Bajpai
Amol Akhade
Randeep Singh
Shyam Aggarwal
Maheboob Basade
S.H. Advani
Consensus Guidelines for the Use of Cyclin-Dependent Kinase (CDK) 4/6 Inhibitors in the Management of Hormone Receptor Positive (HR+ve), Her2−ve Early Breast Cancer (EBC)
South Asian Journal of Cancer
targeted therapy
IDFS
high risk
regulatory approval
title Consensus Guidelines for the Use of Cyclin-Dependent Kinase (CDK) 4/6 Inhibitors in the Management of Hormone Receptor Positive (HR+ve), Her2−ve Early Breast Cancer (EBC)
title_full Consensus Guidelines for the Use of Cyclin-Dependent Kinase (CDK) 4/6 Inhibitors in the Management of Hormone Receptor Positive (HR+ve), Her2−ve Early Breast Cancer (EBC)
title_fullStr Consensus Guidelines for the Use of Cyclin-Dependent Kinase (CDK) 4/6 Inhibitors in the Management of Hormone Receptor Positive (HR+ve), Her2−ve Early Breast Cancer (EBC)
title_full_unstemmed Consensus Guidelines for the Use of Cyclin-Dependent Kinase (CDK) 4/6 Inhibitors in the Management of Hormone Receptor Positive (HR+ve), Her2−ve Early Breast Cancer (EBC)
title_short Consensus Guidelines for the Use of Cyclin-Dependent Kinase (CDK) 4/6 Inhibitors in the Management of Hormone Receptor Positive (HR+ve), Her2−ve Early Breast Cancer (EBC)
title_sort consensus guidelines for the use of cyclin dependent kinase cdk 4 6 inhibitors in the management of hormone receptor positive hr ve her2 ve early breast cancer ebc
topic targeted therapy
IDFS
high risk
regulatory approval
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1791768
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