Key Takeaways
- In a randomized controlled trial of 5,318 women with early-stage breast cancer, adjuvant chemotherapy with anthracyclines and taxanes achieved a 5-year disease-free survival rate of 84.3% compared to 81.2% with anthracyclines alone
- For HER2-positive breast cancer patients (n=3,351), neoadjuvant chemotherapy plus trastuzumab yielded a pathologic complete response rate of 50.6% versus 34.8% with chemotherapy alone (p=0.0001)
- In postmenopausal women with hormone receptor-positive early breast cancer (TAILORx trial, n=10,273), chemotherapy benefit was seen in 6.5% absolute improvement in distant recurrence-free survival for high-risk genomic scores
- In stage IV NSCLC patients (KEYNOTE-189, n=616), pembrolizumab plus pemetrexed-platinum chemo improved OS to 22 months vs 10.6 months (HR 0.49)
- For advanced squamous NSCLC (IMpower131, n=1,091), atezolizumab plus carboplatin-paclitaxel PFS 6.3 vs 5.6 months (HR 0.72)
- First-line chemo with cisplatin-pemetrexed in non-squamous NSCLC (n=1,725) median OS 10.3 months vs 6.9 gemcitabine-cisplatin
- For stage II-III rectal cancer (PROSPECT trial, n=1,194), chemoRT with FOLFOX non-inferior to 5FU RT, pCR 21% vs 19%
- Adjuvant FOLFOX in stage III colon cancer (MOSAIC, n=2,246) 6-year DFS 72.9% vs 68.7% 5FU/LV (HR 0.80)
- In metastatic colorectal cancer (FIRE-3, n=592), cetuximab-FOLFIRI OS 33.1 vs 25.0 months bevacizumab-FOLFIRI (HR 0.77)
- For newly diagnosed AML patients <60y (n=1,437), 7+3 induction chemo CR rate 66%
- In AML with FLT3-ITD (RATIFY, n=717), midostaurin +7+3 chemo improved OS to 74.7% 4-year vs 51.4% placebo
- CPX-351 (liposomal daunorubicin-cytarabine) in secondary AML CR/CRi 48% vs 33% 7+3 (p=0.016)
- For DLBCL patients (n=1,413), R-CHOP chemo-immuno 5-year PFS 74% in low IPI
- Polatuzumab vedotin + R-CHP in DLBCL (POLARIX, n=880) 2-year PFS 76.7% vs 70.2% R-CHOP (HR 0.73)
- In advanced Hodgkin lymphoma (n=1,334), escalated BEACOPP 5-year FFS 90.2% vs 83.4% ABVD
Chemotherapy significantly improves survival rates across many cancers in clinical trials.






