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Correspondence
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Volume 358:1637-1638 April 10, 2008 Number 15
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Paclitaxel plus Bevacizumab for Metastatic Breast Cancer

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 by Miller, K.
To the Editor: On the basis of an increase in progression-free survival of 5.9 months, Miller et al. (Dec. 27, 2007, issue)1 imply that the addition of bevacizumab to paclitaxel is a significant advance in the treatment of metastatic breast cancer. However, progression-free survival is an unreliable measure of benefit in metastatic cancer, and patients given bevacizumab do not live longer than patients given paclitaxel alone. Furthermore, it is questionable to cite response rates in phase 3 studies, since response rates are a means of looking for active new agents in phase 2 studies. Finally, there are no data that . . . [Full Text of this Article]


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