Publications by authors named "Meredith G Faggen"

Background: The expansion of hematopoietic stem cells carrying recurrent somatic mutations, termed clonal hematopoiesis (CH), is common in elderly individuals and is associated with increased risk of myeloid malignancy and all-cause mortality. Though chemotherapy is a known risk factor for developing CH, how myelosuppressive therapies affect the short-term dynamics of CH remains incompletely understood. Most studies have been limited by retrospective design, heterogeneous patient populations, varied techniques to identifying CH, and analysis of single timepoints.

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Introduction: Older adults with breast cancer receiving neo/adjuvant chemotherapy are at high risk for poor outcomes and are underrepresented in clinical trials. The ADVANCE (ADjuVANt Chemotherapy in the Elderly) trial evaluated the feasibility of two neo/adjuvant chemotherapy regimens in parallel-enrolling cohorts of older patients with human epidermal growth factor receptor 2-negative breast cancer: cohort 1-triple-negative; cohort 2-hormone receptor-positive.

Materials And Methods: Adults age ≥ 70 years with stage I-III breast cancer warranting neo/adjuvant chemotherapy were enrolled.

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Article Synopsis
  • The study investigates chemotherapy-related amenorrhea (CRA) as an indicator of ovarian toxicity and its implications for women's fertility and menopause risks, comparing rates between two treatments: paclitaxel-trastuzumab (TH) and ado-trastuzumab emtansine (T-DM1).
  • Patients with early-stage HER2-positive breast cancer from the ATEMPT trial were monitored for menstrual changes over 18 months after receiving either TH or T-DM1, with findings showing a 50% CRA rate in TH recipients compared to 24% in T-DM1 recipients (p=0.045).
  • The conclusion emphasizes that T-DM1 is associated with a lower
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