This study focuses on patients with HER2-positive breast cancer. The research aims to evaluate whether reducing chemotherapy guided by imaging can be effective when combined with two medications that target HER2: Herceptin (trastuzumab) and Perjeta (pertuzumab). These medications are specifically designed to treat breast cancers that have high levels of a protein called HER2 on their surface.
The treatment plan includes several medications given through intravenous infusion or injection. Patients will receive paclitaxel and carboplatin as chemotherapy drugs, along with Herceptin and Perjeta which target the cancer cells. Some patients may also receive Kadcyla (trastuzumab emtansine), which combines Herceptin with another anti-cancer substance.
Throughout the study, doctors will use imaging tests to monitor how well the treatment is working. Based on these results, they may adjust the amount of chemotherapy given. The main goal is to see if this approach can effectively treat the cancer while potentially reducing the amount of chemotherapy needed. Patients will be monitored for at least three years after starting treatment to evaluate the long-term effectiveness of this approach.



The Netherlands