Evaluation of treatment outcomes of eribulin in recurrent and metastatic breast cancer at K hospital

Nguyen Thi Hoa, Phung Thi Huyen, Hoang Manh Thang

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Abstract

This retrospective descriptive study enrolled 54 patients with recurrent metastatic breast cancer treated with eribulin monotherapy at K Hospital between January 2020 and December 2025, with the aim of evaluating the efficacy and toxicity profile of the regimen. The mean age was 54.78 ± 10.82 years old; 72.7% of patients had received three or more prior chemotherapy regimens; triple-negative breast cancer (TNBC) was the predominant molecular subtype (33.3%) and the rate of hepatic metastases was notably high (58.2%). The objective response rate (ORR) was 31.5%, consisting exclusively of partial responses. Median progression-free survival (PFS) was 2.8 months, with estimated PFS rates at 3 and 6 months of 37.0% (95% CI: 24.1 – 49.9%) and 35.2% (95% CI: 22.5 – 47.9%), respectively. The number of metastatic sites was a statistically significant predictor of treatment response (p = 0.036, Fisher's Exact Test). Immunohistochemical subtype was significantly associated with PFS (Log-rank p = 0.041), with the TNBC subgroup demonstrating the poorest prognosis. Regarding tolerability, the majority of adverse events were grade 1–2; grade 3–4 neutropenia occurred in 20.4% of patients and no treatment-related death  was recorded. These findings provide preliminary evidence supporting the feasibility and safety of eribulin in real-world clinical practice in Vietnam.

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