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Continuing Education Information

Physicians' Education Resource is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Physicians' Education Resource designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Treatment Options for Triple-Negative Metastatic Breast Cancer

Release Date: July 30, 2008
Expiration Date: July 30, 2009

Interactive Case Study Overview

Approximately 15% of breast cancers are estrogen receptor–negative (ER)/progesterone receptor–negative (PgR)/HER2 (“triple-negative”) breast cancers. Triple-negative status is associated with increased aggressiveness and decreased recurrence-free survival. Since these tumors are not sensitive to hormonal or HER2-targeted therapy, therapeutic options for these patients have primarily consisted of systemic chemotherapy, while searches for novel targets continue. Although some chemotherapeutic regimens have demonstrated activity in patients with triple-negative breast cancer, there is no current standard of care for those patients. The aggressiveness of this tumor subtype requires that physicians stay informed of the efficacy and safety of therapeutic options for metastatic disease, both in the first-line setting and beyond, including antiangiogenic therapy and novel microtubule-targeted agents.

The purpose of this activity is to update physicians on the utility of new treatment options for triple-negative metastatic breast cancer (MBC), including antiangiogenic therapy and novel microtubule-targeted agents.

Target Audience

This educational activity is intended for medical oncologists involved in the care of patients with breast cancer. No specific skills or knowledge other than a basic training in oncology is required for successful participation in this activity.

Learning Objectives

Upon completion of this educational activity, you should be able to:

  • Evaluate the utility of taxane and antiangiogenic agent combinations in patients with MBC
  • Assess the efficacy of cytotoxic treatment options for patients with ER/PgR/HER2 MBC pretreated with anthracyclines and taxanes
  • Summarize the toxicity profiles associated with epothilone-based therapy in patients with breast cancer

Instructions for Participation

  1. Read the following information before beginning the educational activity.
  2. Study the educational activity.
  3. Complete the CME test.
  4. Answer the evaluation questions.
  5. After successful completion of the CME test and evaluation, you will receive your certificate of credit online.

Successful completion is determined by a score of 67% or greater.

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Educational Grants

An educational grant for this activity was provided by:


  1. Bristol-Myers Squibb

Hope S. Rugo, MD
Clinical Professor of Medicine
Director, Breast Oncology Clinical Trials Program
UCSF Helen Diller Family Comprehensive Cancer Center
University of California, San Francisco
San Francisco, CA