Early breast cancer treatment after surgery

People with early breast cancer usually get treatment after surgery, even if the surgery was successful. This is called adjuvant treatment.

After early breast cancer surgery, PERJETA is approved in combination with Herceptin® (trastuzumab) and chemotherapy for people with HER2+ early breast cancer that has a high likelihood of coming back.

Adjuvant treatment is given with curative intent to kill any cancer cells left behind after surgery, with the goal of keeping you cancer-free for as long as possible.

Keep in mind that even if you get adjuvant treatment, the cancer may still return. In addition, some people may experience serious or common side effects while receiving adjuvant treatment.

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PERJETA-based therapy after surgery

You may be eligible to receive PERJETA + Herceptin-based treatment after surgery if you have HER2+ early breast cancer and:

  • You started PERJETA + Herceptin-based treatment before surgery, OR
  • Your cancer has a high chance of coming back

If you and your doctor decide that PERJETA + Herceptin-based treatment after surgery is right for you, your treatment plan might look like this:

Starting PERJETA + Herceptin-based therapy after surgery

PERJETA-based regimen: continuing treatment after surgery & starting treatment after surgery

*Unless side effects become too difficult to manage, or the cancer comes back sooner.

You should receive a total of 1 year (up to 18 cycles) of treatment with PERJETA and Herceptin. This includes any PERJETA and Herceptin you may have been given before surgery. Your treatment may be stopped sooner if your side effects become too difficult to manage or if the cancer comes back.

You will also be given chemotherapy; the dosing schedule and number of cycles will depend on which type of chemotherapy you receive. Your doctor will decide what chemotherapy regimen is right for you. Although a complete course of PERJETA + Herceptin-based therapy is a full year, chemotherapy is typically stopped sooner.

Cycle: A course of treatment that is repeated on a regular schedule with periods of rest in between. For example, PERJETA + Herceptin is given once every 3 weeks. That is one cycle.

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How many cycles do I have left?

Use the information below to see how many PERJETA + Herceptin cycles you have remaining.

Dosing calculation: How many treatments are left?

*Unless side effects become too difficult to manage, or the cancer comes back sooner.

This information is for reference purposes only. Please consult with your healthcare team regarding your full course of treatment. Your doctor may discontinue your treatment if side effects become too difficult to manage or if your cancer comes back.

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Side effects may occur with PERJETA

What are the possible side effects of PERJETA? PERJETA may cause serious side effects, including:

  • PERJETA can cause heart problems, including those without symptoms (such as reduced heart function) and those with symptoms (such as congestive heart failure)
  • Receiving PERJETA during pregnancy can cause the death of an unborn baby and birth defects

Who should not take PERJETA?
PERJETA should not be used in patients who are allergic to pertuzumab or to any of the ingredients in PERJETA.

What are the other possible side effects of PERJETA? Serious side effects of PERJETA may also include:
Possible serious and sometimes fatal side effects of PERJETA include infusion-related reactions and severe allergic reactions (hypersensitivity reactions/anaphylaxis).

See additional Important Safety Information below.

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How PERJETA + Herceptin-based therapy may help

PERJETA + Herceptin-based therapy after surgery has been shown to lower the risk of the cancer coming back in certain people who have HER2+ early breast cancer.

Adjuvant treatment with PERJETA based therapy lowered the risk of the cancer coming back
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How PERJETA is given

See how PERJETA + Herceptin-based therapy is given and what you may expect during your infusion.

Have additional questions?

Discover information and resources to help you have an informative conversation with your doctor.

Important Safety Information

What is PERJETA?

PERJETA® (pertuzumab) is a prescription medicine approved for use in combination with trastuzumab and chemotherapy for:

  • Use prior to surgery (neoadjuvant treatment) in adults with HER2-positive, locally advanced, inflammatory, or early stage breast cancer as part of a complete treatment regimen for early breast cancer
  • Use after surgery (adjuvant treatment) in adults with HER2-positive early breast cancer that has a high likelihood of coming back

PERJETA® (pertuzumab) is a prescription medicine approved for use in combination with trastuzumab and docetaxel in adults who have HER2-positive breast cancer that has spread to different parts of the body (metastatic) and who have not received prior anti-HER2 therapy or chemotherapy for metastatic breast cancer.

What are the possible side effects of PERJETA?

PERJETA may cause serious side effects, including:

PERJETA can cause heart problems, including those without symptoms (such as reduced heart function) and those with symptoms (such as congestive heart failure)

  • Your doctor will run tests to monitor your heart function before and during treatment
  • Based on these tests, your treatment may be interrupted or discontinued
  • Contact a health care professional immediately if you experience any of the following: new onset or worsening shortness of breath, cough, swelling of the ankles/legs, swelling of the face, palpitations, weight gain of more than 5 pounds in 24 hours, dizziness or loss of consciousness

Receiving PERJETA during pregnancy can cause the death of an unborn baby and birth defects

  • Your doctor will verify your pregnancy status before treatment begins
  • Birth control should be used while receiving PERJETA and for 7 months after your last dose of PERJETA. If you are a mother who is breastfeeding, you should talk with your doctor about either stopping breastfeeding or stopping PERJETA
  • If you think you may be pregnant, you should contact your healthcare provider immediately
  • If you are exposed to PERJETA during pregnancy, or become pregnant while receiving PERJETA or within 7 months following the last dose of PERJETA with trastuzumab, you are encouraged to report PERJETA exposure to Genentech at 1-888-835-2555

Who should not take PERJETA?

PERJETA should not be used in patients who are allergic to pertuzumab or to any of the ingredients in PERJETA.

What are the other possible side effects of PERJETA?

Serious side effects of PERJETA may also include:

  • Infusion-related reactions: PERJETA is given as an infusion. PERJETA can cause serious infusion-related reactions, some fatal. When given alone, the most common infusion-related reactions were fever, chills, fatigue, headache, weakness, hypersensitivity, and vomiting. When given with trastuzumab and docetaxel, the most common infusion-related reactions were fatigue, altered taste, hypersensitivity, muscle pain, and vomiting
  • Severe allergic reactions: PERJETA can cause hypersensitivity reactions, including anaphylaxis and fatal events. Contact a health care professional immediately if you experience any of the following symptoms: swelling of the face, lips or tongue, trouble breathing, or chest pains

The most common side effects of PERJETA include:

The most common side effects of PERJETA when given with trastuzumab and chemotherapy prior to surgery for early breast cancer include:

  • Constipation
  • Damage to the nerves (numbness, tingling, pain in hands/feet)
  • Diarrhea
  • Fatigue
  • Hair loss
  • Headache
  • Decreased red blood cell counts, white blood cell counts, and platelet counts
  • Mouth sores or blisters
  • Nausea
  • Muscle pain
  • Vomiting
  • Weakness

The most common side effects of PERJETA when given with trastuzumab and chemotherapy after surgery for early breast cancer include:

  • Diarrhea
  • Nausea
  • Hair loss
  • Fatigue
  • Damage to the nerves (numbness, tingling, pain in hands/feet)
  • Vomiting

The most common side effects of PERJETA when given with trastuzumab and docetaxel for metastatic breast cancer include:

  • Diarrhea
  • Hair loss
  • Low levels of white blood cells with or without fever
  • Nausea
  • Fatigue
  • Rash
  • Damage to the nerves (numbness, tingling, pain in hands/feet)

Side effects may vary based on chemotherapy regimen. These are not all the possible side effects of PERJETA. Call your healthcare provider for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. You may also report side effects to Genentech at 1-877-436-3683.

Before you take PERJETA, tell your healthcare provider about all of your medical conditions, including if you:

  • Have a history of heart disease
  • Are pregnant or plan to become pregnant. PERJETA can harm your unborn baby
  • Are breastfeeding or plan to breastfeed. It is not known if PERJETA passes into your breastmilk

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

Please see the full Prescribing Information for additional Important Safety Information, including most serious side effects.