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This trial showed that in patients with HER2-positive early breast cancer, 6 months' adjuvant trastuzumab was non-inferior to 12 months', with less cardiac toxicity and fewer severe adverse events.

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Helena Earl 1,2,3,*, Louise Hiller 4, Anne-Laure Vallier 5, Shrushma Loi 4, Karen McAdam 6,7, Luke Hughes-Davies 1,7, Daniel Rea 8, Donna Howe 4, Kerry Raynes 4, Helen B Higgins 4, Maggie Wilcox 9, Chris Plummer 10,11, Betania Mahler-Araujo 12,13, Elena Provenzano 3,12, Anita Chhabra 14, Sophie Gasson 4, Claire Balmer 4, Jean E Abraham 1,2,3, Carlos Caldas 1,2,3,15, Peter Hall 16, Bethany Shinkins 17, Christopher McCabe 18, Claire Hulme 17,19, David Miles 20, Andrew M Wardley 21,22, David A Cameron 16, Janet A Dunn 4

1 Department of Oncology, University of Cambridge, Addenbrooke’s Hospital, Cambridge, UK
2 Cambridge Breast Cancer Research Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
3 NIHR Cambridge Biomedical Research Centre, Cambridge, UK
4 Warwick Clinical Trials Unit, University of Warwick, Coventry, UK
5 Cambridge Clinical Trials Unit – Cancer Theme, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
6 Department of Oncology, North West Anglia NHS Foundation Trust, Peterborough City Hospital, Peterborough, UK
7 Department of Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
8 Cancer Research UK Clinical Trials Unit (CRCTU), Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK
9 Independent Cancer Patients’ Voice, London, UK
10 Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
11 Department of Cardiology, Freeman Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
12 Department of Histopathology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
13 Metabolic Research Laboratories, University of Cambridge, Cambridge, UK
14 Pharmacy, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke’s Hospital, Cambridge, UK
15 Cancer Research UK Cambridge Institute, University of Cambridge, Cambridge, UK
16 Edinburgh University Cancer Research Centre, Institute of Genetics and Molecular Medicine, University of Edinburgh, Western General Hospital, Edinburgh, UK
17 Academic Unit of Health Economics, University of Leeds, Leeds, UK
18 Institute of Health Economics, Edmonton, AB, Canada
19 Health Economics Group, University of Exeter Medical School, Exeter, UK
20 Medical Oncology, Mount Vernon Cancer Centre, Northwood, UK
21 NIHR Manchester Clinical Research Facility at The Christie NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK
22 Division of Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK
* Corresponding author Email: hme22@cam.ac.uk

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