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Verzenios ® ▼ (abemaciclib)
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Should Verzenios® (abemaciclib) be paused before and held after surgery?
In the Monarch studies, abemaciclib was held at least 7 days before surgery and continued no earlier than 14 days after completion of surgery ± radiotherapy. In monarchE, abemaciclib was resumed after surgery as clinically indicated.
Use of Abemaciclib During Invasive Procedures
Information on holding abemaciclib treatment for surgery is available in several clinical study protocols and is provided in this response. No additional information is available on the use of abemaciclib during invasive procedures or on the outcomes in patients who underwent surgery while on study.
Patients Undergoing Surgery in MONARCH 2 and MONARCH 3
A patient with locally advanced (MONARCH 2) or locoregionally recurrent (MONARCH 3) breast cancer could receive surgery ± radiotherapy if study treatment rendered the tumor operable.1,2
Such a patient should not receive study treatment for the period beginning at least 7 days prior to surgery and continuing until at least 14 days after completion of surgery ± radiotherapy to allow for tissue healing and recovery.1,2