 
          Cardiac Safety
        
        
          Tryphaena
        
        
          Patients n, (%)
        
        
          FEC + HP x3
        
        
          
        
        
          PHT x3
        
        
          (n = 72)
        
        
          FEC x3
        
        
          
        
        
          PHT x3
        
        
          (n = 75)
        
        
          PHTC x6
        
        
          (n = 76)
        
        
          Symptomatic LVSD (grades ≥3)
        
        
          0 (0.0)
        
        
          2 (2.7)
        
        
          0 (0.0)
        
        
          LVSD (all grades)
        
        
          4 (5.6)
        
        
          3 (4.0)
        
        
          2 (2.6)
        
        
          LVEF decline ≥10% points and below 50%
        
        
          4 (5.6)
        
        
          4 (5.3)
        
        
          3 (3.9)
        
        
          LVSD, left ventricular systolic dysfunction; LVEF, left ventricular ejection fraction
        
        
          FEC, 5-fluorouracil, epirubicin, cyclophosphamide; H, trastuzumab; P, pertuzumab; T, docetaxel; C, carboplatin
        
        
          •
        
        
          Low incidence of symptomatic and asymptomatic LVSD across all arms
        
        
          Schneeweiss et al.  Ann of Oncology 2013;