NICE does not recommend lapatinib or trastuzumab in combination with an aromatase inhibitor for women who have been through the menopause and who have metastatic breast cancer that is hormone receptor and HER2 positive.

Why has NICE said this?

NICE looks at how well treatments work, and also at how well they work in relation to how much they cost the NHS. NICE applies special considerations to treatments that can extend the lives of people who are nearing the end of their life. Lapatinib and trastuzumab do not provide enough benefit to patients to justify their high cost even when the special considerations were applied, so NICE did not recommend them.

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