Evidence-based recommendations on trastuzumab (Herceptin) for treating early HER2-positive breast cancer in adults.

NICE guideline CG80 includes the recommendations from this guidance.

Is this guidance up to date?

We reviewed the evidence in October 2016 and we are updating this guidance. See the guideline in development page for progress on the update.

NICE and the Department of Health are reviewing the position on updating technology appraisal guidance within clinical guidelines, with particular reference to implications for the funding direction on technology appraisal guidance. In the meantime, the statutory funding direction remains in place and the recommendations in the guidance should continue to be followed.

Guidance development process

How we develop NICE technology appraisal guidance

Your responsibility

The recommendations in this guidance represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take this guidance fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this guidance is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Commissioners and/or providers have a responsibility to provide the funding required to enable the guidance to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.