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The natural history of human epidermal growth factor receptor 2 (HER2)-positive breast cancer was altered with the introduction of trastuzumab. Initial reports from randomized trials of adjuvant chemotherapy with or without trastuzumab for early-stage breast cancer showed significant improvements in disease-free survival (DFS) and overall survival (OS; JW Womens Health Nov 1 2005). Recently, in a partially manufacturer-supported study, investigators reported longer follow-up of these seminal trials. The North Central Cancer Treatment Group N9831 and National Surgical Adjuvant Breast and Bowel Project B-31 trials were designed similarly, allowing for a combined analysis of the two studies and further enhancing the statistical power of the fi…