Emerging Therapeutic Drugs in Metastatic Triple-Negative Breast Cancer.

Metastatic triple-negative breast cancer (TNBC) is a heterogeneous disease with a poor prognosis and currently with few treatment options. Treatment of these patients is highly based on systemic chemotherapy. Some targeted drugs were recently approved for these patients: two poly(ADP-ribose) polymer...

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Publicado en:Breast Cancer: Basic & Clinical Research pp. 1 - 15
Autores principales: Cipriano, Élia, Mesquita, Alexandra
Formato: review tables/charts Journal Article
Publicado: Sage Publications Inc. 1/1/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1/1/2021
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Emerging Therapeutic Drugs in Metastatic Triple-Negative Breast Cancer.
      aug:
        au:
          Cipriano, Élia
          Mesquita, Alexandra
        affil: Medical Oncology Department, Hospital Pedro Hispano, Matosinhos Local Health Unit, Matosinhos, Portugal
      sug:
        subj:
          Breast Neoplasms Drug Therapy
          Neoplasm Metastasis Drug Therapy
          Antineoplastic Agents, Combined Therapeutic Use
          Chemotherapy, Cancer
          Mutation
          Gene Expression
          Programmed Cell Death Ligand 1
          Immune Checkpoint Inhibitors
          Receptors, Androgen Antagonists and Inhibitors
          Clinical Trials
          Signal Transduction
      ab: Metastatic triple-negative breast cancer (TNBC) is a heterogeneous disease with a poor prognosis and currently with few treatment options. Treatment of these patients is highly based on systemic chemotherapy. Some targeted drugs were recently approved for these patients: two poly(ADP-ribose) polymerase inhibitors in patients with germline BRCA1/2 mutations (olaparib and talazoparib), immune checkpoint inhibitors in association with chemotherapy if programmed death-ligand 1 positive (atezolizumab plus nabpaclitaxel and pembrolizumab plus chemotherapy [nabpaclitaxel, paclitaxel, and carboplatin plus gemcitabine]), and an antibody-drug conjugate sacituzumab-govitecan in heavily pretreated patients (at least 2 previous lines for the metastatic setting). Combinations using these and other targeted treatment options are under investigation in early and late clinical trials, and we will probably have some practice-changing results in the new future. Other targeted drugs explored in phase II and phase III clinical trials are PI3K/AKT pathway inhibitors and androgen receptor antagonists in patients with alterations in these signaling pathways. The definition of molecular subtypes has been essential for the development of these treatment strategies. Soon, the treatment of metastatic TNBC could be based on personalized medicine using molecular testing for targeted drugs instead of only systemic chemotherapy. The authors present a review of emerging treatment options in metastatic TNBC, focusing on targeted drugs, including the recent data published in 2020.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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