Sacituzumab Govitecan for the Treatment of HR+/HER2- Breast Cancer in Heavily Pre-treated Patients

Tylan Lucas, J. Chan, N. Chopra
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Abstract

Metastatic hormone receptor-positive (HR+) human epidermal growth factor receptor 2-negative (HER2-) breast cancer survival outcomes have improved significantly; however, once endocrine resistance develops, response rates to systemic treatments are limited. Within the developing field of antibody–drug conjugates, the TROPiCS-02 study showed a significant improvement in progression-free survival with sacituzumab govitecan compared with physician’s choice of chemotherapy in patients with endocrine-resistant, metastatic, HR+/HER2- breast cancer. Additionally, overall survival similarly improved (14.4 months versus 11.2 months, respectively). We discuss the role of sacituzumab govitecan and its role in practice, looking at the direct impact it has in metastatic HR+/HER2- breast cancer.
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Sacituzumab Govitecan用于治疗重度预处理患者的HR+/HER2-乳腺癌
转移激素受体阳性(HR+)人表皮生长因子受体2阴性(HER2-)乳腺癌的生存结果显著改善;然而,一旦内分泌抵抗发展,对全身治疗的反应率是有限的。在抗体-药物偶联物的发展领域,troics -02研究显示,与医生选择的内分泌耐药、转移性、HR+/HER2-乳腺癌患者的化疗相比,使用sacituzumab govitecan可显著改善无进展生存期。此外,总生存期也有类似的改善(分别为14.4个月和11.2个月)。我们讨论了sacituzumab govitecan的作用及其在实践中的作用,观察了它对转移性HR+/HER2-乳腺癌的直接影响。
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