Efficacy and safety of neoadjuvant stereotactic body radiation therapy plus dalpiciclib and exemestane for hormone receptor-positive, HER2-negative breast cancer: A prospective pilot study

Yu Zhang, Shuo Cao, Nan Niu, Huilian Shan, Jinqi Xue, Guanglei Chen, Yongqing Xu, Jianqiao Yin, Chao Liu, Lisha Sun, Xiaofan Jiang, Meiyue Tang, Qianshi Xu, Mingxuan Jia, Xu Zhang, Zhenyong Zhang, Qingfu Zhang, Jianfei Wang, Ailin Li, Yongliang Yang, Caigang Liu
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Abstract

Background Both neoadjuvant chemotherapy and endocrine therapy only result in trivial pathological complete response rates and moderate objective response rates (ORR) in hormone receptor (HR)-positive, human epidermal growth factor receptor-2 (HER2)-negative breast cancer, more promising alternatives are urgently needed. With proven synergistic effect of cyclin dependent kinase 4/6 (CDK4/6) inhibitor and radiotherapy in preclinical studies, this pilot study aimed to explore the efficacy and safety of neoadjuvant stereotactic body radiation therapy (SBRT) followed by dalpiciclib and exemestane in HR-positive, HER2-negative breast cancer.
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激素受体阳性、HER2 阴性乳腺癌新辅助立体定向体放射治疗加达匹克利和依西美坦的疗效和安全性:前瞻性试点研究
背景 对于激素受体(HR)阳性、人表皮生长因子受体-2(HER2)阴性的乳腺癌,新辅助化疗和内分泌治疗只能获得微不足道的病理完全反应率和中等程度的客观反应率(ORR),因此迫切需要更有前景的替代疗法。在临床前研究中,细胞周期蛋白依赖性激酶4/6(CDK4/6)抑制剂与放疗的协同作用已得到证实,本试验研究旨在探索新辅助立体定向体放疗(SBRT)后使用达匹克利和依西美坦治疗HR阳性、HER2阴性乳腺癌的有效性和安全性。
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