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Updated: May 9, 2026

Ex Vivo Treatment Response of Primary Tumors and/or Associated Metastases for Preclinical and Clinical Development of Therapeutics
Published on: October 2, 2014
Hsp90 inhibitors in breast cancer: a systematic review
Flora Zagouri1, Theodoros N Sergentanis, Dimosthenis Chrysikos
1Department of Clinical Therapeutics, Alexandra Hospital, Medical School, University of Athens, Vas Sofias Ave & Lourou Str, Athens 11521, Greece.
Purpose:
Pharmacological inhibition of Hsp90 shows great promise in breast cancer treatment. This is the first systematic review to synthesize all available data and to evaluate the efficacy and safety of Hsp90 inhibitors in breast cancer.
Methods:
This study was performed in accordance with the PRISMA guidelines. Eligible articles were identified by a search of MEDLINE and ClinicalTrials.gov databases, using a predefined combination of the terms "breast", "cancer", "Hsp90", "inhibitors".
Results:
Overall, 19 articles (190 patients) were eligible. The greatest clinical activity has been observed on the field of HER2-positive metastatic breast cancer. However, accumulating data suggest that Hsp90 inhibitors may play a significant role in the treatment of triple negative and aromatase inhibitor-resistant breast cancer.
Conclusion:
In the last decade, the development of Hsp90 inhibitors has moved forward rapidly; however, no phase III trials have been conducted and none agent has been approved for use in the clinical practice.
Insights
Heat shock protein 90 (Hsp90) inhibitors show promise for breast cancer treatment, particularly for HER2-positive, triple-negative, and resistant types. Further research is needed as no Hsp90 inhibitors are yet approved for clinical use.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Heat shock protein 90 (Hsp90) is a crucial molecular chaperone implicated in cancer cell survival and proliferation.
- Targeting Hsp90 offers a promising therapeutic strategy for various cancers, including breast cancer.
Purpose of the Study:
- To systematically review and synthesize existing data on the efficacy and safety of Hsp90 inhibitors in breast cancer treatment.
- To evaluate the potential of Hsp90 inhibitors across different breast cancer subtypes.
Main Methods:
- Systematic review conducted following PRISMA guidelines.
- Searched MEDLINE and ClinicalTrials.gov databases for relevant studies.
- Included articles using terms: "breast", "cancer", "Hsp90", "inhibitors".
Main Results:
- Nineteen articles involving 190 patients were analyzed.
- Hsp90 inhibitors demonstrated significant clinical activity in HER2-positive metastatic breast cancer.
- Emerging data suggest potential roles in treating triple-negative and aromatase inhibitor-resistant breast cancer.
Conclusions:
- Hsp90 inhibitor development has advanced rapidly in the past decade.
- No Hsp90 inhibitor has yet been approved for clinical practice.
- Phase III trials are currently lacking for Hsp90 inhibitors in breast cancer treatment.
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