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Updated: Mar 23, 2026

Polymalic Acid-based Nano Biopolymers for Targeting of Multiple Tumor Markers: An Opportunity for Personalized Medicine?
Published on: June 13, 2014
Targeted Therapy of HER2-Negative Breast Cancer
Florian Schütz1, Christoph Domschke, Andreas Schneeweiss
1University Hospital Heidelberg, Breast Unit, National Center for Tumor Diseases, Heidelberg, Germany.
Abstract:
Personalized and targeted treatments are the most discussed topics in oncology. However, how much personalized medicine is standard of care nowadays and how much is part of our hope for a better future? So far, only a few targeted therapies are available in daily practice for the treatment of human epidermal growth factor receptor 2 (HER2)-negative breast cancer. And even for these few targeted agents - besides those targeting the estrogen receptor (ER) for endocrine treatment - thus far, predictive factors are missing. There are many new drugs and strategies under evaluation but, unfortunately, they are being developed without any cross-comparison. What drug will we choose for which patient in the future? Without answering this question oncologists will not be able to individualize treatment. Predictive factors for every new splendid drug are eagerly needed before it comes to an approval.
Insights
Personalized medicine in oncology, particularly for HER2-negative breast cancer, remains limited. The lack of predictive factors hinders individualized treatment selection for targeted therapies.
Area of Science:
- Oncology
- Genomics
- Pharmacology
Background:
- Personalized and targeted treatments are key topics in oncology.
- Current standard of care includes few targeted therapies for HER2-negative breast cancer.
- Estrogen receptor (ER) targeted therapies are an exception, but predictive factors are often missing.
Purpose of the Study:
- To assess the current status of personalized medicine in oncology.
- To highlight the gap in predictive factors for targeted therapies.
- To emphasize the need for comparative studies of new cancer drugs.
Main Methods:
- Review of current targeted therapies in oncology.
- Analysis of the availability of predictive factors for these therapies.
- Discussion of the development pipeline for new cancer drugs.
Main Results:
- Only a limited number of targeted therapies are in routine use for HER2-negative breast cancer.
- Predictive factors are largely absent for most targeted agents, including ER-targeted treatments.
- Numerous new drugs are in development without cross-comparison, complicating future treatment choices.
Conclusions:
- Individualized cancer treatment is not yet standard practice.
- There is an urgent need for predictive factors to guide the selection of targeted therapies.
- Comparative studies are essential for future drug development and personalized oncology.
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