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Selective Androgen Receptor Modulator in a Patient With Hormone-Positive Metastatic Breast Cancer
Namratha Vontela1, Vamsi Koduri1, Lee S Schwartzberg1
1From the University of Tennessee West Cancer Center, Germantown, Tennessee.
Abstract:
Androgen receptors (ARs) are highly coexpressed in estrogen receptor (ER)-positive breast cancers. Their role in breast tumorigenesis has been postulated, but the mechanism is not yet well-characterized. Steroidal androgens were previously used as an anticancer strategy but fell out of favor because of toxicity and the discovery of alternative therapies. Recent attempts to modulate androgen pathway signaling have focused on AR inhibitors. This report discusses a case using a well-tolerated selective AR modulator to treat a highly pretreated patient with ER-positive breast cancer, which resulted in a durable partial response.
Insights
Selective androgen receptor modulators show promise for treating estrogen receptor-positive breast cancer. A case study demonstrated a durable partial response in a heavily pretreated patient, highlighting a potential new therapeutic avenue.
Area of Science:
- Oncology
- Endocrinology
Background:
- Androgen receptors (ARs) are coexpressed in estrogen receptor (ER)-positive breast cancers, with their role in tumorigenesis not fully understood.
- Androgen-based therapies were previously explored but limited by toxicity and the advent of alternative treatments.
- Current research focuses on modulating the androgen pathway, particularly through AR inhibitors.
Observation:
- A case study investigated the use of a selective androgen receptor modulator (SARM) in a patient with heavily pretreated ER-positive breast cancer.
- The SARM was well-tolerated by the patient.
Findings:
- The patient achieved a durable partial response to the selective androgen receptor modulator therapy.
- This suggests a potential benefit of targeting the androgen pathway in this patient population.
Implications:
- Selective androgen receptor modulators represent a potential therapeutic strategy for ER-positive breast cancer, especially in heavily pretreated cases.
- Further research into androgen pathway modulation may yield novel treatments for breast cancer.
- This case highlights the potential of well-tolerated SARMs in managing advanced ER-positive breast cancer.
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