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.

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.