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Updated: Jan 21, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Sacituzumab govitecan: breakthrough targeted therapy for triple-negative breast cancer
Jennifer Weiss1, Ashley Glode2, Wells A Messersmith3
1School of Medicine, University of Colorado Anschutz Medical Campus , Aurora , CO , USA.
Abstract:
Introduction: Triple negative breast cancer (TNBC) is an aggressive breast cancer subtype associated with an increased risk of recurrence and cancer-related death. Unlike hormone receptor-positive or HER2-positive breast cancers, there are limited targeted therapies available to treat TNBC and cytotoxic chemotherapy remains the mainstay of treatment. Sacituzumab govitecan (IMMU-132) is an antibody-drug conjugate targeting Trop-2 expressing cells and selectively delivering SN-38, an active metabolite of irinotecan. Areas covered: This review covers the mechanism of action, safety and efficacy of sacituzumab govitecan in patients with previously treated, metastatic TNBC. Additionally, efficacy data in other epithelial malignancies is included based on a PubMed search for 'sacituzumab govitecan' and 'clinical trial'. Expert opinion: Sacituzumab govitecan has promising anti-cancer activity in patients with metastatic TNBC previously treated with at least two prior lines of systemic therapy based on a single arm Phase I/II clinical trial. A confirmatory Phase III randomized clinical trial is ongoing. Sacituzumab govitecan has a manageable side effect profile, with the most common adverse events being nausea, neutropenia, and diarrhea. The activity of sacituzumab govitecan likely extends beyond TNBC with promising early efficacy data in many other epithelial cancers, including hormone receptor-positive breast cancer.
Insights
Sacituzumab govitecan shows promise for treating metastatic triple-negative breast cancer (TNBC) after other therapies fail. This antibody-drug conjugate has a manageable side effect profile and potential in other epithelial cancers.
Area of Science:
- Oncology
- Pharmacology
- Translational Medicine
Background:
- Triple-negative breast cancer (TNBC) lacks targeted therapies, making chemotherapy the primary treatment.
- Limited treatment options for TNBC contribute to high recurrence and mortality rates.
- Sacituzumab govitecan offers a novel targeted approach for TNBC management.
Purpose of the Study:
- To review the mechanism of action, safety, and efficacy of sacituzumab govitecan in pre-treated metastatic TNBC.
- To explore the potential of sacituzumab govitecan in other epithelial malignancies.
- To provide expert opinion on the clinical utility of sacituzumab govitecan.
Main Methods:
- Literature review of sacituzumab govitecan, focusing on clinical trial data.
- PubMed search for 'sacituzumab govitecan' and 'clinical trial' to identify relevant studies.
- Analysis of efficacy and safety data from Phase I/II and ongoing Phase III trials.
Main Results:
- Sacituzumab govitecan demonstrated promising anti-cancer activity in a Phase I/II trial for metastatic TNBC.
- The drug exhibits a manageable side effect profile, with common adverse events including nausea, neutropenia, and diarrhea.
- Early data suggests potential efficacy in other epithelial cancers, including hormone receptor-positive breast cancer.
Conclusions:
- Sacituzumab govitecan represents a promising therapeutic option for patients with previously treated metastatic TNBC.
- Ongoing Phase III trials are crucial for confirming its efficacy in TNBC.
- The drug's activity may extend to other epithelial malignancies, warranting further investigation.
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