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Updated: Oct 22, 2025

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Moving Towards Targeted Therapies for Triple-Negative Breast Cancer
Jodi A Kagihara1, Elena Shagisultanova1, Anosheh Afghahi1
1Division of Medical Oncology, University of Colorado Anschutz Medical Campus, Aurora, United States of America.
Purpose Of Review:
In this review, we discuss targets of interest in Triple-negative breast cancer (TNBC), approved targeted agents and the results of the clinical trials that led to their approval. Additionally, we review ongoing clinical trials evaluating the use of novel targeted agents in the treatment of TNBC.
Recent Findings:
TNBC accounts for 15-20% of all breast cancer cases and is associated with worse clinical outcomes. Patients have a higher risk of metastatic recurrence and inferior overall survival compared to other breast cancer subtypes. Cytotoxic chemotherapy has historically been the mainstay of treatment for TNBC. In recent years, we have seen a surge in clinical trials investigating the use of targeted agents in TNBC and now have approval for targeted therapies in select patients. Inhibitors of PARP (olaparib and talazoparib), PD-L1 (atezolizumab) and an antibody drug conjugate targeting Trop-2 (sacituzumab govitecan-hziy) are now approved for the use in select groups of patients with TNBC.
Summary:
Various novel targeted agents as monotherapy, dual targeted combinations, and chemotherapy combinations are currently under investigation. The results are promising and may significantly improve patient outcomes in TNBC.
Insights
Targeted therapies are improving outcomes for Triple-negative breast cancer (TNBC), a subtype with poor prognosis. Approved agents like PARP inhibitors and PD-L1 inhibitors offer new hope for patients with TNBC.
Area of Science:
- Oncology
- Medical Research
- Clinical Trials
Background:
- Triple-negative breast cancer (TNBC) represents 15-20% of breast cancer cases.
- TNBC is linked to poorer clinical outcomes, including higher metastatic recurrence and lower overall survival.
- Historically, cytotoxic chemotherapy has been the primary treatment for TNBC.
Purpose of the Study:
- To review targets of interest in TNBC.
- To discuss approved targeted agents and their supporting clinical trial data.
- To examine ongoing clinical trials for novel targeted agents in TNBC treatment.
Main Methods:
- Literature review of clinical trials and approved therapies for TNBC.
- Analysis of current research on targeted agents in TNBC treatment.
- Synthesis of data on novel targeted agents under investigation.
Main Results:
- Several targeted therapies are now approved for select TNBC patients.
- Approved agents include PARP inhibitors (olaparib, talazoparib), PD-L1 inhibitors (atezolizumab), and a Trop-2 targeting antibody-drug conjugate (sacituzumab govitecan-hziy).
- These approvals mark a significant advancement from traditional chemotherapy.
Conclusions:
- Numerous novel targeted agents are under investigation as monotherapy and in combination regimens.
- Promising results suggest these agents may substantially enhance patient outcomes in TNBC.
- Ongoing research aims to further refine and expand targeted treatment options for TNBC.
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