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Updated: Sep 1, 2025

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Personalised Therapies for Metastatic Triple-Negative Breast Cancer: When Target Is Not Everything
Serena Capici1, Luca Carlofrancesco Ammoni2, Nicole Meli2
1Phase 1 Research Centre, ASST-Monza (MB), 20900 Monza, Italy.
Abstract:
Triple-negative breast cancer-defined by the absence of oestrogen/progesterone receptors and human epidermal growth factor receptor 2 expression-is a complex and heterogeneous type of tumour characterised by poor prognosis, aggressive behaviour and lack of effective therapeutic strategies. The identification of new biomarkers and molecular signatures is leading to development of new therapeutic strategies including immunotherapy, targeted therapy and antibody-drug conjugates (ADCs). Against a background where chemotherapy has always been considered the standard of care, evolution towards a precision medicine approach could improve TNBC clinical practice in a complex scenario, with many therapeutic options and new drugs. The aim of this review was to focus on emerging therapeutic targets and their related specific therapy, discussing available and emerging drugs, underlining differences in approval by American and European regulatory authorities and showing the future perspective in the large number of ongoing clinical trials.
Insights
Triple-negative breast cancer (TNBC) lacks effective treatments. Emerging therapies like immunotherapy, targeted treatments, and antibody-drug conjugates (ADCs) offer new hope and precision medicine approaches for TNBC patients.
Area of Science:
- Oncology
- Medical Research
Background:
- Triple-negative breast cancer (TNBC) is aggressive and heterogeneous.
- TNBC is defined by the absence of oestrogen/progesterone receptors and HER2 expression.
- Current therapeutic strategies for TNBC are limited, leading to poor prognosis.
Purpose of the Study:
- To review emerging therapeutic targets and specific therapies for TNBC.
- To discuss available and novel drugs, including immunotherapy, targeted therapy, and ADCs.
- To compare regulatory approvals by US and European authorities and outline future clinical trial perspectives.
Main Methods:
- Literature review of recent studies on TNBC therapeutics.
- Analysis of clinical trial data and drug approval information.
- Synthesis of information on novel biomarkers and molecular signatures.
Main Results:
- Identification of novel therapeutic targets and molecular signatures in TNBC.
- Evaluation of the efficacy and regulatory status of emerging TNBC drugs.
- Highlighting the shift towards precision medicine in TNBC treatment.
Conclusions:
- Precision medicine approaches, including immunotherapy, targeted therapy, and ADCs, are transforming TNBC treatment.
- Understanding regulatory differences is crucial for global drug accessibility.
- Ongoing clinical trials are vital for advancing TNBC care and improving patient outcomes.
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