Trop-2 as a Therapeutic Target in Breast Cancer

Elizabeth Sakach1, Ruth Sacks1, Kevin Kalinsky1

  • 1Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.

Cancers
|December 11, 2022
PubMed

Insights

Trop-2 targeted therapies offer new hope for advanced breast cancer patients. Sacituzumab govitecan shows survival benefits, with more Trop-2 inhibitors in development for various breast cancer subtypes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Therapeutics

Background:

  • Trop-2 is a transmembrane protein increasingly recognized as a therapeutic target in breast cancer.
  • High Trop-2 expression is noted in triple-negative breast cancer (TNBC) but is present across all breast cancer subtypes.
  • Limited treatment options exist for patients with heavily pretreated advanced and metastatic breast cancer.

Purpose of the Study:

  • To review the emergence of Trop-2 as a therapeutic target in breast cancer.
  • To discuss the impact of Trop-2 inhibition on patient outcomes.
  • To explore ongoing and future directions for Trop-2 targeted therapies.

Main Methods:

  • Review of current literature on Trop-2 targeted therapies.
  • Analysis of clinical trial data for Trop-2 inhibitors, including sacituzumab govitecan.
  • Discussion of combination strategies and neoadjuvant/adjuvant applications.

Main Results:

  • Sacituzumab govitecan, a Trop-2 inhibitor, has demonstrated survival benefits in metastatic TNBC and hormone receptor-positive breast cancer.
  • Trop-2 inhibition is being investigated in combination regimens with immunotherapy and PARP inhibitors.
  • Studies are evaluating Trop-2 inhibition in early-stage breast cancer (neoadjuvant and adjuvant settings).

Conclusions:

  • Trop-2 targeted therapies represent a significant advancement for patients with advanced and metastatic breast cancer, particularly those with limited options.
  • Further research into novel Trop-2 targeted therapies and combination strategies holds promise for improving breast cancer treatment outcomes.
  • The therapeutic potential of Trop-2 inhibition is being explored across different stages and subtypes of breast cancer.

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