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Immune-Checkpoint Inhibitors: A New Line of Attack in Triple-Negative Breast Cancer
Ouissam Al Jarroudi1,2, Khalid El Bairi3,4, Giuseppe Curigliano5,6
1Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco. aljarroudi.ouissam@gmail.com.
Abstract:
Poor prognosis is a distinctive feature of triple-negative breast cancer (TNBC). Chemotherapy has long represented the main and unique treatment for patients with TNBC. Recently, immune checkpoint inhibitors (ICIs) were investigated in several clinical trials and were approved for clinical use in TNBC patients that express programmed cell death protein-1 (PD-1) in combination with chemotherapy in the first-line setting. ICIs are also being investigated in the neoadjuvant and adjuvant settings for TNBC. This chapter aims to discuss different ICIs used to treat all TNBC stages to date.
Insights
Triple-negative breast cancer (TNBC) has a poor prognosis, but immune checkpoint inhibitors (ICIs) targeting programmed cell death protein-1 (PD-1) show promise. This review discusses ICIs for all stages of TNBC treatment.
Area of Science:
- Oncology
- Immunotherapy
Background:
- Triple-negative breast cancer (TNBC) presents a significant clinical challenge due to its poor prognosis and limited treatment options.
- Chemotherapy has been the primary treatment modality for TNBC.
- Emerging immunotherapies, specifically immune checkpoint inhibitors (ICIs), are transforming TNBC treatment paradigms.
Purpose of the Study:
- To provide a comprehensive overview of immune checkpoint inhibitors (ICIs) utilized in the treatment of triple-negative breast cancer (TNBC).
- To discuss the current applications and ongoing investigations of ICIs across various stages of TNBC.
Main Methods:
- Review of clinical trials and approved indications for ICIs in TNBC.
- Analysis of neoadjuvant and adjuvant treatment strategies involving ICIs.
- Discussion of programmed cell death protein-1 (PD-1) targeted therapies.
Main Results:
- Immune checkpoint inhibitors (ICIs), particularly those targeting programmed cell death protein-1 (PD-1), have been approved in combination with chemotherapy for first-line treatment of PD-1 expressing TNBC.
- ICIs are under active investigation in both neoadjuvant and adjuvant settings for TNBC patients.
- These advancements offer new therapeutic avenues for improving outcomes in TNBC.
Conclusions:
- Immune checkpoint inhibitors represent a significant advancement in the management of triple-negative breast cancer.
- The role of ICIs is expanding across all stages of TNBC, offering improved therapeutic options.
- Further research will continue to refine the use of ICIs in TNBC treatment protocols.
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