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Emerging treatments in HER2-positive advanced breast cancer: Keep raising the bar
Elisa Agostinetto1, Giuseppe Curigliano2, Martine Piccart1
1Oncology Department, Institut Jules Bordet and l'Université Libre de Bruxelles (U.L.B.), Hôpital Universitaire de Bruxelles (HUB), Brussels, Belgium.
Abstract:
Patients with human epidermal receptor 2 (HER2)-positive breast cancer are experiencing a consistent shift toward better survival across the years, thanks to tremendous advancements in treatment strategies. The consistent improvements of outcomes set a high bar for new drug development and the need to explore new ways to overcome resistance mechanisms. Emerging treatments in HER2-positive breast cancer aim to tackle the disease by acting on different targets, including not only HER2 (both at the extra- and intracellular level), but also HER3, PD-(L)1, CTLA4, NKG2A, AKT, PI3K, and, in triple-positive tumors, the estrogen receptors and the cyclin-dependent kinases 4/6. This review describes the evolving treatment landscape of HER2-positive breast cancer, from the current approved therapies to the future perspectives, with a focus on the new agents which are likely to get approved in the next future.
Insights
Survival for HER2-positive breast cancer patients is improving due to new treatments targeting HER2, HER3, and other pathways. Research focuses on overcoming resistance and exploring novel agents for better patient outcomes.
Area of Science:
- Oncology
- Pharmacology
Background:
- Human epidermal growth factor receptor 2 (HER2)-positive breast cancer treatment has seen significant advancements.
- Improved outcomes necessitate novel therapeutic strategies to overcome treatment resistance.
Purpose of the Study:
- To review the evolving treatment landscape for HER2-positive breast cancer.
- To highlight emerging therapies and future perspectives in managing this disease.
Main Methods:
- Literature review of current and emerging treatments for HER2-positive breast cancer.
- Analysis of therapeutic targets including HER2, HER3, PD-(L)1, CTLA4, NKG2A, AKT, PI3K, estrogen receptors, and CDK4/6.
Main Results:
- Significant survival improvements observed in patients with HER2-positive breast cancer.
- A diverse range of novel therapeutic targets are being explored to enhance treatment efficacy.
- Emerging agents are poised to expand treatment options in the near future.
Conclusions:
- The treatment of HER2-positive breast cancer is rapidly evolving with a focus on targeted therapies.
- Overcoming resistance mechanisms remains a critical area for new drug development.
- Future perspectives involve a multi-targeted approach for improved patient survival and outcomes.
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