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Updated: May 25, 2025

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Triple-Negative Breast Cancer Systemic Treatment: Disruptive Early-Stage Developments for Overcoming Stagnation in
Carlos Alonso-Ron1, Andrea Vethencourt2,3,4, Eva González-Suárez1,2
1Spanish National Cancer Research Center (CNIO), 28029 Madrid, Spain.
Abstract:
New breast cancer (BC) diagnoses will soon reach 2.5-3 million/year worldwide, with 15-25% of them being triple-negative breast cancer (TNBC), the most aggressive type, characterized for lacking the main pharmacological targets: estrogen and progesterone receptors (ERs and PRs), as well as HER2 overexpression. Therefore, chemotherapy remains the almost-unique systemic treatment for TNBC. However, some targeted therapies are recommended for use in combination with chemotherapy; namely, PARP inhibitors for BRCA-mutated TNBC, the immune checkpoint inhibitors pembrolizumab and atezolizumab, as well as the antibody-drug conjugates sacituzumab govitecan and trastuzumab deruxtecan, the latter for HER2low subtypes. Regardless of the limited benefits they provide, other treatments with similar mechanisms of action are being investigated in advanced clinical stages. Further, therapies that benefit other cancers, like PI3K/Akt/mTOR pathway and CDK4/6 inhibitors, are still being investigated for TNBC, although convincing results have not been obtained. Given this scenario, it might appear innovation for TNBC treatments has become stuck. However, the huge unmet medical need drives intense research into the biology of the disease. As a result, emerging disruptive therapies are being tested in early-stage trials, designed for novel targets and applying cutting-edge advances in immunotherapy and precision oncology.
Insights
Triple-negative breast cancer (TNBC) lacks common targets, making chemotherapy standard. However, research is advancing with novel immunotherapies and precision oncology treatments for this aggressive disease.
Area of Science:
- Oncology
- Medical Research
Background:
- Breast cancer (BC) diagnoses are rising globally, with triple-negative breast cancer (TNBC) comprising 15-25% of cases.
- TNBC is aggressive due to the absence of estrogen receptors (ERs), progesterone receptors (PRs), and HER2 overexpression, limiting targeted treatment options.
Purpose of the Study:
- To review the current treatment landscape for TNBC.
- To highlight ongoing research and emerging therapies for TNBC.
Main Methods:
- Review of current systemic treatments for TNBC, including chemotherapy and targeted therapies.
- Discussion of emerging therapies in early-stage trials, focusing on immunotherapy and precision oncology.
Main Results:
- Chemotherapy remains the primary treatment for TNBC.
- Targeted therapies like PARP inhibitors (for BRCA-mutated TNBC), immune checkpoint inhibitors, and antibody-drug conjugates show promise in specific subtypes.
- Investigational therapies targeting pathways like PI3K/Akt/mTOR and CDK4/6 have yet to yield convincing results for TNBC.
Conclusions:
- Despite challenges, intense research driven by unmet medical needs is yielding disruptive therapies for TNBC.
- Novel targets and cutting-edge advances in immunotherapy and precision oncology are being explored in early-stage trials for TNBC treatment.
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