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Personalizing Curative Therapy in Stage II to III Triple-Negative Breast Cancer.

Alexis LeVee1, Maeve A Hennessy2, Dame Idossa3

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Treatment for stage II-III triple-negative breast cancer (TNBC) is improving, but high recurrence rates necessitate new strategies. Research is exploring novel therapies and biomarkers to personalize care and improve outcomes for high-risk patients.

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Area of Science:

  • Oncology
  • Immunotherapy
  • Breast Cancer Research

Background:

  • Stage II to III triple-negative breast cancer (TNBC) management is evolving with pembrolizumab integration.
  • Despite advances, a significant proportion of early-stage TNBC patients experience recurrence within 5 years.
  • There is a critical need for strategies to identify and treat high-risk TNBC patients.

Purpose of the Study:

  • To review recent advancements in stage II to III TNBC treatment.
  • To highlight emerging investigational therapies and combinations for TNBC.
  • To explore novel biomarker strategies for personalized TNBC care.

Main Methods:

  • Review of current literature on TNBC treatment and clinical trials.
  • Analysis of emerging therapeutic strategies like antibody-drug conjugates and immune checkpoint inhibitors.
  • Exploration of biomarker research including tumor-infiltrating lymphocytes and circulating tumor DNA.

Main Results:

  • Pembrolizumab combined with neoadjuvant chemotherapy has improved outcomes in early-stage TNBC.
  • Novel therapies including ADCs, anti-VEGF, dual immune blockade, and locoregional treatments are under investigation.
  • Biomarker strategies are being developed to identify high-risk patients and predict treatment response.

Conclusions:

  • Advances in immunotherapy and targeted therapies are transforming TNBC treatment.
  • Biomarker discovery is crucial for personalizing treatment and improving outcomes in high-risk TNBC.
  • Continued research into novel agents and combinations is essential for addressing TNBC recurrence.