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Updated: May 28, 2026

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Guidance for Canadian Breast Cancer Practice: National Consensus Recommendations for the Systemic Treatment of
Christine Simmons1, Omar F Khan2, Christine Brezden-Masley3
1BC Cancer-Vancouver, University of British Columbia, Vancouver, BC V5Z 4E6, Canada.
Abstract:
Triple-negative breast cancer (TNBC) has been associated with a poorer prognosis than other subtypes, due to its more aggressive behaviour. Since 2020, significant advances in locoregional and systemic therapy have improved outcomes for patients with TNBC, but the implementation of these treatments remains inconsistent across Canada. There is, therefore, a critical need for evidence-informed, consensus-driven guidance to support the integration of new therapies into practice. Research Excellence, Active Leadership Canadian Breast Cancer Alliance (REAL Alliance), a pan-Canadian group of breast cancer specialists and Breast Cancer Canada, a patient advocacy organization, convened to develop national clinical consensus recommendations for the management of breast cancer. Through a selective literature review and modified Delphi process of national experts in the fields of medical oncology, radiation oncology, surgical oncology and pharmacy, REAL Alliance developed national consensus recommendations for the management of TNBC. The result is a set of 23 recommendations: four overall general recommendations, 11 in early-stage TNBC, and eight in metastatic TNBC. These recommendations are intended for oncology healthcare professionals, and are intended to guide evidence-informed, consistent care across Canada.
Insights
New guidelines offer evidence-based recommendations for triple-negative breast cancer (TNBC) treatment in Canada. These consensus recommendations aim to improve consistent and effective care for TNBC patients across the country.
Area of Science:
- Oncology
- Clinical Practice Guidelines
Background:
- Triple-negative breast cancer (TNBC) presents a poorer prognosis and more aggressive behavior compared to other breast cancer subtypes.
- Recent therapeutic advancements since 2020 have improved TNBC outcomes, yet treatment implementation varies across Canada.
Purpose of the Study:
- To develop national clinical consensus recommendations for the management of breast cancer, specifically focusing on triple-negative breast cancer.
- To support the integration of new therapies into clinical practice and ensure consistent, evidence-informed care for TNBC patients.
Main Methods:
- A pan-Canadian group, REAL Alliance, comprising breast cancer specialists and a patient advocacy organization, conducted a selective literature review.
- A modified Delphi process involving national experts in medical oncology, radiation oncology, surgical oncology, and pharmacy was employed.
Main Results:
- A comprehensive set of 23 national consensus recommendations for TNBC management was developed.
- The recommendations include four general points, 11 for early-stage TNBC, and eight for metastatic TNBC.
Conclusions:
- The developed recommendations provide evidence-informed guidance for oncology healthcare professionals in Canada.
- The goal is to standardize and improve the consistency of care for patients with triple-negative breast cancer nationwide.
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