[HTML][HTML] Eribulin in triple negative metastatic breast cancer: critic interpretation of current evidence and projection for future scenarios

L Pizzuti, E Krasniqi, G Barchiesi, M Mazzotta… - Journal of …, 2019 - ncbi.nlm.nih.gov
L Pizzuti, E Krasniqi, G Barchiesi, M Mazzotta, M Barba, A Amodio, G Massimiani, F Pelle…
Journal of Cancer, 2019ncbi.nlm.nih.gov
Triple negative breast cancer (TNBC) is characterized by distinctive biological features that
confer an aggressive clinical behavior. In TNBC patients, the absence of well-defined driver
pathways such as hormonal receptor expression or hyperactivation of the human epidermal
growth factor receptor 2 (HER2) significantly reduce the spectrum of therapeutic options,
which are currently mainly confined to chemotherapy. Thus far, median overall survival for
patients with metastatic TNBC is about 9-12 months with conventional cytotoxic agents …
Abstract
Triple negative breast cancer (TNBC) is characterized by distinctive biological features that confer an aggressive clinical behavior. In TNBC patients, the absence of well-defined driver pathways such as hormonal receptor expression or hyperactivation of the human epidermal growth factor receptor 2 (HER2) significantly reduce the spectrum of therapeutic options, which are currently mainly confined to chemotherapy. Thus far, median overall survival for patients with metastatic TNBC is about 9-12 months with conventional cytotoxic agents. However, the heterogeneity recently revealed at a gene expression level inside the TNBC family may help inform therapeutic decisions concerning the use of chemotherapy and hopefully lead the way to novel targeted options that include immunotherapy. Eribulin, a halichondrin class antineoplastic drug, is currently recommended for treatment of HER2 negative metastatic or recurrent breast cancer (BC) previously exposed to anthracyclines and taxanes, also for patients with a TNBC. It is currently indicated from the second line of treatment. In this review, we aim to analyze a wide range of cumulated evidence on eribulin use in TNBC including preclinical studies, intervention and observational clinical trials. Data from the real-world setting and the emerging evidence increasingly substantiating the rationale for combinations with new generation treatment strategies, eg, PARP-inhibitors, immune checkpoint inhibitors, will be also discussed.
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