دورية أكاديمية
HER2-positive breast cancer: current and future treatment strategies.
العنوان: | HER2-positive breast cancer: current and future treatment strategies. |
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المؤلفون: | Engel RH; Division of Hematology/Oncology, Northwestern University Feinberg School of Medicine and the Robert H Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL 60611, USA., Kaklamani VG |
المصدر: | Drugs [Drugs] 2007; Vol. 67 (9), pp. 1329-41. |
نوع المنشور: | Journal Article; Review |
اللغة: | English |
بيانات الدورية: | Publisher: Adis, Springer International Country of Publication: New Zealand NLM ID: 7600076 Publication Model: Print Cited Medium: Print ISSN: 0012-6667 (Print) Linking ISSN: 00126667 NLM ISO Abbreviation: Drugs Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Auckland : Adis, Springer International Original Publication: New York, ADIS Press [etc.] |
مواضيع طبية MeSH: | Breast Neoplasms/*drug therapy , Receptor, ErbB-2/*analysis, Antibodies, Monoclonal/administration & dosage ; Antibodies, Monoclonal/adverse effects ; Antibodies, Monoclonal/therapeutic use ; Antibodies, Monoclonal, Humanized ; Antineoplastic Agents/administration & dosage ; Antineoplastic Agents/adverse effects ; Antineoplastic Agents/therapeutic use ; Breast Neoplasms/metabolism ; Clinical Trials as Topic/methods ; Clinical Trials as Topic/trends ; Female ; Humans ; Lapatinib ; Quinazolines/administration & dosage ; Quinazolines/adverse effects ; Quinazolines/therapeutic use ; Receptor, ErbB-2/antagonists & inhibitors ; Trastuzumab ; Treatment Outcome |
مستخلص: | In the year 2006, breast cancer was estimated to affect >200,000 American women and cause nearly 56,000 deaths. Furthermore, breast cancer is the most common cancer diagnosed and second most common cause of cancer-related deaths in women. The current treatment armamentarium for breast cancer includes chemotherapy, endocrine therapy and biological therapy. Treatment has become more individualised based on characteristics of the tumour including overexpression of the human epidermal growth factor receptor (HER)-2. Between 20 and 30% of all breast cancers overexpress HER2, which means 40,000 - 60,000 patients will have this type of cancer.Previously, overexpression of HER2 was a negative prognostic and predictive risk factor for survival; however, with the advent of trastuzumab, patients' prognosis is improving in all treatment settings. Much controversy exists in the use of trastuzumab, including (i) the sequence of adjuvant trastuzumab (concurrent with chemotherapy or sequential); (ii) the treatment duration (<1 year, 1 year or 2 years); and (iii) the treatment choice upon disease progression (whether to continue or not with trastuzumab and add another cytotoxic agent). Current trials are ongoing to help answer these questions.Furthermore, there has been interest in predicting which HER2-positive patients would require anthracycline therapy, and which could avoid anthracycline therapy and its toxicities. Novel therapeutics, such as lapatinib, an oral tyrosine kinase inhibitor, which blocks both the epidermal growth factor receptor and HER2 receptor has recently been approved by the US FDA. Whereas pertuzumab, a humanised monoclonal antibody, directed against heterodimerisation of HER2 and HER3 has entered phase II and III clinical trials. |
Number of References: | 95 |
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المشرفين على المادة: | 0 (Antibodies, Monoclonal) 0 (Antibodies, Monoclonal, Humanized) 0 (Antineoplastic Agents) 0 (Quinazolines) 0VUA21238F (Lapatinib) EC 2.7.10.1 (Receptor, ErbB-2) K16AIQ8CTM (pertuzumab) P188ANX8CK (Trastuzumab) |
تواريخ الأحداث: | Date Created: 20070606 Date Completed: 20070820 Latest Revision: 20220331 |
رمز التحديث: | 20240628 |
DOI: | 10.2165/00003495-200767090-00006 |
PMID: | 17547474 |
قاعدة البيانات: | MEDLINE |
تدمد: | 0012-6667 |
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DOI: | 10.2165/00003495-200767090-00006 |