Update Breast Cancer 2020 Part 5 – Moving Therapies From Advanced to Early Breast Cancer Patients

Michael P. Lux; Andreas Schneeweiss; Andreas D. Hartkopf; Volkmar Müller; Wolfgang Janni; Erik Belleville; Elmar Stickeler; Marc Thill; Peter A. Fasching; Hans-Christian Kolberg; Michael Untch; Nadia Harbeck; Achim Wöckel; Christoph Thomssen; Carla E. Schulmeyer; Manfred Welslau; Friedrich Overkamp; Florian Schütz; Diana Lüftner; Nina Ditsch

doi:10.1055/a-1397-7170

Geburtshilfe und Frauenheilkunde, Table of Contents

CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2021; 81(04): 469-480
DOI: 10.1055/a-1397-7170

GebFra Science

Review/Übersicht

Update Breast Cancer 2020 Part 5 – Moving Therapies From Advanced to Early Breast Cancer Patients

Article in several languages: English | deutsch

Michael P. Lux

¹Klinik für Gynäkologie und Geburtshilfe, Frauenklinik St. Louise, Paderborn, St. Josefs-Krankenhaus, Salzkotten, Germany

,

Andreas Schneeweiss

²National Center for Tumor Diseases, University Hospital and German Cancer Research Center, Heidelberg, Germany

,

Andreas D. Hartkopf

³Department of Obstetrics and Gynecology, University of Tübingen, Tübingen, Germany

,

Volkmar Müller

⁴Department of Gynecology, Hamburg-Eppendorf University Medical Center, Hamburg, Germany

,

Wolfgang Janni

⁵Department of Gynecology and Obstetrics, Ulm University Hospital, Ulm, Germany

,

Erik Belleville

⁶ClinSol GmbH & Co. KG, Würzburg, Germany

,

Elmar Stickeler

⁷Department of Gynecology and Obstetrics, RWTH University Hospital Aachen, Aachen, Germany

,

Marc Thill

⁸Agaplesion Markus Krankenhaus, Department of Gynecology and Gynecological Oncology, Frankfurt, Germany

,

Peter A. Fasching

⁹Erlangen University Hospital, Department of Gynecology and Obstetrics, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany

,

Hans-Christian Kolberg

¹⁰Department of Gynecology and Obstetrics, Marienhospital Bottrop, Bottrop, Germany

,

Michael Untch

¹¹Department of Gynecology and Obstetrics, Helios Clinics Berlin Buch, Berlin, Germany

,

Nadia Harbeck

¹²Breast Center, Department of Gynecology and Obstetrics, CCC Munich, LMU University Hospital, Munich, Germany

,

Achim Wöckel

¹³Department of Gynecology and Obstetrics, University Hospital Würzburg, Würzburg, Germany

,

Christoph Thomssen

¹⁴Department of Gynaecology, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany

,

Carla E. Schulmeyer

⁹Erlangen University Hospital, Department of Gynecology and Obstetrics, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany

,

Manfred Welslau

¹⁵Onkologie Aschaffenburg, Aschaffenburg, Germany

,

Friedrich Overkamp

¹⁶OncoConsult Overkamp, Berlin, Germany

,

Florian Schütz

¹⁷Gynäkologie und Geburtshilfe, Diakonissen-Stiftungs-Krankenhaus Speyer, Speyer, Germany

,

Diana Lüftner

¹⁸Charité University Hospital, Department of Hematology, Oncology and Tumour Immunology, University Medicine Berlin, Berlin, Germany

,

Nina Ditsch

¹⁹Frauenklinik, Universitätsklinikum Augsburg, Augsburg, Germany

› Author Affiliations

Abstract

In recent years, significant progress has been made in new therapeutic approaches to breast cancer, particularly in patients with HER2-positive and HER2-negative/hormone receptor-positive (HR+) breast cancer. In the case of HER2-positive tumours, these approaches have included, in particular, treatment with pertuzumab, T-DM1, neratinib and, soon, also tucatinib and trastuzumab deruxtecan (neither of which has yet been authorised in Europe). In patients with HER2−/HR+ breast cancer, CDK4/6 inhibitors and the PIK3CA inhibitor alpelisib are of particular importance. Further novel therapies, such as Akt kinase inhibitors and oral SERDs (selective estrogen receptor down regulators), are already being investigated in ongoing clinical trials. These therapeutic agents are not only being introduced into curative, (neo-)adjuvant therapeutic settings for HER2-positive tumours; a first favourable study on abemaciclib as an adjuvant therapy has now also been published. In patients with triple-negative breast cancer, after many years of negative study results with the Trop-2 antibody drug conjugate (ADC) sacituzumab govitecan, a randomised study has been published that may represent a significant therapeutic advance. This review describes the latest developments in breast cancer subsequent to the ESMO Congress 2020.

Key words

early breast cancer - therapy - prognosis - immune therapy - digital medicine

Full Text

References

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