The Role of the CDK4/6 Inhibitor Ribociclib in Locally Advanced and Oligometastatic Hormone Receptor Positive, Her2 Negative, Advanced Breast Cancer: Case Series and Review of the Literature

被引:2
作者
Botticelli, Andrea [1 ,2 ]
Fabbri, Agnese [3 ]
Roberto, Michela [2 ,4 ]
Alesini, Daniele [5 ]
Cirillo, Alessio [1 ,6 ]
D'Auria, Giuliana [7 ]
Krasniqi, Eriseld [8 ]
Marrucci, Eleonora [3 ]
Muratore, Margherita [9 ]
Pantano, Francesco [10 ]
Pizzuti, Laura [8 ]
Portarena, Ilaria [11 ]
Rossi, Rosalina [12 ]
Scagnoli, Simone [1 ,13 ]
Marchetti, Paolo [2 ]
机构
[1] Policlin Umberto 1, Med Oncol Unit B, Rome, Italy
[2] Sapienza Univ Rome, St Andrea Hosp, Dept Clin & Mol Med, Oncol Unit, Rome, Italy
[3] Belcolle Hosp, Med Oncol Unit, Viterbo, Italy
[4] Policlin Umberto 1, Med Oncol Unit, Rome, Italy
[5] Osped Santo Spirito Sassia, UOSD Ctr Oncol S Spirito & Nuovo Regina Margherit, Rome, Italy
[6] Sapienza Univ Rome, Dept Radiol Oncol & Anatomopathol Sci, Rome, Italy
[7] Sandro Pertini Hosp, Dept Med Oncol, Rome, Italy
[8] Ist Ricovero & Cura Carattere Sci IRCCS, Div Med Oncol 2, Rome, Italy
[9] Fdn Policlin Univ Agostino Gemelli, Div Gynecol Oncol, Dept Woman & Child Hlth & Publ Hlth, Ist Ricovero & Cura Carattere Sci IRCCS, Rome, Italy
[10] Univ Campus Biomed Rome, Dept Oncol, Rome, Italy
[11] Univ Hosp, Dept Internal Med, Med Oncol Unit, Tor Vergata Clin Ctr, Rome, Italy
[12] San Giovanni Addolorata Hosp, Med Oncol, Rome, Italy
[13] Sapienza Univ Rome, Dept Med & Surg Sci & Translat Med, Rome, Italy
关键词
CDK4; 6; inhibitor; oligometastatic; locally advanced breast cancer (LABC); ribociclib; case report; ENDOCRINE THERAPY; PLUS LETROZOLE; OPEN-LABEL; PALBOCICLIB; FULVESTRANT; CHEMOTHERAPY; MULTICENTER; ABEMACICLIB; SURVIVAL; WOMEN;
D O I
10.3389/fonc.2022.797157
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The recent addition of cyclin-dependent kinase 4 (CDK4) and CDK6 inhibitors to endocrine therapy has remarkably improved the outcome of patients affected with hormone receptor positive (HR+), human epidermal grow factor receptor 2 negative (HER2 -) advanced breast cancer (ABC). Ribociclib showed to be effective across most subgroups, regardless of the number and the site of metastasis. Up to 10% of patients with ABC, reported an oligometastatic condition, recently defined as a slow-volume metastatic disease with limited number and size of metastatic lesions (up to 5 and not necessarily in the same organ), potentially amenable for local treatment, aimed at achieving a complete remission status. Despite the wide use of CDK4/6 inhibitors in HR+, HER2-, ABC treatment, data regarding both locally advanced, inoperable disease and oligometastatic conditions are still poor. We reported a review and case series of HR+, HER2-, ABC patients treated with ribociclib as first-line therapy, for a locally advanced and oligometastatic conditions, reporting an impressive response and good safety profile.
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页数:8
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