Update Breast Cancer 2017-Implementation of Novel Therapies

被引:18
作者
Lux, Michael P. [1 ]
Janni, Wolfgang [2 ]
Hartkopf, Andreas D. [3 ]
Nabieva, Naiba [1 ]
Taran, Florin-Andrei [3 ]
Overkamp, Friedrich [4 ]
Kolberg, Hans-Christian [5 ]
Hadji, Peyman [6 ]
Tesch, Hans [7 ]
Ettl, Johannes [8 ]
Huober, Jens B. [2 ]
Lueftner, Diana [9 ]
Wallwiener, Markus [10 ]
Mueller, Volkmar [11 ]
Beckmann, Matthias W. [1 ]
Belleville, Erik [12 ]
Fehm, Tanja N. [13 ]
Wallwiener, Diethelm [3 ]
Brucker, Sara Y. [3 ]
Schneeweiss, Andreas [10 ,14 ]
Fasching, Peter A. [1 ]
机构
[1] Friedrich Alexander Univ Erlangen Nuremberg, Comprehens Canc Ctr Erlangen EMN, Erlangen Univ Hosp, Dept Gynecol & Obstet, Univ Str 21-23, D-91054 Erlangen, Germany
[2] Ulm Univ Hosp, Dept Gynecol & Obstet, Ulm, Germany
[3] Univ Tubingen, Dept Obstet & Gynecol, Tubingen, Germany
[4] Oncologianova GmbH, Recklinghausen, Germany
[5] Marienhosp Bottrop, Bottrop, Germany
[6] Nordwest Hosp, Dept Bone Oncol, Frankfurt, Germany
[7] Bethanien Hosp Frankfurt, Oncol Practice, Frankfurt, Germany
[8] Tech Univ Munich, Klinikum Rechts Isar, Dept Obstet & Gynecol, Munich, Germany
[9] Charite, Dept Hematol Oncol & Tumour Immunol, Campus Benjamin Franklin, Berlin, Germany
[10] Heidelberg Univ, Dept Obstet & Gynecol, Heidelberg, Germany
[11] Hamburg Eppendorf Univ Med Ctr, Dept Gynecol, Hamburg, Germany
[12] ClinSol GmbH & Co KG, Wurzburg, Germany
[13] Univ Hosp Dusseldorf, Dept Gynecol & Obstet, Dusseldorf, Germany
[14] Univ Hosp Heidelberg, Div Gynecol Oncol, Natl Ctr Tumor Dis, Heidelberg, Germany
关键词
breast cancer; treatment; local recurrence; metastases; studies; ENDOCRINE THERAPY; POSTMENOPAUSAL WOMEN; SUSCEPTIBILITY LOCI; 1ST-LINE TREATMENT; OPEN-LABEL; TRASTUZUMAB; LETROZOLE; ADJUVANT; TRIAL; MULTICENTER;
D O I
10.1055/s-0043-122885
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
In recent years, numerous new therapy options for patients with breast cancer have been developed in clinical studies, with some options already approved for routine treatment. As the speed at which innovations are introduced increases, the importance of conferences also increases, as conferences are where the data underpinning new therapies are usually presented for the first time. This review looks at publications of the ASCO (American Society of Clinical Oncology) and ESMO (European Society of Medical Oncology) conferences in 2017, summarizes them and evaluates them in the context of existing data. The focus is on new insights for neoadjuvant therapy and new treatment options in the metastatic setting, such as the use of CDK4/6 inhibitors or PARP inhibitors. The first results of treatments with checkpoint inhibitors are presented. With the patent expiry of trastuzumab, a number of study results for trastuzumab biosimilars have also been published. The digitization of patient care provides the first results on quality of life and prognosis of patients with advanced cancer. Digital communications between patients and physicians are being evaluated in several studies in Germany. As the discussion about patient-relevant endpoints for patients in the metastatic setting continues, overall survival rates from studies of big endocrine-based therapies are urgently needed. Preliminary analyses of small study cohorts offer initial insights. In the context of improving patient care, in the coming years, questions will center on which patients particularly benefit from certain therapies and which patients need particular protection from specific side effects. Questions about these predictors are raised in many scientific projects as attention increasingly focuses on this topic.
引用
收藏
页码:1281 / 1290
页数:10
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