Role of Platinums in Triple-Negative Breast Cancer

被引:24
作者
Lynce, Filipa [1 ]
Nunes, Raquel [2 ]
机构
[1] Harvard Med Sch, Dana Farber Canc Inst, Med Oncol, 450 Brookline Ave YC-1275, Boston, MA 02215 USA
[2] Sibley Mem Hosp, Johns Hopkins Sidney Kimmel Canc Ctr, Med Oncol, Bldg B,First Floor,5255 Loughboro Rd NW, Washington, DC 20016 USA
关键词
Platinum; Carboplatin; Pathological complete response; Triple-negative breast cancer; Breast cancer; BRCA1; 2; carriers; Homologous recombination deficiency; Biomarkers; PATHOLOGICAL COMPLETE RESPONSE; RANDOMIZED PHASE-II; NEOADJUVANT CHEMOTHERAPY; STAGE-II; CARBOPLATIN; CISPLATIN; PLUS; VELIPARIB; TRIAL; CYCLOPHOSPHAMIDE;
D O I
10.1007/s11912-021-01041-x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose of ReviewPlatinum compounds are used in the treatment of various types of cancer. Here, we review the current role of cisplatin and carboplatin in the treatment of early stage and advanced triple-negative breast cancer (TNBC), and the use of biomarkers in predicting response to platinum therapy.Recent FindingsAddition of carboplatin to a neoadjuvant chemotherapy regimen can result in improvement in the pathological complete response rates. The long-term benefit of the addition of carboplatin to standard chemotherapy regimens remains unproven. Single-agent platinum is an option in the treatment of advanced breast cancer. BRCA1/2 mutations predicted benefit from platinums in advanced, but not early stage breast cancer. There are yet no biomarkers to predict response to platinum in sporadic TNBC.SummaryPlatinum compounds are an option in the treatment of TNBC. Identification of biomarkers to select tumors most likely to derive benefit from these agents is still needed. Ongoing trials are exploring the role of platinum in the adjuvant setting and in combination with other agents, including immune checkpoint inhibitors.
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