Where Do We Stand on the Integration of PARP Inhibitors for the Treatment of Breast Cancer?

被引:4
作者
Duma, Narjust [1 ]
Gast, Kelly C. [2 ]
Choong, Grace M. [2 ]
Leon-Ferre, Roberto A. [1 ]
O'Sullivan, Ciara C. [1 ]
机构
[1] Mayo Clin, Div Med Oncol, Rochester, MN 55905 USA
[2] Mayo Clin, Dept Internal Med, Rochester, MN 55905 USA
关键词
Poly(ADP-ribose) polymerases; PARP inhibitors; Triple-negative breast cancer; BRCA1/2; mutations; BRCAness; BRCA MUTATION CARRIERS; PHASE-I TRIAL; POLY(ADP-RIBOSE) POLYMERASE; DNA-DAMAGE; OVARIAN-CARCINOMA; DOSE-ESCALATION; MUTANT-CELLS; OLAPARIB; RESISTANCE; REPAIR;
D O I
10.1007/s11912-018-0709-7
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
To provide an overview of the clinical development of poly(ADP-ribose) polymerase inhibitors (PARPi) in breast cancer to date and to review existing challenges and future research directions. We summarize the clinical development of PARPi in breast cancer from bench to bedside, and discuss the results of recent phase 3 trials in patients with metastatic breast cancer (MBC) and germline mutations in BRCA1/2 (gBRCAm). We will also provide an update regarding mechanisms of action and resistance to PARPi, and review clinical trials of PARPi as monotherapy or in combination regimens. PARPi are a novel treatment approach in persons with gBRCA1/2m-associated MBC. Going forward, the clinical applicability of these compounds outside the gBRCAm setting will be studied in greater detail. The identification of accurate predictive biomarkers of response is a research priority.
引用
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页数:12
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