HER2-targeted therapy-antibodies and beyond

被引:0
作者
Fehm, Tanja [1 ]
Mueller, Volkmar [2 ]
机构
[1] Univ Frauenklin Dusseldorf, Dusseldorf, Germany
[2] Univ Klinikum Hamburg Eppendorf, Klin & Poliklin Gynakol, Martinistr 52, D-20246 Hamburg, Germany
来源
GYNAKOLOGE | 2021年 / 54卷 / 05期
关键词
Breast cancer; Quality of life; Precision medicine; Enzyme inhibitors; Tyrosine kinases; METASTATIC BREAST-CANCER; TRASTUZUMAB EMTANSINE; MONOCLONAL-ANTIBODY; OPEN-LABEL; HER2; CHEMOTHERAPY; COMBINATION; PERTUZUMAB; DOCETAXEL; EFFICACY;
D O I
10.1007/s00129-021-04789-2
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
With the development of the monoclonal antibody trastuzumab against HER2, a significant breakthrough was achieved in the treatment of primary and metastatic HER2-positive breast cancer. In the years that followed, dual blockade with the antibodies trastuzumab and pertuzumab in combination with taxane-containing chemotherapy resulted in a further significant improvement in both the metastatic and adjuvant treatment situation. T-DM1, which is an antibody drug conjugate built by attaching maytensin to the monoclonal antibody trastuzumab with a linker, has further increased survival in the metastatic situation after trastuzumab compared to the former second-line treatment standard capecitabine/lapatinib. In the postneoadjuvant setting T-DM1 is associated with a significant invasive disease-free survival benefit compared to maintaining therapy with trastuzumab. New drug developments include tyrosine kinase inhibitors such as neratinib and tucatenib as well as innovative antibody-drug conjugates including trastuzumab-deruxtecane.
引用
收藏
页码:320 / 328
页数:9
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