Role of antibody drug conjugates in the treatment of patients with breast cancer brain metastases

Breast cancer remains a leading cause of brain metastases (BM), which carry a poor prognosis. The current approach to managing BMs in breast cancer patients involves a combination of local therapies (surgery, radiotherapy) and systemic treatments. Developing newer antibody–drug conjugates (ADCs) has...

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Main Authors: Stacey Pan, Jayant Y. Gadrey, Sarah Sammons, Nancy U. Lin, Sara M. Tolaney, Paolo Tarantino, Ilana Schlam
Format: Article
Language:English
Published: SAGE Publishing 2024-11-01
Series:Therapeutic Advances in Medical Oncology
Online Access:https://doi.org/10.1177/17588359241292266
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author Stacey Pan
Jayant Y. Gadrey
Sarah Sammons
Nancy U. Lin
Sara M. Tolaney
Paolo Tarantino
Ilana Schlam
author_facet Stacey Pan
Jayant Y. Gadrey
Sarah Sammons
Nancy U. Lin
Sara M. Tolaney
Paolo Tarantino
Ilana Schlam
author_sort Stacey Pan
collection DOAJ
description Breast cancer remains a leading cause of brain metastases (BM), which carry a poor prognosis. The current approach to managing BMs in breast cancer patients involves a combination of local therapies (surgery, radiotherapy) and systemic treatments. Developing newer antibody–drug conjugates (ADCs) has sparked a revolution in metastatic breast cancer (MBC) care. ADCs such as ado-trastuzumab emtansine, trastuzumab deruxtecan, and sacituzumab govitecan have demonstrated significant improvement in patient outcomes and are standard of care in the treatment of MBC. Most of the ADC registration studies included patients with stable BMs but excluded individuals with active BM, making intracranial (IC) response assessment a challenge. Promising data has recently emerged, suggesting relevant IC activity for certain ADCs and ongoing studies in patients with active BM that will expand our knowledge. This review aims to summarize the effectiveness of approved ADCs as well as promising new ADCs in development for breast cancer with BM.
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series Therapeutic Advances in Medical Oncology
spelling doaj-art-228052a30a8c47edb31a02d73a0d9afb2024-11-13T12:03:20ZengSAGE PublishingTherapeutic Advances in Medical Oncology1758-83592024-11-011610.1177/17588359241292266Role of antibody drug conjugates in the treatment of patients with breast cancer brain metastasesStacey PanJayant Y. GadreySarah SammonsNancy U. LinSara M. TolaneyPaolo TarantinoIlana SchlamBreast cancer remains a leading cause of brain metastases (BM), which carry a poor prognosis. The current approach to managing BMs in breast cancer patients involves a combination of local therapies (surgery, radiotherapy) and systemic treatments. Developing newer antibody–drug conjugates (ADCs) has sparked a revolution in metastatic breast cancer (MBC) care. ADCs such as ado-trastuzumab emtansine, trastuzumab deruxtecan, and sacituzumab govitecan have demonstrated significant improvement in patient outcomes and are standard of care in the treatment of MBC. Most of the ADC registration studies included patients with stable BMs but excluded individuals with active BM, making intracranial (IC) response assessment a challenge. Promising data has recently emerged, suggesting relevant IC activity for certain ADCs and ongoing studies in patients with active BM that will expand our knowledge. This review aims to summarize the effectiveness of approved ADCs as well as promising new ADCs in development for breast cancer with BM.https://doi.org/10.1177/17588359241292266
spellingShingle Stacey Pan
Jayant Y. Gadrey
Sarah Sammons
Nancy U. Lin
Sara M. Tolaney
Paolo Tarantino
Ilana Schlam
Role of antibody drug conjugates in the treatment of patients with breast cancer brain metastases
Therapeutic Advances in Medical Oncology
title Role of antibody drug conjugates in the treatment of patients with breast cancer brain metastases
title_full Role of antibody drug conjugates in the treatment of patients with breast cancer brain metastases
title_fullStr Role of antibody drug conjugates in the treatment of patients with breast cancer brain metastases
title_full_unstemmed Role of antibody drug conjugates in the treatment of patients with breast cancer brain metastases
title_short Role of antibody drug conjugates in the treatment of patients with breast cancer brain metastases
title_sort role of antibody drug conjugates in the treatment of patients with breast cancer brain metastases
url https://doi.org/10.1177/17588359241292266
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