HER2-Directed Therapy in Advanced Breast Cancer: Benefits and Risks

Pablo Mandó,1 Federico Waisberg,2 Rosario Pasquinelli,1 Sergio Rivero,2 Alexis Ostinelli,2 Florencia Perazzo1 1Clinical Oncology Department, Centro de Educación Médica e Investigaciones Clínicas “Norberto Quirno” (CEMIC), Ciudad Autónoma de Buenos Aires, Argentina; 2Clinical Oncology Department, Ins...

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Main Authors: Mandó P, Waisberg F, Pasquinelli R, Rivero S, Ostinelli A, Perazzo F
Format: Article
Language:English
Published: Dove Medical Press 2023-02-01
Series:OncoTargets and Therapy
Subjects:
Online Access:https://www.dovepress.com/her2-directed-therapy-in-advanced-breast-cancer-benefits-and-risks-peer-reviewed-fulltext-article-OTT
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author Mandó P
Waisberg F
Pasquinelli R
Rivero S
Ostinelli A
Perazzo F
author_facet Mandó P
Waisberg F
Pasquinelli R
Rivero S
Ostinelli A
Perazzo F
author_sort Mandó P
collection DOAJ
description Pablo Mandó,1 Federico Waisberg,2 Rosario Pasquinelli,1 Sergio Rivero,2 Alexis Ostinelli,2 Florencia Perazzo1 1Clinical Oncology Department, Centro de Educación Médica e Investigaciones Clínicas “Norberto Quirno” (CEMIC), Ciudad Autónoma de Buenos Aires, Argentina; 2Clinical Oncology Department, Instituto Alexander Fleming, Ciudad Autónoma de Buenos Aires, ArgentinaCorrespondence: Pablo Mandó, Centro de Educación Médica e Investigaciones Clínicas “Norberto Quirno” (CEMIC), Galvan 4102, Ciudad Autónoma de Buenos Aires, 1431, Argentina, Tel +54 11 61204997, Email pablomando@gmail.comAbstract: Around 20% of breast cancers are associated with amplification or overexpression of human epidermal growth factor receptor 2 (HER2). In this setting, anti-HER2-targeted agents are the cornerstone of cancer therapeutic strategies. This includes monoclonal antibodies, tyrosine kinase inhibitors (TKIs) and, recently, antibody–drug conjugates (ADCs). With the advent of these new alternatives, the decision-making process has become more complex, especially with regard to the treatment sequence possibilities. In spite of the fact that overall survival has significantly improved accordingly, resistance to treatment remains a challenge in HER2-positive breast cancer. The introduction of new agents has created awareness regarding new potential specific adverse events, and consequently, their increasing application pose major challenges in daily patient care. This review describes the therapeutic landscape for HER2-positive advanced breast cancer (ABC) and evaluates its benefits and risks in the clinical setting.Keywords: breast cancer, HER2, monoclonal antibodies, tyrosine kinase inhibitors, antibody–drug conjugates
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spelling doaj.art-4f57eaa35ea140078cb30ebd1d2f84c22023-02-19T13:56:56ZengDove Medical PressOncoTargets and Therapy1178-69302023-02-01Volume 1611513281753HER2-Directed Therapy in Advanced Breast Cancer: Benefits and RisksMandó PWaisberg FPasquinelli RRivero SOstinelli APerazzo FPablo Mandó,1 Federico Waisberg,2 Rosario Pasquinelli,1 Sergio Rivero,2 Alexis Ostinelli,2 Florencia Perazzo1 1Clinical Oncology Department, Centro de Educación Médica e Investigaciones Clínicas “Norberto Quirno” (CEMIC), Ciudad Autónoma de Buenos Aires, Argentina; 2Clinical Oncology Department, Instituto Alexander Fleming, Ciudad Autónoma de Buenos Aires, ArgentinaCorrespondence: Pablo Mandó, Centro de Educación Médica e Investigaciones Clínicas “Norberto Quirno” (CEMIC), Galvan 4102, Ciudad Autónoma de Buenos Aires, 1431, Argentina, Tel +54 11 61204997, Email pablomando@gmail.comAbstract: Around 20% of breast cancers are associated with amplification or overexpression of human epidermal growth factor receptor 2 (HER2). In this setting, anti-HER2-targeted agents are the cornerstone of cancer therapeutic strategies. This includes monoclonal antibodies, tyrosine kinase inhibitors (TKIs) and, recently, antibody–drug conjugates (ADCs). With the advent of these new alternatives, the decision-making process has become more complex, especially with regard to the treatment sequence possibilities. In spite of the fact that overall survival has significantly improved accordingly, resistance to treatment remains a challenge in HER2-positive breast cancer. The introduction of new agents has created awareness regarding new potential specific adverse events, and consequently, their increasing application pose major challenges in daily patient care. This review describes the therapeutic landscape for HER2-positive advanced breast cancer (ABC) and evaluates its benefits and risks in the clinical setting.Keywords: breast cancer, HER2, monoclonal antibodies, tyrosine kinase inhibitors, antibody–drug conjugateshttps://www.dovepress.com/her2-directed-therapy-in-advanced-breast-cancer-benefits-and-risks-peer-reviewed-fulltext-article-OTTbreast cancer – her2 – monoclonal antibodies – tyrosine kinase inhibitors – antibody drug conjugates
spellingShingle Mandó P
Waisberg F
Pasquinelli R
Rivero S
Ostinelli A
Perazzo F
HER2-Directed Therapy in Advanced Breast Cancer: Benefits and Risks
OncoTargets and Therapy
breast cancer – her2 – monoclonal antibodies – tyrosine kinase inhibitors – antibody drug conjugates
title HER2-Directed Therapy in Advanced Breast Cancer: Benefits and Risks
title_full HER2-Directed Therapy in Advanced Breast Cancer: Benefits and Risks
title_fullStr HER2-Directed Therapy in Advanced Breast Cancer: Benefits and Risks
title_full_unstemmed HER2-Directed Therapy in Advanced Breast Cancer: Benefits and Risks
title_short HER2-Directed Therapy in Advanced Breast Cancer: Benefits and Risks
title_sort her2 directed therapy in advanced breast cancer benefits and risks
topic breast cancer – her2 – monoclonal antibodies – tyrosine kinase inhibitors – antibody drug conjugates
url https://www.dovepress.com/her2-directed-therapy-in-advanced-breast-cancer-benefits-and-risks-peer-reviewed-fulltext-article-OTT
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AT riveros her2directedtherapyinadvancedbreastcancerbenefitsandrisks
AT ostinellia her2directedtherapyinadvancedbreastcancerbenefitsandrisks
AT perazzof her2directedtherapyinadvancedbreastcancerbenefitsandrisks