Accelerating progress in early triple-negative breast cancer: A viewpoint on antibody-drug conjugates, back from St Gallen breast cancer conference 2021

Metastatic triple-negative breast cancer (mTNBC) is associated with an aggressive disease course, and limited treatment options. The recent accelerated drug development in the space of mTNBC has been driven by a precision-medicine approach, with the potential to deliver more personalized treatments...

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Main Authors: Dario Trapani, Giuseppe Curigliano
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Breast
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0960977621010183
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author Dario Trapani
Giuseppe Curigliano
author_facet Dario Trapani
Giuseppe Curigliano
author_sort Dario Trapani
collection DOAJ
description Metastatic triple-negative breast cancer (mTNBC) is associated with an aggressive disease course, and limited treatment options. The recent accelerated drug development in the space of mTNBC has been driven by a precision-medicine approach, with the potential to deliver more personalized treatments and result in better outcomes. Antibody-drug conjugates (ADCs) have introduced a novel paradigm in the space of mTNBC, leading to the approval of the first targeted agent in this setting. The research and development of ADCs comes in parallel with the identification of tumor-specific targets of pharmacological interest. As a result, ADCs bring the potential for agnostic treatment delivery-across multiple histology types, and theranostically, by coupling tumor-antigen identification and treatment, as a continuum. In this perspective, recent progress in ADCs development for early and mTNBC are outlined, in the trade-off of patient selection, tumor specificity, precise drug delivery, potent payloads safety and quality of life.
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spelling doaj.art-7af59a05e66a49b3a3fb9bfdd460e1752022-12-22T00:08:17ZengElsevierBreast1532-30802022-03-0162S54S57Accelerating progress in early triple-negative breast cancer: A viewpoint on antibody-drug conjugates, back from St Gallen breast cancer conference 2021Dario Trapani0Giuseppe Curigliano1European Institute of Oncology, IRCCS, Milan, ItalyEuropean Institute of Oncology, IRCCS, Milan, Italy; Department of Oncology and Hematology, University of Milan, Milan, Italy; Corresponding author. European Institute of Oncology (IEO), IRCCS Early Drug Development for Innovative therapies, Via Ripamonti 435, 20141, Milan, Italy.Metastatic triple-negative breast cancer (mTNBC) is associated with an aggressive disease course, and limited treatment options. The recent accelerated drug development in the space of mTNBC has been driven by a precision-medicine approach, with the potential to deliver more personalized treatments and result in better outcomes. Antibody-drug conjugates (ADCs) have introduced a novel paradigm in the space of mTNBC, leading to the approval of the first targeted agent in this setting. The research and development of ADCs comes in parallel with the identification of tumor-specific targets of pharmacological interest. As a result, ADCs bring the potential for agnostic treatment delivery-across multiple histology types, and theranostically, by coupling tumor-antigen identification and treatment, as a continuum. In this perspective, recent progress in ADCs development for early and mTNBC are outlined, in the trade-off of patient selection, tumor specificity, precise drug delivery, potent payloads safety and quality of life.http://www.sciencedirect.com/science/article/pii/S0960977621010183Breast cancerNew drugsPost-neoadjuvantpCRPathologic complete responseAntibody-drug conjugate
spellingShingle Dario Trapani
Giuseppe Curigliano
Accelerating progress in early triple-negative breast cancer: A viewpoint on antibody-drug conjugates, back from St Gallen breast cancer conference 2021
Breast
Breast cancer
New drugs
Post-neoadjuvant
pCR
Pathologic complete response
Antibody-drug conjugate
title Accelerating progress in early triple-negative breast cancer: A viewpoint on antibody-drug conjugates, back from St Gallen breast cancer conference 2021
title_full Accelerating progress in early triple-negative breast cancer: A viewpoint on antibody-drug conjugates, back from St Gallen breast cancer conference 2021
title_fullStr Accelerating progress in early triple-negative breast cancer: A viewpoint on antibody-drug conjugates, back from St Gallen breast cancer conference 2021
title_full_unstemmed Accelerating progress in early triple-negative breast cancer: A viewpoint on antibody-drug conjugates, back from St Gallen breast cancer conference 2021
title_short Accelerating progress in early triple-negative breast cancer: A viewpoint on antibody-drug conjugates, back from St Gallen breast cancer conference 2021
title_sort accelerating progress in early triple negative breast cancer a viewpoint on antibody drug conjugates back from st gallen breast cancer conference 2021
topic Breast cancer
New drugs
Post-neoadjuvant
pCR
Pathologic complete response
Antibody-drug conjugate
url http://www.sciencedirect.com/science/article/pii/S0960977621010183
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