Tissue-agnostic drug approvals: how does this apply to patients with breast cancer?

Abstract Precision medicine has provided new perspectives in oncology, yielding research on the use of targeted therapies across different tumor types, regardless of their site of origin, a concept known as tissue-agnostic indication. Since 2017, the Food and Drug Administration (FDA) has approved t...

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Main Authors: Luiza N. Weis, Sara M. Tolaney, Carlos H. Barrios, Romualdo Barroso-Sousa
Format: Article
Language:English
Published: Nature Portfolio 2021-09-01
Series:npj Breast Cancer
Online Access:https://doi.org/10.1038/s41523-021-00328-3
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author Luiza N. Weis
Sara M. Tolaney
Carlos H. Barrios
Romualdo Barroso-Sousa
author_facet Luiza N. Weis
Sara M. Tolaney
Carlos H. Barrios
Romualdo Barroso-Sousa
author_sort Luiza N. Weis
collection DOAJ
description Abstract Precision medicine has provided new perspectives in oncology, yielding research on the use of targeted therapies across different tumor types, regardless of their site of origin, a concept known as tissue-agnostic indication. Since 2017, the Food and Drug Administration (FDA) has approved the use of three different agents for tumor-agnostic treatment: pembrolizumab (for patients with microsatellite instability or high tumor mutational burden) and larotrectinib and entrectinib (both for use in patients harboring tumors with NTRK fusions). Importantly, the genomic alterations targeted by these agents are uncommon or rare in breast cancer, and little information exists regarding their efficacy in advanced breast cancer. In this review, we discuss the prevalence of these targets in breast cancer, their detection methods, the clinical characteristics of patients whose tumors have these alterations, and available data regarding the efficacy of these agents in breast cancer.
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spelling doaj.art-99ddf49ec2724697925a230a9dd6ae2f2023-12-02T13:09:58ZengNature Portfolionpj Breast Cancer2374-46772021-09-01711910.1038/s41523-021-00328-3Tissue-agnostic drug approvals: how does this apply to patients with breast cancer?Luiza N. Weis0Sara M. Tolaney1Carlos H. Barrios2Romualdo Barroso-Sousa3Instituto de Ensino e Pesquisa Hospital Sírio-LibanêsDepartment of Medical Oncology, Dana-Farber Cancer InstituteLACOG, OncoclinicasInstituto de Ensino e Pesquisa Hospital Sírio-LibanêsAbstract Precision medicine has provided new perspectives in oncology, yielding research on the use of targeted therapies across different tumor types, regardless of their site of origin, a concept known as tissue-agnostic indication. Since 2017, the Food and Drug Administration (FDA) has approved the use of three different agents for tumor-agnostic treatment: pembrolizumab (for patients with microsatellite instability or high tumor mutational burden) and larotrectinib and entrectinib (both for use in patients harboring tumors with NTRK fusions). Importantly, the genomic alterations targeted by these agents are uncommon or rare in breast cancer, and little information exists regarding their efficacy in advanced breast cancer. In this review, we discuss the prevalence of these targets in breast cancer, their detection methods, the clinical characteristics of patients whose tumors have these alterations, and available data regarding the efficacy of these agents in breast cancer.https://doi.org/10.1038/s41523-021-00328-3
spellingShingle Luiza N. Weis
Sara M. Tolaney
Carlos H. Barrios
Romualdo Barroso-Sousa
Tissue-agnostic drug approvals: how does this apply to patients with breast cancer?
npj Breast Cancer
title Tissue-agnostic drug approvals: how does this apply to patients with breast cancer?
title_full Tissue-agnostic drug approvals: how does this apply to patients with breast cancer?
title_fullStr Tissue-agnostic drug approvals: how does this apply to patients with breast cancer?
title_full_unstemmed Tissue-agnostic drug approvals: how does this apply to patients with breast cancer?
title_short Tissue-agnostic drug approvals: how does this apply to patients with breast cancer?
title_sort tissue agnostic drug approvals how does this apply to patients with breast cancer
url https://doi.org/10.1038/s41523-021-00328-3
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