Response to Abemaciclib After 10 Lines of Therapy Including Palbociclib in Metastatic Breast Cancer: A Case Report With Literature Review

Abstract Metastatic breast cancer (BC) is considered incurable, and it is generally treated with sequential single-agent therapies to control it with palliative intent. Cyclin-dependent kinase 4/6 inhibitors (CDK4/6i) are used in the front-line setting of hormone receptor (HR)-positive, HER2-negativ...

Full description

Bibliographic Details
Main Authors: Isabella O. Wender, Kayla Haines, Mohammad Jahanzeb
Format: Article
Language:English
Published: Adis, Springer Healthcare 2020-09-01
Series:Oncology and Therapy
Subjects:
Online Access:https://doi.org/10.1007/s40487-020-00126-0
_version_ 1819089261625868288
author Isabella O. Wender
Kayla Haines
Mohammad Jahanzeb
author_facet Isabella O. Wender
Kayla Haines
Mohammad Jahanzeb
author_sort Isabella O. Wender
collection DOAJ
description Abstract Metastatic breast cancer (BC) is considered incurable, and it is generally treated with sequential single-agent therapies to control it with palliative intent. Cyclin-dependent kinase 4/6 inhibitors (CDK4/6i) are used in the front-line setting of hormone receptor (HR)-positive, HER2-negative BC, and guidelines discourage the use of a second-line CDK4/6i after failure of first-line use of this class of drugs due to lack of data supporting this practice. We report a case of a postmenopausal woman with HR-positive and HER2-negative advanced BC who was treated with four lines of hormonal therapy and more than five chemotherapy regimens, with progression. Palbociclib was used in the sixth-line therapy and discontinued after 5 months. We then tried abemaciclib in the 11th-line setting, where it induced a response that lasted 16 months.
first_indexed 2024-12-21T22:05:08Z
format Article
id doaj.art-a19b8281746a4b8db5a50ed987362768
institution Directory Open Access Journal
issn 2366-1070
2366-1089
language English
last_indexed 2024-12-21T22:05:08Z
publishDate 2020-09-01
publisher Adis, Springer Healthcare
record_format Article
series Oncology and Therapy
spelling doaj.art-a19b8281746a4b8db5a50ed9873627682022-12-21T18:48:44ZengAdis, Springer HealthcareOncology and Therapy2366-10702366-10892020-09-018235135810.1007/s40487-020-00126-0Response to Abemaciclib After 10 Lines of Therapy Including Palbociclib in Metastatic Breast Cancer: A Case Report With Literature ReviewIsabella O. Wender0Kayla Haines1Mohammad Jahanzeb2Escola de Medicina da Pontifícia, Universidade Católica do Rio Grande do Sul (PUC-RS)Florida Precision Oncology, a Division of 21st Century OncologyFlorida Precision Oncology, a Division of 21st Century OncologyAbstract Metastatic breast cancer (BC) is considered incurable, and it is generally treated with sequential single-agent therapies to control it with palliative intent. Cyclin-dependent kinase 4/6 inhibitors (CDK4/6i) are used in the front-line setting of hormone receptor (HR)-positive, HER2-negative BC, and guidelines discourage the use of a second-line CDK4/6i after failure of first-line use of this class of drugs due to lack of data supporting this practice. We report a case of a postmenopausal woman with HR-positive and HER2-negative advanced BC who was treated with four lines of hormonal therapy and more than five chemotherapy regimens, with progression. Palbociclib was used in the sixth-line therapy and discontinued after 5 months. We then tried abemaciclib in the 11th-line setting, where it induced a response that lasted 16 months.https://doi.org/10.1007/s40487-020-00126-0Breast carcinomaCyclin-dependent kinaseMetastatic breast cancer
spellingShingle Isabella O. Wender
Kayla Haines
Mohammad Jahanzeb
Response to Abemaciclib After 10 Lines of Therapy Including Palbociclib in Metastatic Breast Cancer: A Case Report With Literature Review
Oncology and Therapy
Breast carcinoma
Cyclin-dependent kinase
Metastatic breast cancer
title Response to Abemaciclib After 10 Lines of Therapy Including Palbociclib in Metastatic Breast Cancer: A Case Report With Literature Review
title_full Response to Abemaciclib After 10 Lines of Therapy Including Palbociclib in Metastatic Breast Cancer: A Case Report With Literature Review
title_fullStr Response to Abemaciclib After 10 Lines of Therapy Including Palbociclib in Metastatic Breast Cancer: A Case Report With Literature Review
title_full_unstemmed Response to Abemaciclib After 10 Lines of Therapy Including Palbociclib in Metastatic Breast Cancer: A Case Report With Literature Review
title_short Response to Abemaciclib After 10 Lines of Therapy Including Palbociclib in Metastatic Breast Cancer: A Case Report With Literature Review
title_sort response to abemaciclib after 10 lines of therapy including palbociclib in metastatic breast cancer a case report with literature review
topic Breast carcinoma
Cyclin-dependent kinase
Metastatic breast cancer
url https://doi.org/10.1007/s40487-020-00126-0
work_keys_str_mv AT isabellaowender responsetoabemaciclibafter10linesoftherapyincludingpalbociclibinmetastaticbreastcanceracasereportwithliteraturereview
AT kaylahaines responsetoabemaciclibafter10linesoftherapyincludingpalbociclibinmetastaticbreastcanceracasereportwithliteraturereview
AT mohammadjahanzeb responsetoabemaciclibafter10linesoftherapyincludingpalbociclibinmetastaticbreastcanceracasereportwithliteraturereview