Evolving Evidence for the Optimization of Neoadjuvant Therapy in Triple-Negative Breast Cancer

Representing 15% to 20% of all invasive breast cancers, adjuvant systemic treatment for early-stage, high-risk triple-negative breast cancer (TNBC) is preferentially done in the neoadjuvant setting based on a chemotherapy backbone of anthracyclines and taxanes. Pathological complete response to neoa...

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Main Authors: Diogo Silva, Alexandra Mesquita
Format: Article
Language:English
Published: SAGE Publishing 2022-06-01
Series:Breast Cancer: Basic and Clinical Research
Online Access:https://doi.org/10.1177/11782234221107580
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author Diogo Silva
Alexandra Mesquita
author_facet Diogo Silva
Alexandra Mesquita
author_sort Diogo Silva
collection DOAJ
description Representing 15% to 20% of all invasive breast cancers, adjuvant systemic treatment for early-stage, high-risk triple-negative breast cancer (TNBC) is preferentially done in the neoadjuvant setting based on a chemotherapy backbone of anthracyclines and taxanes. Pathological complete response to neoadjuvant treatment constitutes the main objective, regarding its correlation with oncological outcomes. The optimal neoadjuvant regimen to achieve the highest rates of pathological complete response is still under investigation, with the increasing knowledge on the molecular pathways, genomic sequencing, and immunological profile of TNBC allowing for the development of a wide array of new therapeutic options. This review aims to summarize the current evidence and ongoing clinical trials of new therapeutic options for the neoadjuvant treatment of TNBC patients.
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spelling doaj.art-c804432bfa4040a983d916285fee23e82022-12-22T00:32:53ZengSAGE PublishingBreast Cancer: Basic and Clinical Research1178-22342022-06-011610.1177/11782234221107580Evolving Evidence for the Optimization of Neoadjuvant Therapy in Triple-Negative Breast CancerDiogo SilvaAlexandra MesquitaRepresenting 15% to 20% of all invasive breast cancers, adjuvant systemic treatment for early-stage, high-risk triple-negative breast cancer (TNBC) is preferentially done in the neoadjuvant setting based on a chemotherapy backbone of anthracyclines and taxanes. Pathological complete response to neoadjuvant treatment constitutes the main objective, regarding its correlation with oncological outcomes. The optimal neoadjuvant regimen to achieve the highest rates of pathological complete response is still under investigation, with the increasing knowledge on the molecular pathways, genomic sequencing, and immunological profile of TNBC allowing for the development of a wide array of new therapeutic options. This review aims to summarize the current evidence and ongoing clinical trials of new therapeutic options for the neoadjuvant treatment of TNBC patients.https://doi.org/10.1177/11782234221107580
spellingShingle Diogo Silva
Alexandra Mesquita
Evolving Evidence for the Optimization of Neoadjuvant Therapy in Triple-Negative Breast Cancer
Breast Cancer: Basic and Clinical Research
title Evolving Evidence for the Optimization of Neoadjuvant Therapy in Triple-Negative Breast Cancer
title_full Evolving Evidence for the Optimization of Neoadjuvant Therapy in Triple-Negative Breast Cancer
title_fullStr Evolving Evidence for the Optimization of Neoadjuvant Therapy in Triple-Negative Breast Cancer
title_full_unstemmed Evolving Evidence for the Optimization of Neoadjuvant Therapy in Triple-Negative Breast Cancer
title_short Evolving Evidence for the Optimization of Neoadjuvant Therapy in Triple-Negative Breast Cancer
title_sort evolving evidence for the optimization of neoadjuvant therapy in triple negative breast cancer
url https://doi.org/10.1177/11782234221107580
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