国际肿瘤学杂志 ›› 2020, Vol. 47 ›› Issue (3): 169-173.doi: 10.3760/cma.j.issn.1673-422X.2020.03.008
收稿日期:
2019-09-30
修回日期:
2019-11-04
出版日期:
2020-03-08
发布日期:
2020-05-27
通讯作者:
李开春
E-mail:shtumor@163.com
Received:
2019-09-30
Revised:
2019-11-04
Online:
2020-03-08
Published:
2020-05-27
Contact:
Li Kaichun
E-mail:shtumor@163.com
摘要:
三阴性乳腺癌(TNBC)复发风险高,预后差。转移性三阴性乳腺癌(mTNBC)的中位生存期约为1年。目前,mTNBC主要治疗手段仍然是细胞毒化疗。近年来,有关mTNBC的临床研究涉及的药物包括聚ADP核糖聚合酶抑制剂、磷脂酰肌醇3-激酶途径抑制剂、靶向表皮生长因子受体抗体、靶向滋养层细胞表面抗原-2抗体、靶向死亡受体5抗体、针对雄激素受体的内分泌治疗药物、免疫检查点抑制剂等。新的药物已经逐步改善mTNBC患者的生存。
李开春, 王雅杰. 转移性三阴性乳腺癌临床研究现状[J]. 国际肿瘤学杂志, 2020, 47(3): 169-173.
Li Kaichun, Wang Yajie. Current status of clinical researches on metastatic triple negative breast cancer[J]. Journal of International Oncology, 2020, 47(3): 169-173.
[1] |
Waks AG, Winer EP . Breast cancer treatment: a review[J]. JAMA, 2019,321(3):288-300. DOI: 10.1001/jama.2018.19323.
doi: 10.1001/jama.2018.19323 |
[2] |
Isakoff SJ, Mayer EL, He L , et al. TBCRC 009: a multicenter phase Ⅱ clinical trial of platinum monotherapy with biomarker assessment in metastatic triple-negative breast cancer[J]. J Clin Oncol, 2015,33(17):1902-1909. DOI: 10.1200/JCO.2014.57.6660.
doi: 10.1200/JCO.2014.57.6660 |
[3] |
Tutt A, Tovey H, Cheang MCU , et al. Carboplatin in BRCA1/2-mutated and triple-negative breast cancer BRCAness subgroups: the TNT Trial[J]. Nat Med, 2018,24(5):628-637. DOI: 10.1038/s41591-018-0009-7.
doi: 10.1038/s41591-018-0009-7 |
[4] |
Yardley DA, Coleman R, Conte P , et al. nab-Paclitaxel plus carboplatin or gemcitabine versus gemcitabine plus carboplatin as first-line treatment of patients with triple-negative metastatic breast cancer: results from the tnAcity trial[J]. Ann Oncol, 2018,29(8):1763-1770. DOI: 10.1093/annonc/mdy201.
doi: 10.1093/annonc/mdy201 |
[5] |
Zhang J, Wang Z, Hu X , et al. Cisplatin and gemcitabine as the first line therapy in metastatic triple negative breast cancer[J]. Int J Cancer, 2015,136(1):204-211. DOI: 10.1002/ijc.28966.
doi: 10.1002/ijc.v136.1 |
[6] |
Hu XC, Zhang J, Xu BH , et al. Cisplatin plus gemcitabine versus paclitaxel plus gemcitabine as first-line therapy for metastatic triple-negative breast cancer (CBCSG006): a randomised, open-label, multicentre, phase 3 trial[J]. Lancet Oncol, 2015,16(4):436-446. DOI: 10.1016/S1470-2045(15)70064-1.
doi: 10.1016/S1470-2045(15)70064-1 |
[7] |
Zhang J, Wang L, Wang Z , et al. A phase Ⅱ trial of biweekly vinorelbine and oxaliplatin in second- or third-line metastatic triple-negative breast cancer[J]. Cancer Biol Ther, 2015,16(2):225-232. DOI: 10.4161/15384047.2014.986973.
doi: 10.4161/15384047.2014.986973 |
[8] |
Li Q, Li Q, Zhang P , et al. A phase Ⅱ study of capecitabine plus cisplatin in metastatic triple-negative breast cancer patients pretreated with anthracyclines and taxanes[J]. Cancer Biol Ther, 2015,16(12):1746-1753. DOI: 10.1080/15384047.2015.1095400.
doi: 10.1080/15384047.2015.1095400 |
[9] |
Robson M, Im SA, Senkus E , et al. Olaparib for metastatic breast cancer in patients with a germline BRCA mutation[J]. N Engl J Med, 2017,377(6):523-533. DOI: 10.1056/NEJMoa1706450.
doi: 10.1056/NEJMoa1706450 |
[10] |
Robson ME, Tung N, Conte P , et al. OlympiAD final overall survival and tolerability results: olaparib versus chemotherapy treatment of physician's choice in patients with a germline BRCA mutation and HER2-negative metastatic breast cancer[J]. Ann Oncol, 2019,30(4):558-566. DOI: 10.1093/annonc/mdz012.
doi: 10.1093/annonc/mdz012 |
[11] |
Litton JK, Rugo HS, Ettl J , et al. Talazoparib in patients with advanced breast cancer and a germline BRCA mutation[J]. N Engl J Med, 2018,379(8):753-763. DOI: 10.1056/NEJ Moa1802905.
doi: 10.1056/NEJMoa1802905 |
[12] |
Turner NC, Telli ML, Rugo HS , et al. A phase Ⅱ study of talazoparib after platinum or cytotoxic nonplatinum regimens in patients with advanced breast cancer and germline BRCA1/2 mutations (ABRAZO)[J]. Clin Cancer Res, 2019,25(9):2717-2724. DOI: 10.1158/1078-0432.CCR-18-1891.
doi: 10.1158/1078-0432.CCR-18-1891 |
[13] | Vinayak S, Tolaney SM, Schwartzberg L , et al. Open-label clinical trial of niraparib combined with pembrolizumab for treatment of advanced or metastatic triple-negative breast cancer[J]. JAMA Oncol, 2019,Inpress. DOI: 10.1001/jamaoncol.2019.1029. |
[14] |
Rodler ET, Kurland BF, Griffin M , et al. Phase Ⅰ study of veliparib (ABT-888) combined with cisplatin and vinorelbine in advanced triple-negative breast cancer and/or BRCA mutation-associated breast cancer[J]. Clin Cancer Res, 2016,22(12):2855-2864. DOI: 10.1158/1078-0432.CCR-15-2137.
doi: 10.1158/1078-0432.CCR-15-2137 |
[15] |
Somlo G, Frankel PH, Arun BK , et al. Efficacy of the PARP inhibitor veliparib with carboplatin or as a single agent in patients with germline BRCA1- or BRCA2-associated metastatic breast cancer: California Cancer Consortium Trial NCT01149083[J]. Clin Cancer Res, 2017,23(15):4066-4076. DOI: 10.1158/1078-0432.CCR-16-2714.
doi: 10.1158/1078-0432.CCR-16-2714 |
[16] |
Han HS, Diéras V, Robson M , et al. Veliparib with temozolomide or carboplatin/paclitaxel versus placebo with carboplatin/paclitaxel in patients with BRCA1/2 locally recurrent/metastatic breast cancer: randomized phase Ⅱ study[J]. Ann Oncol, 2018,29(1):154-161. DOI: 10.1093/annonc/mdx505.
doi: 10.1093/annonc/mdx505 |
[17] |
Pascual J, Turner NC . Targeting the PI3-kinase pathway in triple negative breast cancer[J]. Ann Oncol, 2019,30(7):1051-1060. DOI: 10.1093/annonc/mdz133.
doi: 10.1093/annonc/mdz133 |
[18] |
Kim SB, Dent R, Im SA , et al. Ipatasertib plus paclitaxel versus placebo plus paclitaxel as first-line therapy for metastatic triple-negative breast cancer (LOTUS): a multicentre, randomised, double-blind, placebo-controlled, phase 2 trial[J]. Lancet Oncol, 2017,18(10):1360-1372. DOI: 10.1016/S1470-2045(17)30450-3.
doi: 10.1016/S1470-2045(17)30450-3 |
[19] |
Carey LA, Rugo HS, Marcom PK , et al. TBCRC 001: randomized phase Ⅱ study of cetuximab in combination with carboplatin in stage Ⅳ triple-negative breast cancer[J]. J Clin Oncol, 2012,30(21):2615-2623. DOI: 10.1200/JCO.2010.34.5579.
doi: 10.1200/JCO.2010.34.5579 |
[20] |
Baselga J, Gómez P, Greil R , et al. Randomized phase Ⅱ study of the anti-epidermal growth factor receptor monoclonal antibody cetuximab with cisplatin versus cisplatin alone in patients with metastatic triple-negative breast cancer[J]. J Clin Oncol, 2013,31(20):2586-2592. DOI: 10.1200/JCO.2012.46.2408.
doi: 10.1200/JCO.2012.46.2408 |
[21] |
Bardia A, Mayer IA, Diamond JR , et al. Efficacy and safety of anti-Trop-2 antibody drug conjugate sacituzumab govitecan (IMMU-132) in heavily pretreated patients with metastatic triple-negative breast cancer[J]. J Clin Oncol, 2017,35(19):2141-2148. DOI: 10.1200/JCO.2016.70.8297.
doi: 10.1200/JCO.2016.70.8297 |
[22] |
Bardia A, Mayer IA, Vahdat LT , et al. Sacituzumab govitecan-hziy in refractory metastatic triple-negative breast cancer[J]. N Engl J Med, 2019,380(8):741-751. DOI: 10.1056/NEJMoa1814213.
doi: 10.1056/NEJMoa1814213 |
[23] |
Forero-Torres A, Varley KE, Abramson VG , et al. TBCRC 019: a phase Ⅱ trial of nanoparticle albumin-bound paclitaxel with or without the anti-death receptor 5 monoclonal antibody tigatuzumab in patients with triple-negative breast cancer[J]. Clin Cancer Res, 2015,21(12):2722-2729. DOI: 10.1158/1078-0432.CCR-14-2780.
doi: 10.1158/1078-0432.CCR-14-2780 |
[24] |
Bonnefoi H, Grellety T, Tredan O , et al. A phase Ⅱ trial of abiraterone acetate plus prednisone in patients with triple-negative androgen receptor positive locally advanced or metastatic breast cancer (UCBG 12-1)[J]. Ann Oncol, 2016,27(5):812-818. DOI: 10.1093/annonc/mdw067.
doi: 10.1093/annonc/mdw067 |
[25] |
Traina TA, Miller K, Yardley DA , et al. Enzalutamide for the treatment of androgen receptor-expressing triple-negative breast cancer[J]. J Clin Oncol, 2018,36(9):884-890. DOI: 10.1200/JCO.2016.71.3495.
doi: 10.1200/JCO.2016.71.3495 |
[26] |
Nanda R, Chow LQ, Dees EC , et al. Pembrolizumab in patients with advanced triple-negative breast cancer: phase Ⅰb KEYNOTE-012 study[J]. J Clin Oncol, 2016,34(21):2460-2467. DOI: 10.1200/JCO.2015.64.8931.
doi: 10.1200/JCO.2015.64.8931 |
[27] |
Adams S, Schmid P, Rugo HS , et al. Pembrolizumab monotherapy for previously treated metastatic triple-negative breast cancer: cohort A of the phase Ⅱ KEYNOTE-086 study[J]. Ann Oncol, 2019,30(3):397-404. DOI: 10.1093/annonc/mdy517.
doi: 10.1093/annonc/mdy517 |
[28] |
Adams S, Loi S, Toppmeyer D , et al. Pembrolizumab monotherapy for previously untreated, PD-L1-positive, metastatic triple-negative breast cancer: cohort B of the phase Ⅱ KEYNOTE-086 study[J]. Ann Oncol, 2019,30(3):405-411. DOI: 10.1093/annonc/mdy518.
doi: 10.1093/annonc/mdy518 |
[29] |
Voorwerk L, Slagter M, Horlings HM , et al. Immune induction strategies in metastatic triple-negative breast cancer to enhance the sensitivity to PD-1 blockade: the TONIC trial[J]. Nat Med, 2019,25(6):920-928. DOI: 10.1038/s41591-019-0432-4.
doi: 10.1038/s41591-019-0432-4 |
[30] |
Emens LA, Cruz C, Eder JP , et al. Long-term clinical outcomes and biomarker analyses of atezolizumab therapy for patients with metastatic triple-negative breast cancer: a phase 1 study[J]. JAMA Oncol, 2019,5(1):74-82. DOI: 10.1001/jamaoncol.2018.4224.
doi: 10.1001/jamaoncol.2018.4224 |
[31] |
Adams S, Diamond JR, Hamilton E , et al. Atezolizumab plus nab-paclitaxel in the treatment of metastatic triple-negative breast cancer with 2-year survival follow-up: a phase 1b clinical trial[J]. JAMA Oncol, 2019,5(3):334-342. DOI: 10.1001/jamaoncol.2018.5152.
doi: 10.1001/jamaoncol.2018.5152 |
[32] |
Schmid P, Adams S, Rugo HS , et al. Atezolizumab and nab-paclitaxel in advanced triple-negative breast cancer[J]. N Engl J Med, 2018,379(22):2108-2121. DOI: 10.1056/NEJ Moa1809615.
doi: 10.1056/NEJMoa1809615 |
[33] |
D'Abreo N, Adams S . Immune-checkpoint inhibition for metastatic triple-negative breast cancer: safety first?[J]. Nat Rev Clin Oncol, 2019,16(7):399-400. DOI: 10.1038/s41571-019-0216-2.
doi: 10.1038/s41571-019-0216-2 |
[34] |
Brahmer JR, Lacchetti C, Schneider BJ , et al. Management of immune-related adverse events in patients treated with immune checkpoint inhibitor therapy: American Society of Clinical Oncology Clinical Practice Guideline[J]. J Clin Oncol, 2018,36(17):1714-1768. DOI: 10.1200/JCO.2017.77.6385.
doi: 10.1200/JCO.2017.77.6385 |
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