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Review
. 2022 Jul 7;29(7):4748-4767.
doi: 10.3390/curroncol29070377.

Current and New Novel Combination Treatments for Metastatic Triple-Negative Breast Cancer

Affiliations
Review

Current and New Novel Combination Treatments for Metastatic Triple-Negative Breast Cancer

Mehrnoosh Pauls et al. Curr Oncol. .

Abstract

Triple-negative breast cancer (TNBC) has a worse prognosis and remains the most challenging breast cancer subtype to treat. This is largely related to the heterogeneity of this disease and the lack of reliable oncological targets. In this review, we discuss the current standard-of-care treatment options for metastatic TNBC, including recent advances with the use of immunotherapy, PARP inhibitors and antibody-drug conjugates. This review also explores new agents and novel combinations arising in the field for the treatment of advanced TNBC.

Keywords: PARP inhibitor; PI3K/AKT/mTOR; antibody-drug conjugate (ADC); immunotherapy; metastatic TNBC.

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Conflict of interest statement

M. Pauls reports consulting honoraria and sponsorship from Ipsen, Novartis and Pfizer, all being outside of the submitted work. S. Chia reports honoraria from Novartis, Hoffmann LaRoche, Pfizer, Eli Lilly, Merck, AstraZeneca, Exact Sciences and Gilead. N. LeVasseur reports receiving honoraria for participation in advisory boards from Gilead, Knight, Lilly, Novartis, Pfizer, Roche, Seagen, TerSera and research funds to their institution from Abbvie and Exact Sciences.

Figures

Figure 1
Figure 1
Summarized algorithm for treatment for mTNBC based on current phase III evidence available. * This recommendation is based on meaningful OS among the prespecified subgroup that received olaparib as first-line treatment who had not received prior chemotherapy (HR 0.51, 95% CI 0.29–0.90) in OlympiAD trial.

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