학술논문
Targeted immunotherapy with a checkpoint inhibitor in combination with chemotherapy: A new clinical paradigm in the treatment of triple-negative breast cancer
Document Type
Report
Source
Bosnian Journal of Basic Medical Sciences. August 2019, Vol. 19 Issue 3, p227, 7 p.
Subject
Language
English
ISSN
1512-8601
Abstract
REVIEW Recent advances in the development of cancer immunotherapy using immune checkpoint inhibitors against either programmed death receptor-1 (PD-1) or its ligand PD-L1 have revolutionized treatment of several solid tumors [...]
The treatment of several solid and hematologic malignancies with immune checkpoint inhibitors (against programmed death receptor-1/ ligand-1 [PD-1/PD-L1]) has dramatically changed the cancer treatment paradigm. However, no checkpoint inhibitors were previously approved for the treatment of triple-negative breast cancer (TNBC), a difficult-to-treat disease with a high unmet therapeutic need. Based on IMpassion130 clinical trial (NCT02425891), the Food and Drug Administration (FDA) has recently granted an accelerated approval for atezolizumab (TECENTRIQ[R}), a monoclonal antibody drug targeting PD-L1, plus chemotherapy (Abraxane; nab[R]-Paclitaxel) for the treatment of adults with PD-L1-positive, unresectable, locally advanced or metastatic TNBC. The FDA has also approved the Ventana diagnostic antibody [SP.sub.142] as a companion test for selecting TNBC patients for treatment with atezolizumab. In the present review, we briefly discuss the importance of this breakthrough as the first cancer immunotherapy regimen to be approved for the management of breast cancer. KEY WORDS: Breast cancer; triple-negative breast cancer; immune checkpoint inhibitors; predictive biomarkers; PD-L1
The treatment of several solid and hematologic malignancies with immune checkpoint inhibitors (against programmed death receptor-1/ ligand-1 [PD-1/PD-L1]) has dramatically changed the cancer treatment paradigm. However, no checkpoint inhibitors were previously approved for the treatment of triple-negative breast cancer (TNBC), a difficult-to-treat disease with a high unmet therapeutic need. Based on IMpassion130 clinical trial (NCT02425891), the Food and Drug Administration (FDA) has recently granted an accelerated approval for atezolizumab (TECENTRIQ[R}), a monoclonal antibody drug targeting PD-L1, plus chemotherapy (Abraxane; nab[R]-Paclitaxel) for the treatment of adults with PD-L1-positive, unresectable, locally advanced or metastatic TNBC. The FDA has also approved the Ventana diagnostic antibody [SP.sub.142] as a companion test for selecting TNBC patients for treatment with atezolizumab. In the present review, we briefly discuss the importance of this breakthrough as the first cancer immunotherapy regimen to be approved for the management of breast cancer. KEY WORDS: Breast cancer; triple-negative breast cancer; immune checkpoint inhibitors; predictive biomarkers; PD-L1