Systemic Treatments for Metastatic Human Epidermal Growth Factor Receptor 2-Positive Breast Cancer: Old Certainties and New Frontiers

Author:

Rizzo Alessandro1ORCID,Cusmai Antonio1,Massafra Raffaella2,Bove Samantha2,Comes Maria Colomba2,Fanizzi Annarita2,Gadaleta-Caldarola Gennaro3,Oreste Donato4,Zito Alfredo5,Giotta Francesco6,Lorusso Vito6,Palmiotti Gennaro1

Affiliation:

1. Struttura Semplice Dipartimentale di Oncologia Medica per la Presa in Carico Globale del Paziente Oncologico “Don Tonino Bello”, I.R.C.C.S. Istituto Tumori “Giovanni Paolo II”, Viale Orazio Flacco, Bari, Italy

2. Struttura Semplice Dipartimentale di Fisica Sanitaria, I.R.C.C.S. Istituto Tumori “Giovanni Paolo II”, Viale Orazio Flacco, Bari, Italy

3. Medical Oncology Unit, ‘Mons. R. Dimiccoli’ Hospital, Barletta, Azienda Sanitaria Locale Barletta, Italy

4. Radiology Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Tumori Giovanni Paolo II, Bari, Italy

5. Unità Operativa Complessa di Anatomia Patologica, I.R.C.C.S. Istituto Tumori “Giovanni Paolo II”, Viale Orazio Flacco, Bari, Italy

6. Unità Operativa Complessa di Oncologia Medica, I.R.C.C.S. Istituto Tumori “Giovanni Paolo II”, Viale Orazio Flacco, Bari, Italy

Abstract

Epidermal growth factor receptor 2 (EGFR2, also known as HER2) overexpression and/or amplification confers a more aggressive clinical behavior but also represents a therapeutic opportunity for targeted therapies in breast cancer (BC). Over the last 2 decades, the prognosis of HER2-positive metastatic BC patients has improved due to the introduction of anti-HER2 agents including trastuzumab and novel, emerging drugs and combinations such as trastuzumab deruxtecan and tucatinib – trastuzumab - capecitabine. Herein, we provide a critical overview of current clinical recommendations and emerging treatment options for metastatic HER2-positive BC, especially focusing on recently presented and published clinical trials in this setting.

Publisher

SAGE Publications

Subject

Oncology,Hematology,General Medicine

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