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《2017年乳腺癌进展——新型疗法的应用》

Update Breast Cancer 2017 - Implementation of Novel Therapies.

作者信息

Lux Michael P, Janni Wolfgang, Hartkopf Andreas D, Nabieva Naiba, Taran Florin-Andrei, Overkamp Friedrich, Kolberg Hans-Christian, Hadji Peyman, Tesch Hans, Ettl Johannes, Huober Jens B, Lüftner Diana, Wallwiener Markus, Müller Volkmar, Beckmann Matthias W, Belleville Erik, Fehm Tanja N, Wallwiener Diethelm, Brucker Sara Y, Schneeweiss Andreas, Fasching Peter A

机构信息

Erlangen University Hospital, Department of Gynecology and Obstetrics, Comprehensive Cancer Center Erlangen-EMN, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.

Department of Gynecology and Obstetrics, Ulm University Hospital, Ulm, Germany.

出版信息

Geburtshilfe Frauenheilkd. 2017 Dec;77(12):1281-1290. doi: 10.1055/s-0043-122885. Epub 2017 Dec 18.

Abstract

In recent years, numerous new therapy options for patients with breast cancer have been developed in clinical studies, with some options already approved for routine treatment. As the speed at which innovations are introduced increases, the importance of conferences also increases, as conferences are where the data underpinning new therapies are usually presented for the first time. This review looks at publications of the ASCO (American Society of Clinical Oncology) and ESMO (European Society of Medical Oncology) conferences in 2017, summarizes them and evaluates them in the context of existing data. The focus is on new insights for neoadjuvant therapy and new treatment options in the metastatic setting, such as the use of CDK4/6 inhibitors or PARP inhibitors. The first results of treatments with checkpoint inhibitors are presented. With the patent expiry of trastuzumab, a number of study results for trastuzumab biosimilars have also been published. The digitization of patient care provides the first results on quality of life and prognosis of patients with advanced cancer. Digital communications between patients and physicians are being evaluated in several studies in Germany. As the discussion about patient-relevant endpoints for patients in the metastatic setting continues, overall survival rates from studies of big endocrine-based therapies are urgently needed. Preliminary analyses of small study cohorts offer initial insights. In the context of improving patient care, in the coming years, questions will center on which patients particularly benefit from certain therapies and which patients need particular protection from specific side effects. Questions about these predictors are raised in many scientific projects as attention increasingly focuses on this topic.

摘要

近年来,临床研究中已为乳腺癌患者开发出众多新的治疗方案,其中一些方案已获批用于常规治疗。随着创新疗法推出速度的加快,会议的重要性也日益凸显,因为新疗法所依据的数据通常首先在会议上公布。本综述着眼于2017年美国临床肿瘤学会(ASCO)和欧洲医学肿瘤学会(ESMO)会议的出版物,对其进行总结并结合现有数据进行评估。重点关注新辅助治疗的新见解以及转移性乳腺癌的新治疗选择,如CDK4/6抑制剂或PARP抑制剂的使用。还介绍了检查点抑制剂治疗的首批结果。随着曲妥珠单抗专利到期,有关曲妥珠单抗生物类似药的多项研究结果也已发表。患者护理的数字化提供了晚期癌症患者生活质量和预后的首批结果。德国的多项研究正在评估患者与医生之间的数字通信。随着关于转移性乳腺癌患者相关终点的讨论持续进行,迫切需要基于大型内分泌治疗研究的总生存率数据。小型研究队列的初步分析提供了初步见解。在改善患者护理的背景下,未来几年,问题将集中在哪些患者特别受益于某些疗法,哪些患者需要特别防范特定的副作用。随着对这一主题的关注度日益提高,许多科研项目都提出了关于这些预测因素的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3813/5734938/df5e3a4ebdf3/10-1055-s-0043-122885-i5099452gf01.jpg

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