Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, 450 Brookline Ave YC-1275, Boston, MA, 02215, USA.
Medical Oncology, Johns Hopkins Sidney Kimmel Cancer Center at Sibley Memorial Hospital, Building B, First Floor, 5255 Loughboro Rd, NW, Washington, DC, 20016, USA.
Curr Oncol Rep. 2021 Mar 22;23(5):50. doi: 10.1007/s11912-021-01041-x.
PURPOSE OF REVIEW: Platinum compounds are used in the treatment of various types of cancer. Here, we review the current role of cisplatin and carboplatin in the treatment of early stage and advanced triple-negative breast cancer (TNBC), and the use of biomarkers in predicting response to platinum therapy. RECENT FINDINGS: Addition of carboplatin to a neoadjuvant chemotherapy regimen can result in improvement in the pathological complete response rates. The long-term benefit of the addition of carboplatin to standard chemotherapy regimens remains unproven. Single-agent platinum is an option in the treatment of advanced breast cancer. BRCA1/2 mutations predicted benefit from platinums in advanced, but not early stage breast cancer. There are yet no biomarkers to predict response to platinum in sporadic TNBC. Platinum compounds are an option in the treatment of TNBC. Identification of biomarkers to select tumors most likely to derive benefit from these agents is still needed. Ongoing trials are exploring the role of platinum in the adjuvant setting and in combination with other agents, including immune checkpoint inhibitors.
目的综述:铂类化合物被用于多种癌症的治疗。在这里,我们综述顺铂和卡铂在早期和晚期三阴性乳腺癌(TNBC)治疗中的作用,以及生物标志物在预测铂类治疗反应中的应用。 最近的发现:在新辅助化疗方案中加入卡铂可提高病理完全缓解率。卡铂加入标准化疗方案的长期获益尚未得到证实。单药铂类是晚期乳腺癌治疗的一种选择。BRCA1/2 突变预测晚期乳腺癌患者从铂类治疗中获益,但不预测早期乳腺癌。目前尚无预测铂类在散发性 TNBC 中反应的生物标志物。铂类化合物是 TNBC 治疗的一种选择。仍需要鉴定生物标志物来选择最有可能从这些药物中获益的肿瘤。正在进行的试验正在探索铂类在辅助治疗中的作用以及与其他药物(包括免疫检查点抑制剂)联合应用的作用。
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