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革新三阴性转移性乳腺癌治疗:赛托珠单抗戈维汀在推进化疗中的作用。

Revolutionizing triple-negative metastatic breast cancer treatment: sacituzumab Govitecan's role in advancing chemotherapy.

作者信息

Qureshi Zaheer, Jamil Abdur, Altaf Faryal, Siddique Rimsha, Fatima Eeshal, Dost Sara, Zelkowitz Richard Scott, Shah Shivendra

机构信息

The Frank H. Netter M.D. School of Medicine at Quinnipiac University.

Department of Medicine, Samaritan Medical Centre.

出版信息

Ann Med Surg (Lond). 2024 Jul 3;86(9):5314-5319. doi: 10.1097/MS9.0000000000002347. eCollection 2024 Sep.

DOI:10.1097/MS9.0000000000002347
PMID:39238964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11374285/
Abstract

PURPOSE

This review aims to discuss the role and efficacy of Sacituzumab Govitecan in the management of breast cancer.

SUMMARY

Breast cancer is the most prevalent type of cancer among women worldwide. This comprehensive review delves into the advancements brought about by Sacituzumab Govitecan in the treatment of metastatic triple-negative breast cancer (TNBC). With a focus on its mode of action, efficacious role, clinical trials, and comparative advantages over conventional chemotherapy, the review highlights the therapy's precision in targeting cancer cells through monoclonal antibodies. Sacituzumab Govitecan's ability to deliver a chemotherapeutic payload specifically to cancer cells with the Trop-2 receptor sets it apart from traditional chemotherapy, minimizing collateral damage and reducing severe side effects. The impact of Sacituzumab Govitecan on improving progression-free survival, tumor response rates, and, significantly, the quality of life for patients is discussed. This article also sheds light on ongoing trials, FDA recognition, and the therapy's potential to transform breast cancer treatment.

CONCLUSION

In conclusion, Sacituzumab Govitecan shows potential as an innovative therapeutic option for breast cancer, particularly in metastatic breast cancer and triple-negative breast cancer, but it warrants additional research.

摘要

目的

本综述旨在探讨戈沙妥珠单抗在乳腺癌治疗中的作用及疗效。

综述

乳腺癌是全球女性中最常见的癌症类型。本全面综述深入探讨了戈沙妥珠单抗在转移性三阴性乳腺癌(TNBC)治疗中带来的进展。该综述聚焦于其作用方式、有效作用、临床试验以及相对于传统化疗的比较优势,强调了该疗法通过单克隆抗体靶向癌细胞的精准性。戈沙妥珠单抗能够将化疗药物特异性地递送至表达Trop-2受体的癌细胞,这使其有别于传统化疗,最大限度地减少了附带损害并降低了严重副作用。文中讨论了戈沙妥珠单抗对改善无进展生存期、肿瘤反应率以及显著提高患者生活质量的影响。本文还阐述了正在进行的试验、美国食品药品监督管理局(FDA)的认可情况以及该疗法改变乳腺癌治疗的潜力。

结论

总之,戈沙妥珠单抗显示出作为乳腺癌创新治疗选择的潜力,尤其是在转移性乳腺癌和三阴性乳腺癌中,但仍需进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea44/11374285/10a6fa851a8d/ms9-86-5314-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea44/11374285/8cc7f91738e9/ms9-86-5314-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea44/11374285/10a6fa851a8d/ms9-86-5314-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea44/11374285/8cc7f91738e9/ms9-86-5314-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea44/11374285/10a6fa851a8d/ms9-86-5314-g002.jpg

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Lancet. 2023 Oct 21;402(10411):1423-1433. doi: 10.1016/S0140-6736(23)01245-X. Epub 2023 Aug 23.
2
Antibody-Drug Conjugate Sacituzumab Govitecan Drives Efficient Tissue Penetration and Rapid Intracellular Drug Release.抗体药物偶联物 Sacituzumab Govitecan 促进高效组织渗透和快速细胞内药物释放。
Mol Cancer Ther. 2023 Jan 3;22(1):102-111. doi: 10.1158/1535-7163.MCT-22-0375.
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Trop-2 Therapy in Metastatic Triple-Negative Breast Cancer in Italy: Clinical Opportunity and Regulatory Pitfalls.意大利转移性三阴性乳腺癌中的Trop-2疗法:临床机遇与监管困境
J Pers Med. 2021 Nov 16;11(11):1211. doi: 10.3390/jpm11111211.
4
Economic Evaluation of Sacituzumab Govitecan for the Treatment of Metastatic Triple-Negative Breast Cancer in China and the US.戈沙妥珠单抗治疗中国和美国转移性三阴性乳腺癌的经济学评估
Front Oncol. 2021 Oct 28;11:734594. doi: 10.3389/fonc.2021.734594. eCollection 2021.
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