Pajewska Monika, Partyka Olga, Czerw Aleksandra, Deptała Andrzej, Sygit Katarzyna, Gąska Izabela, Porada Sławomir, Drobnik Jarosław, Pobrotyn Piotr, Grata-Borkowska Urszula, Furtak-Pobrotyn Joanna, Banaś Tomasz, Małecki Krzysztof, Grochans Elżbieta, Grochans Szymon, Cybulska Anna Maria, Schneider-Matyka Daria, Bandurska Ewa, Ciećko Weronika, Czerw Natalia, Marczak Michał, Sierocka Aleksandra, Kozlowski Remigiusz
Department of Health Economics and Medical Law, Medical University of Warsaw, 01-445 Warsaw, Poland.
Department of Economic and System Analyses, National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland.
Cancers (Basel). 2025 Mar 31;17(7):1183. doi: 10.3390/cancers17071183.
Globally, breast cancer is both the most common cancer and the most common cause of death related to cancer among women. It is estimated that over 2 million women were diagnosed with breast cancer in 2022 worldwide, while almost 400,000 were diagnosed in the EU. Breast cancer has different histopathological subtypes that require different therapeutic approaches. Triple-negative breast cancer (TNBC) is a type that is considered more aggressive; it occurs in about 10 to 20% of all breast cancer cases. Approximately 40% of women initially diagnosed with TNBC will develop metastases. The objective of this study is to present current clinical trials focused on new treatment of advanced and metastatic TNBC. The study was conducted by searching the clinicaltrials.gov database. Due to the scope of this paper, primary endpoints in the included studies were objective response rate, treatment-emergent adverse events or serious adverse events, progression-free survival, and probability of pathologic complete response. Some of the selected studies were phase I or II RCTs; therefore, we should carefully examine their future results and implications for clinical guidelines.
在全球范围内,乳腺癌既是最常见的癌症,也是女性癌症相关死亡的最常见原因。据估计,2022年全球有超过200万女性被诊断出患有乳腺癌,而在欧盟有近40万例。乳腺癌有不同的组织病理学亚型,需要不同的治疗方法。三阴性乳腺癌(TNBC)是一种被认为更具侵袭性的类型;它约占所有乳腺癌病例的10%至20%。最初被诊断为TNBC的女性中约有40%会发生转移。本研究的目的是介绍目前专注于晚期和转移性TNBC新治疗方法的临床试验。该研究通过搜索clinicaltrials.gov数据库进行。由于本文的范围,纳入研究的主要终点是客观缓解率、治疗中出现的不良事件或严重不良事件、无进展生存期以及病理完全缓解的概率。一些所选研究是I期或II期随机对照试验;因此,我们应仔细研究它们未来的结果及其对临床指南的影响。