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Article

The Role of her2-Targeted Therapies in Women with her2-Overexpressing Metastatic Breast Cancer

1
The Ottawa Hospital Cancer Centre and University of Ottawa, Ottawa, ON, Canada
2
Réseau Cancer Montérégie and Université de Sherbrooke, Longueuil, QC, Canada
3
Atlantic Clinical Cancer Research Unit and QEII Cancer Care Program, Halifax, NS, Canada
4
Princess Margaret Hospital, Toronto, ON, Canada
5
Cross Cancer Institute, University of Alberta, Edmonton, AB, Canada
6
Sunnybrook Odette Cancer Centre and University of Toronto, Toronto, ON, Canada
7
Centre de Recherche du Centre Hospitalier affilié universitaire de Québec, Quebec City, QC, Canada
8
Hôpital du Saint-Sacrement, Quebec City, QC, Canada
9
British Columbia Cancer Agency–Vancouver Centre, Vancouver, BC, Canada
10
Remedy Communications Limited, Toronto, ON, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2009, 16(4), 25-35; https://doi.org/10.3747/co.v16i4.469
Submission received: 4 May 2009 / Revised: 3 June 2009 / Accepted: 2 July 2009 / Published: 1 August 2009

Abstract

The role of targeted therapies in the treatment of women with breast cancer has been rapidly evolving. Trastuzumab, a monoclonal antibody against the human epidermal growth factor receptor 2 (her2), was the first her2-targeted therapy that clearly demonstrated a significant clinical benefit for women with her2-overexpressing metastatic breast cancer (mbc). However, in recent years it has become increasingly apparent that, when trastuzumab is used in the first-line setting in combination with chemotherapy, most women eventually develop progressive disease. Determining the treatment options available to women who have progressed while on trastuzumab therapy has been hampered by a paucity of high-quality published data. In addition, with the standard use of trastuzumab in the adjuvant setting (for eligible her2-positive patients), the role of anti-her2 agents for patients who experience a breast cancer relapse has become a clinically relevant question. This manuscript reviews current available data and outlines suggestions from a panel of Canadian oncologists about the use of trastuzumab and other her2-targeted agents in two key mbc indications: (1) Treatment for women with her2-positive mbc progressing on trastuzumab (that is, treatment beyond progression); (2) Treatment for women with her2-positive mbc recurring following adjuvant trastuzumab (that is, re-treatment). The suggestions set out here will continue to evolve as data and future trials with trastuzumab and other her2-targeted agents emerge.
Keywords: metastatic breast cancer; trastuzumab; treatment beyond progression; re-treatment; her2-targeted therapy metastatic breast cancer; trastuzumab; treatment beyond progression; re-treatment; her2-targeted therapy

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MDPI and ACS Style

Dent, S.; Verma, S.; Latreille, J.; Rayson, D.; Clemons, M.; Mackey, J.; Verma, S.; Lemieux, J.; Provencher, L.; Chia, S.; et al. The Role of her2-Targeted Therapies in Women with her2-Overexpressing Metastatic Breast Cancer. Curr. Oncol. 2009, 16, 25-35. https://doi.org/10.3747/co.v16i4.469

AMA Style

Dent S, Verma S, Latreille J, Rayson D, Clemons M, Mackey J, Verma S, Lemieux J, Provencher L, Chia S, et al. The Role of her2-Targeted Therapies in Women with her2-Overexpressing Metastatic Breast Cancer. Current Oncology. 2009; 16(4):25-35. https://doi.org/10.3747/co.v16i4.469

Chicago/Turabian Style

Dent, S., Sh. Verma, J. Latreille, D. Rayson, M. Clemons, J. Mackey, Su. Verma, J. Lemieux, L. Provencher, S. Chia, and et al. 2009. "The Role of her2-Targeted Therapies in Women with her2-Overexpressing Metastatic Breast Cancer" Current Oncology 16, no. 4: 25-35. https://doi.org/10.3747/co.v16i4.469

APA Style

Dent, S., Verma, S., Latreille, J., Rayson, D., Clemons, M., Mackey, J., Verma, S., Lemieux, J., Provencher, L., Chia, S., Wang, B., & Pritchard, K. (2009). The Role of her2-Targeted Therapies in Women with her2-Overexpressing Metastatic Breast Cancer. Current Oncology, 16(4), 25-35. https://doi.org/10.3747/co.v16i4.469

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