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Article

Advances in the Management of Metastatic Breast Cancer: Options Beyond First-Line Chemotherapy

1
Hematology–Oncology Service, Centre Hospitalier de l’Université de Montréal, Montreal, QC, Canda
2
Medical Oncology, The Ottawa Hospital Cancer Centre, Ottawa, ON, Canda
3
Medical Oncology, Sunnybrook Odette Cancer Centre, Toronto, ON, Canda
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2012, 19(2), 91-105; https://doi.org/10.3747/co.19.1024
Submission received: 6 March 2012 / Revised: 8 March 2012 / Accepted: 13 March 2012 / Published: 1 April 2012

Abstract

This article provides an overview of recent advances in chemotherapy that may be used for the treatment of patients with locally advanced or metastatic breast cancer (mbc). Key phase ii and iii trial data for eribulin mesylate, ixabepilone, and nab-paclitaxel, published since 2006, are discussed on the basis of recency, depth, and quality. Eribulin mesylate is the first monotherapy to significantly increase overall survival in patients with pretreated mbc, but nab-paclitaxel offers a novel and safer mode of delivery in comparison with standard taxanes. By contrast, the use of ixabepilone will be limited for now, until the associated neurotoxicity can be better managed. Alongside a brief overview of the other major chemotherapies currently in use, we have aimed to provide a Canadian context for how these novel agents may be integrated into clinical practice.
Keywords: pretreated; breast cancer; metastatic; mbc; chemotherapy; eribulin; ixabepilone; nab-paclitaxel pretreated; breast cancer; metastatic; mbc; chemotherapy; eribulin; ixabepilone; nab-paclitaxel

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MDPI and ACS Style

Ayoub, J.P.M.; Verma, S.; Verma, S. Advances in the Management of Metastatic Breast Cancer: Options Beyond First-Line Chemotherapy. Curr. Oncol. 2012, 19, 91-105. https://doi.org/10.3747/co.19.1024

AMA Style

Ayoub JPM, Verma S, Verma S. Advances in the Management of Metastatic Breast Cancer: Options Beyond First-Line Chemotherapy. Current Oncology. 2012; 19(2):91-105. https://doi.org/10.3747/co.19.1024

Chicago/Turabian Style

Ayoub, J.P.M., Sh. Verma, and Su. Verma. 2012. "Advances in the Management of Metastatic Breast Cancer: Options Beyond First-Line Chemotherapy" Current Oncology 19, no. 2: 91-105. https://doi.org/10.3747/co.19.1024

APA Style

Ayoub, J. P. M., Verma, S., & Verma, S. (2012). Advances in the Management of Metastatic Breast Cancer: Options Beyond First-Line Chemotherapy. Current Oncology, 19(2), 91-105. https://doi.org/10.3747/co.19.1024

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