HER2+ Breast Cancer Escalation and De-Escalation Trial Design: Potential Role of Intrinsic Subtyping

Classical clinical research has been developed according to immunohistochemical breast cancer subtypes, instead of designing trials specifically for each molecular subtype. Efforts in de-escalating treatment should focus on identifying a subgroup of HER2 oncogene addicted tumours that are especially...

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Detalles Bibliográficos
Autores: Bueno Muiño, Coralia, Martín, Miguel, Monte Millán, María del, García Sáenz, José Ángel, López Tarruella Cobo, Sara
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/71619
Acceso en línea:https://hdl.handle.net/20.500.14352/71619
Access Level:acceso abierto
Palabra clave:Early
HER2+
Escalation
De-escalation
Intrinsic subtype
HER2-enriched
Oncología
3201.01 Oncología
Descripción
Sumario:Classical clinical research has been developed according to immunohistochemical breast cancer subtypes, instead of designing trials specifically for each molecular subtype. Efforts in de-escalating treatment should focus on identifying a subgroup of HER2 oncogene addicted tumours that are especially sensitive to anti-HER2 therapies and, thus, spare unnecessary treatments. A prognostic assay that integrates molecular tumour features with clinical and pathologic variables and accurately defines a group of HER2 addicted tumours remains the best candidate among these strategies.