Reading good review articles can shape ideas, help connecting the dots and understanding what’s coming ahead in science.
Here’s 10 review articles that helped me shape my views on breast oncology and drug development:
1. The basics, first. What is breast cancer? How do we classify it, how do we treat it? In this article, Ada Waks et al. provide a comprehensive view of the clinical management of breast cancer, recapitulating decades of advancements in the field. jamanetwork.com/journals/jama/…
2. Now, a deeper dive into the subtypes. Despite being intensively studied, ER+ breast cancer remains elusive in many aspects. In this article, @DrHBurstein reviews the biology and paradigms behind the treatment of the most common subtype of breast cancer. nejm.org/doi/full/10.10…
3. ER+ may be the most common, but triple negative surely is the most hard-to treat subtype of breast cancer. Here, @BianchiniGP et al. review the intricacies of a heterogenous disease, that we still define for what is it not, rather than for what it is. nature.com/articles/s4157…
4. Recognizing the relevance of HER2 has had a major impact in oncology in the last decades. In this Review, S.Swain et al. take us across the impressive successes achieved in HER2 targeting to date, and the next steps expected in this glorious path. nature.com/articles/s4157…
5. As very few other drugs classes, ADCs are revolutionizing the treatment of cancer. Here, @JoshDragoMD et al. dive deep into the mechanisms of action and resistance of these complex drugs, whose potential is still far from being fully explored. nature.com/articles/s4157…
6. Unleashing the potential of ADCs may require challenging established dogmas on how these compounds work. In this thought-provoking piece, @Raffaele_1985 et al. highlight important knowledge gaps and open questions on the treatment of cancer with ADCs. cell.com/cancer-cell/pd…
7. Among the dogmas in need of reassessment is also the role of anthracyclines for treating breast cancer. In this article, Sara Hurvitz et al. review the multiple reasons why the use of anthracyclines should be reassessed, and in certain cases avoided. nature.com/articles/s4152…
8. Liquid biopsy promises to reshape the way we manage breast cancer. Yet, many challenges remain to be tackled in the field. In this article, @MIgnatiadis et al. draw a roadmap for the utilization of liquid biopsies to better understand and treat tumors. nature.com/articles/s4157…
9. Beyond novel biomarkers, translating our knowledge on the molecular underpinnings of cancer into clinical benefits will require novel frameworks. Here, J. Mateo et al. highlight key opportunities and challenges in the delivery of precision oncology. nature.com/articles/s4159…
10. Lastly, a provocative, forward-looking piece that I found motivating: “curing metastatic breast cancer”, by @GeorgeSledge51. An ambitious, complex goal, which nonetheless needs to remain on our radar, and receive dedicated attention and research. ascopubs.org/doi/10.1200/JO…
This is far from being a comprehensive list. Still, I hope that some will find it useful, and derive from these articles the inspiration and motivation I got from them along the years.
Please feel free to suggest additional reviews, and share the list if you found it useful!
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Proud to contribute to the remarkable scientific journey of #APT, whose 10-year analysis is now published on @TheLancetOncol. Adjuvant TH confirmed outstanding long-term outcomes for patients with small HER2+ breast cancer. Aim for the next decade: biomarker-informed treatments!
Great idea: time for Elacestrant thread Tuesday! 🧵
But first a reminder: access to paywalled papers from @Annals_Oncology, @ESMO_Open & multiple other affiliated journals is free for @myESMO members, and I could not recommend more to become a member! esmo.org/membership 1/
Endocrine treatment is among the most effective treatment strategies we have for breast cancer. 50 years ago, the approval of the SERD tamoxifen really revolutionized the field, & we still use the drug today.
Yet, no novel ET had been approved for the last 20 years. Until now 2/
Multiple oral SERDs (selective estrogen receptor degraders) are being developed for patients with HR+ MBC. The first to achieve positive phase 3 results was elacestrant, tested in the #EMERALD trial vs. SoC ET (fulvestrant or AI). Primary endpoint -> PFS overall & in ESR1-mut
T-DXd has shown remarkable activity for treating HER2-positive and HER2-low breast cancers.
However, it may soon expand its reach, and become a treatment option even for HER2-0 tumors.
Here’s the 10 reasons why:
1. Because it works!
The only study that tested T-DXd for treating HER2-0 metastatic breast cancer (the phase 2 DAISY trial) demonstrated a response rate of 30% and a duration of response of 6.8 months. Not bad for being “zero”.
2. Because activity of T-DXd in HER2-0 has been also observed in other tumor types.
In DESTINY-Lung01 (T-DXd for HER2-mutant NSCLC), several responses were observed in patients w/ HER2-0 tumors, including the only complete response observed in the trial.