2012
DOI: 10.1038/bjc.2011.516
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Beyond trastuzumab: novel therapeutic strategies in HER2-positive metastatic breast cancer

Abstract: The use of trastuzumab, a monoclonal antibody that targets the human epidermal growth factor receptor 2 (HER2) alteration present in 25 to 30% of breast cancers, has been associated with improved survival outcomes in both the adjuvant and metastatic settings. However, despite the robust clinical efficacy of trastuzumab in HER2-positive metastatic breast cancer (MBC), primary and secondary resistance remains a clinical challenge. Although lapatinib has demonstrated modest activity in this setting, trials report… Show more

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Cited by 76 publications
(47 citation statements)
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“…Numerous studies were done from basic mechanism of HER family for cell proliferation and oncogenesis, HER2 overexpression or amplification in various solid tumors to clinical treatment of breast cancer, gastroesophageal cancer by trastuzumab in many recent reviews [1][2][3][4][5][6][7][8].…”
Section: Introduction Egfr and Her2 Family With Signal Pathway And Camentioning
confidence: 99%
“…Numerous studies were done from basic mechanism of HER family for cell proliferation and oncogenesis, HER2 overexpression or amplification in various solid tumors to clinical treatment of breast cancer, gastroesophageal cancer by trastuzumab in many recent reviews [1][2][3][4][5][6][7][8].…”
Section: Introduction Egfr and Her2 Family With Signal Pathway And Camentioning
confidence: 99%
“…Recent studies indicate that HER2-positive breast cancer is biologically heterogeneous (22). Promising novel anti-HER2 agents are currently being developed and may ultimately prove to be safe and effective for patients with de novo or acquired resistant tumors (23)(24)(25). In addition, the safety and efficacy of T-DM1 in patients with early breast cancer are being evaluated in ongoing studies (Table 2).…”
Section: Discussionmentioning
confidence: 99%
“…A large fraction of these investigational combinational therapies aims for treating the various types of cancer. For instance, novel therapeutic strategies in HER2-positive metastatic breast cancer, beyond the established treatment with trastuzumab and chemotherapy, focus on circumventing frequently emerging primary and secondary resistance to trastuzumab therapy (80). Novel combinatorial compounds target the prevalent resistance mechanisms associated with trastuzumab therapy (81).…”
Section: Drug Combinationsmentioning
confidence: 99%