Metastatic Breast Cancer


Relevance: Medium-High
Most relevant for: People with metastatic, triple-negative breast cancer
Study: Smart drug shows promising results for treatment of metastatic triple-negative breast cancer
THIS INFORMATION HAS BEEN UPDATED on 04/27/20: Based on the results from the study reviewed in this XRAY, the U.S. Food and Drug Administration (FDA) has approved sacituzumab govitecan-hizy (Trodelvy), as a treatment for people with metastatic triple-negative breast cancer who have received at least two prior therapies for metastatic disease.
We report results of an early-stage clinical trial of a new class of drugs for metastatic triple-negative breast cancer (TNBC). IMMU-132 is a combination of two different molecules: an antibody that targets certain types of cancer and delivers a chemotherapy drug that can kill cancer cells. This study looks at whether IMMU-132 is safe and effective for treating metastatic TNBC. (4/16/19)
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Relevance: Medium-High
Most relevant for: Anyone diagnosed with breast cancer
Guideline: Breast surgeons recommend genetic testing for all breast cancer patients
The American Society of Breast Surgeons published statement on genetic testing for hereditary breast cancer on February 10, 2019. It includes recommendations about who should be tested. Among these is the recommendation that all breast cancer patients get genetic testing, as well as women who do not have breast cancer but fit the National Comprehensive Cancer Network (NCCN) guidelines. (3/25/19)
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Relevance: Medium-High
Most relevant for: Bahamanian women
Study: Prevalence of BRCA founder mutations in Bahamian women
The Bahamas has the highest known frequency of BRCA mutations among people diagnosed with breast cancer. This study reviewed whether population-based BRCA testing (testing everyone regardless of family or personal history of cancer) would be an effective approach for finding mutation carriers in the Bahamas. (3/4/19)
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Relevance: Low
Most relevant for: People diagnosed with cancer
Article: Promise of a cure for cancer is too good to be true
The Jerusalem Post published an article titled, “A cure for cancer? Israeli scientists may have found one.” The story profiled a small Israeli company called Accelerated Evolution Biotechnologies that has been working on developing new cancer treatments since 2000. The article relied almost entirely on an interview with the company’s chairperson of the board who made a series of unsubstantiated claims that included that, in a year’s time, the company will offer a complete cure for cancer. (2/12/19)
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Relevance: High
Most relevant for: Anyone diagnosed with cancer
Article: The cost of cancer care and impact of financial hardship on treatment
Several recent studies on the cost of cancer care show the negative effects on cancer patients. We review an article by Kaiser Health News and associated studies about the financial impact of breast cancer treatment and cost of precision medicine. (2/8/19)
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Relevance: High
Most relevant for: People with metastatic, hormone-positive breast cancer
Study: The impact of palbociclib (Ibrance) on overall survival for metastatic breast cancer patients in the PALOMA-3 trial
The PALOMA-3 clinical trial showed that a new CDK4/6 inhibitor in combination therapy improved progression-free survival of women treated for hormone receptor-positive, HER2-negative advanced or metastatic breast cancer in women with prior disease progression after endocrine therapy. This XRAYS reviews a newly published study in the New England Journal of Medicine that looks at overall survival in the original PALOMA-3 study. (1/23/19)
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Relevance: Medium-High
Most relevant for: Nigerian women or women of Nigerian descent who have breast cancer
Study: Inherited breast cancer in Nigerian women
A new study shows that among Nigerian women, one in eight cases of breast cancer is due to an inherited mutation in BRCA1, BRCA2, PALB2 or TP53. (12/5/18)
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Relevance: High
Most relevant for: Women over age 30
Study: Can population-based DNA sequencing find more people at risk for hereditary cancers?
It is well documented that many BRCA mutation carriers are missed using current family history-based screening approaches. As a result, experts are beginning to call for population-based BRCA genetic testing—an organized effort to screen all women like we do for breast and cervical cancer. A recent study looked at whether a population-based genetic testing approach would better identify mutation carriers compared with current practice. (11/17/18)
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Relevance: High
Most relevant for: People who are a member of a racial or ethnic minority group
Article: The importance of racial diversity in clinical trials
This article by journalists Caroline Chen and Riley Wong looks at racial disparities between participation in clinical trials and the population of people with cancer. (11/6/18)
Este artículo está disponible en español.
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Relevance: High
Most relevant for: Young women diagnosed with breast cancer who have not yet had genetic testing
Study: Surgeon attitude impacts rate of genetic testing after a breast cancer diagnosis
A study in JAMA Surgery this year examined the factors that impact genetic testing after a breast cancer diagnosis. This study suggests that the attitudes of attending surgeons about genetic testing have the most impact on whether patients receive testing. (10/6/18)
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