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Clinical Pharmacokinetics
Published in: Clinical Pharmacokinetics 4/2018

01-04-2018 | Review Article

PARP Inhibitors in the Treatment of Triple-Negative Breast Cancer

Authors: Jill J. J. Geenen, Sabine C. Linn, Jos H. Beijnen, Jan H. M. Schellens

Published in: Clinical Pharmacokinetics | Issue 4/2018

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Abstract

Breast cancer is a heterogeneous disease, manifesting in a broad differentiation in phenotypes and morphologic profiles, resulting in variable clinical behavior. Between 10 and 20% of all breast cancers are triple negative. Triple-negative breast cancer (TNBC) lacks the expression of human epidermal growth factor receptor 2 (HER2) and hormone receptors; therefore, to date, chemotherapy remains the backbone of treatment. TNBC tends to be aggressive and has a high histological grade, resulting in a poor 5-year prognosis. It has a high prevalence of BRCA1 mutations and an increased Ki-67 expression. This subtype usually responds well to taxanes and/or platinum compounds and poly (ADP-ribose) polymerase (PARP) inhibitors. Studies with PARP inhibitors have demonstrated promising results in the treatment of BRCA-mutated breast and ovarian cancer, and PARP inhibitors have been studied as monotherapy and in combination with cytotoxic therapy or radiotherapy. PARP inhibitor efficacy on poly (ADP-ribose) polymer (PAR) formation in vivo can be quantified by pharmacodynamic assays that measure PAR activity in peripheral blood mononuclear cells (PBMC). Biomarkers such as TP53, ATM, PALB2 and RAD51C might be prognostic or predictive indicators for treatment response, and could also provide targets for novel treatment strategies. In summary, this review provides an overview of the treatment options for basal-like TNBC, including PARP inhibitors, and focuses on the pharmacotherapeutic options in these patients.
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Metadata
Title
PARP Inhibitors in the Treatment of Triple-Negative Breast Cancer
Authors
Jill J. J. Geenen
Sabine C. Linn
Jos H. Beijnen
Jan H. M. Schellens
Publication date
01-04-2018
Publisher
Springer International Publishing
Published in
Clinical Pharmacokinetics / Issue 4/2018
Print ISSN: 0312-5963
Electronic ISSN: 1179-1926
DOI
https://doi.org/10.1007/s40262-017-0587-4

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