Universität zu Köln

Kast, Karin and Rhiem, Kerstin (2015). Familial Breast Cancer - Targeted Therapy in Secondary and Tertiary Prevention. Breast Care, 10 (1). S. 27 - 32. BASEL: KARGER. ISSN 1661-3805

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Abstract

The introduction of an increasing number of individualized molecular targeted therapies into clinical routine mirrors their importance in modern cancer prevention and treatment. Well-known examples for targeted agents are the monoclonal antibody trastuzumab and the selective estrogen receptor modulator tamoxifen. The identification of an unaltered gene in tumor tissue in colon cancer (KRAS) is a predictor for the patient's response to targeted therapy with a monoclonal antibody (cetuximab). Targeted therapy for hereditary breast and ovarian cancer has become a reality with the approval of olaparib for platin-sensitive late relapsed BRCA-associated ovarian cancer in December 2014. This manuscript reviews the status quo of poly-ADP-ribose polymerase inhibitors (PARPi) in the therapy of breast and ovarian cancer as well as the struggle for carboplatin as a potential standard of care for triple-negative and, in particular, BRCA-associated breast cancer. Details of the mechanism of action with information on tumor development are provided, and an outlook for further relevant research is given. The efficacy of agents against molecular targets together with the identification of an increasing number of cancer-associated genes will open the floodgates to a new era of treatment decision-making based on molecular tumor profiles. Current clinical trials involving patients with BRCA-associated cancer explore the efficacy of the molecular targeted therapeutics platinum and PARPi.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kast, Karin UNSPECIFIED UNSPECIFIED UNSPECIFIED Rhiem, Kerstin UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-417036
DOI:	10.1159/000380756
Journal or Publication Title:	Breast Care
Volume:	10
Number:	1
Page Range:	S. 27 - 32
Date:	2015
Publisher:	KARGER
Place of Publication:	BASEL
ISSN:	1661-3805
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language COMPLETE RESPONSE RATES; OVARIAN-CANCER; HEREDITARY BREAST; BRCA1; POLY(ADP-RIBOSE); MUTATIONS; REPAIR; CARBOPLATIN; WOMEN; CYCLOPHOSPHAMIDE Multiple languages Oncology; Obstetrics & Gynecology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41703