BOLERO -- another remarkable step in treatment of breast cancer

The expansion of molecular genetic knowledge leads to targeted therapy which is a common part of cancer treatment. Targeted agents also exist for breast cancer. However, new efficient molecules are urgently needed. On one hand, there are cancer subgroups where we do not have efficient targeted drugs, on the other hand, the results of established cancer therapies can be improved by interfering with another signal transduction pathway. Everolimus is a targeted agent which was effective in several clinical trials and became registered for treatment of hormone receptor positive breast cancer. This article summarizes the results of published breast cancer everolimus trials. The results of two phase 3 trials are available. In the BOLERO-2 trial exemestane was compared with the combination of exemestane and everolimus, while in BOLERO-3 trial trastuzumab and vinorelbine were investigated with or without everolimus. In both trials the progression-free survival was significantly longer in the experimental arm. The overall survival data of BOLERO-2 trial, a secondary end point, are also available. The 4.4 month benefit in the experimental arm is clinically important but it has not reached the level of statistical significance. We have not had biomarkers so far that could help us to identify a subgroup of cancers sensitive to everolimus.

Medienart:

Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:58

Enthalten in:

Magyar onkologia - 58(2014), 2 vom: 01. Juni, Seite 128-32

Sprache:

Ungarisch

Weiterer Titel:

BOLERO -- újabb jelentős lépés az emlődaganatok kezelésében

Beteiligte Personen:

Rubovszky, Gábor [VerfasserIn]
Láng, István [VerfasserIn]

Themen:

5V9KLZ54CY
9HW64Q8G6G
Androstadienes
Antibodies, Monoclonal, Humanized
Aromatase Inhibitors
EC 2.7.1.1
EC 2.7.11.1
Everolimus
Exemestane
Journal Article
MTOR protein, human
NY22HMQ4BX
P188ANX8CK
Q6C979R91Y
Receptors, Estrogen
Receptors, Progesterone
Sirolimus
TOR Serine-Threonine Kinases
Trastuzumab
Vinblastine
Vinorelbine
W36ZG6FT64

Anmerkungen:

Date Completed 16.10.2014

Date Revised 03.12.2021

published: Print-Electronic

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM239956273