Sacituzumab Govitecan : A Review in Unresectable or Metastatic HR+/HER2- Breast Cancer

© 2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG..

Sacituzumab govitecan (TRODELVY®) is a first-in-class trophoblast cell-surface antigen 2 (Trop-2)-directed antibody and topoisomerase I inhibitor conjugate that is approved globally as monotherapy for the treatment of adults with unresectable locally advanced or metastatic, hormone receptor-positive (HR+)/human epidermal growth factor receptor 2-negative (HER2-; defined as immunohistochemistry 0, 1+ or 2+ and in situ hybridization-negative) breast cancer who have received endocrine-based therapy and ≥ 2 additional systemic therapies in the advanced setting. In the phase III TROPiCS-02 trial, intravenous sacituzumab govitecan demonstrated statistically significant and clinically meaningful improvements in progression-free survival and overall survival compared with physician's choice of chemotherapy (capecitabine, eribulin, gemcitabine or vinorelbine) in adults with metastatic HR+/HER2- breast cancer. Sacituzumab govitecan had a generally manageable tolerability profile in these patients; the most common treatment-related grade ≥ 3 adverse events included neutropenia, diarrhoea, leukopenia, anaemia, fatigue and febrile neutropenia. Sacituzumab govitecan carries regulatory warnings for severe neutropenia and severe diarrhoea. Sacituzumab govitecan demonstrated an overall benefit in terms of health-related quality of life. Current evidence indicates that sacituzumab govitecan is an effective treatment option, with a generally manageable tolerability profile, for patients with pre-treated, unresectable locally advanced or metastatic HR+/HER2- breast cancer.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Targeted oncology - 19(2024), 2 vom: 26. März, Seite 289-296

Sprache:

Englisch

Beteiligte Personen:

Kang, Connie [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Monoclonal, Humanized
Camptothecin
Immunoconjugates
Journal Article
M9BYU8XDQ6
Review
Sacituzumab govitecan
XT3Z54Z28A

Anmerkungen:

Date Completed 26.03.2024

Date Revised 26.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11523-024-01036-1

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369361830