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Friday, June 3, 2016

'Smart Bomb' Targets Tough-to-Treat Breast Cancer


'Smart Bomb' Targets Tough-to-Treat Breast Cancer

Experimental approach doubles time to disease progression, experts find


WebMD News from HealthDay

By Kathleen Doheny

HealthDay Reporter

FRIDAY, June 3, 2016 (HealthDay News) -- A new drug therapy shows promise for treating triple-negative breast cancer, an especially aggressive form of the disease, researchers say.

A recent trial -- the second of three needed for approval in the United States -- found the treatment halted cancer progression for nearly six months, twice as long as other treatments, the researchers reported.

The experimental approach pairs an antibody drug with chemotherapy.

"The antibody drug finds the cancer cells and delivers the chemotherapy only to those cancer cells," said study researcher Dr. Aditya Bardia, an attending physician at Massachusetts General Hospital Cancer Center. "That is why we are able to give a high dose of chemotherapy to the cancer cells."

The regimen, called sacituzumab govitecan (IMMU-132), acts like a "smart bomb," the researchers said.

The antibody targets a protein known as Trop-2 that's found in most triple-negative breast cancers. Targeting the protein keeps damage to surrounding healthy tissues to a minimum, Bardia said.

Extending progression-free time to nearly six months "is really significant," said Dr. Linda Bosserman, an assistant clinical professor at the City of Hope Medical Group in Rancho Cucamonga, Calif. She did not participate in the study.

Bosserman said the researchers found potentially long-term disease control for some patients.

If the results bear out, she added, "I'd have patients lining up to get this, because it has tolerable, treatable side effects with significant disease control, so they can have improved quality of life."

The U.S. Food and Drug Administration has given the new drug "breakthrough" status, a distinction used to expedite review of promising new treatments for life-threatening conditions. A phase 3 study -- the final phase needed for approval -- is planned, Bardia said.

As many as one in five breast cancers are triple-negative, Bardia said. They are so named because they lack the "receptors" known to fuel most breast cancers, including estrogen, progesterone and HER2 receptors.

Currently, there is no standard chemotherapy for triple-negative breast cancers that have spread, relapsed and are resistant to treatment. The drugs doctors usually use against breast cancer aren't very effective for this fast-growing disease, which recurs quickly. In general, they stop the cancer from progressing only for a few months, the researchers said.



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