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Targeted therapies with companion diagnostics in the management of breast cancer: current perspectives
Breast cancer is a multifaceted disease exhibiting both intertumoral and intratumoral heterogeneity as well as variable disease course. Over 2 decades of research has advanced the understanding of the molecular substructure of breast cancer, directing the development of new therapeutic strategies ag...
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Published in: | Pharmacogenomics and personalized medicine 2016-01, Vol.9 (Issue 1), p.7-16 |
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description | Breast cancer is a multifaceted disease exhibiting both intertumoral and intratumoral heterogeneity as well as variable disease course. Over 2 decades of research has advanced the understanding of the molecular substructure of breast cancer, directing the development of new therapeutic strategies against these actionable targets. In vitro diagnostics, and specifically companion diagnostics, have been integral in the successful development and implementation of these targeted therapies, such as those directed against the human epidermal growth factor receptor 2. Lately, there has been a surge in the development, commercialization, and marketing of diagnostic assays to assist in breast cancer patient care. More recently, multigene signature assays, such as Oncotype DX, MammaPrint, and Prosigna, have been integrated in the clinical setting in order to tailor decisions on adjuvant endocrine and chemotherapy treatment. This review provides an overview of the current state of breast cancer management and the use of companion diagnostics to direct personalized approaches in the treatment of breast cancer. |
doi_str_mv | 10.2147/PGPM.S56055 |
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subjects | Biomarkers Biopsy Breast cancer Cancer Cancer therapies Care and treatment Clinical trials Development and progression Diagnostic reagents Dissection Endocrine therapy Epidermal growth factor estrogen receptor FDA approval Feasibility studies Food Gene expression Health aspects HER2 in vitro diagnostics Lymphatic system Marketing Mastectomy Medical prognosis Medicine multigene assay Oncology, Experimental Patients Precision medicine Review Surgery Tumors Womens health |
title | Targeted therapies with companion diagnostics in the management of breast cancer: current perspectives |
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