References

medsovet

Медицинский Совет

Meditsinskiy sovet = Medical Council

2079-701X2658-5790

REMEDIUM GROUP Ltd.

10.21518/2079-701X-2017-6-30-37

medsovet-1884

Research Article

ТАРГЕТНАЯ ТЕРАПИЯ ОПУХОЛЕЙ

Target therapy of tumors

НОВАЯ СТРАТЕГИЯ ЛЕКАРСТВЕННОГО ЛЕЧЕНИЯ ЛЮМИНАЛЬНОГО HER2-НЕГАТИВНОГО МЕТАСТАТИЧЕСКОГО РАКА МОЛОЧНОЙ ЖЕЛЕЗЫ

NEW STRATEGY FOR DRUG TREATMENT OF LUMINAL HER2-NEGATIVE METASTATIC BREAST CANCER

АРТАМОНОВА

Е. В.

ARTAMONOVA

E. V.

д.м.н.

Российский онкологический научный центр им. Н.Н. БлохинаРоссияBlokhin Russian Oncologic Scientific Center of the Ministry of Health of RussiaRussian Federation

2017

17062017

063037

2017

АРТАМОНОВА Е.В.

ARTAMONOVA E.V.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.med-sovet.pro/jour/article/view/1884

Статья посвящена новому пероральному таргетному препарату палбоциклибу и его месту в терапии эстроген-рецептор-позитивного HER2-негативного метастатического рака молочной железы. Последовательная эндокринотерапия является предпочтительным видом лечения у пациенток этой подгруппы, т.к. существенно улучшает клинические исходы заболевания. Но способность опухоли демонстрировать приобретенную, а иногда и исходную гормонорезистентность приводит рано или поздно к прогрессированию заболевания. Открытие роли циклин-зависимых киназ (CDK) в активации пролиферации опухоли и последующее создание первого ингибитора CDK 4-го и 6-го типов палбоциклиба позволило принципиально изменить сложившуюся ситуацию: результаты клинического изучения комбинаций палбоциклиба с летрозолом или фулвестрантом продемонстрировали двукратное увеличение медианы выживаемости без прогрессирования болезни по сравнению с одной гормонотерапией. Эта стратегия, названная экспертами «терапией прорыва», сочетает в себе доказанную эффективность, хорошую переносимость, позволяет поддерживать высокое качество жизни и должна использоваться у больных с ЭР-позитивным HER2-негативным метастатическим раком молочной железы.

The article deals with the new oral target drug Palbociclib and its place in estrogen-receptor therapy, a positive HER2-negative metastatic breast cancer. Until recently, the consistent endocrine therapy was the primary treatment for the patients of this subgroup, as it significantly improved clinical outcomes of the disease. However, in the vast majority of cases, the tumor demonstrated the acquired, and sometimes the original, hormone resistance, which sooner or later led to failure of treatment and to the progress of the disease. Discovery of the role of cycline- dependent kinases (CDK) in the activation of the tumor proliferation and the subsequent creation of the first inhibitor, CDK 4 and 6 types of Palbociclib, led to a fundamental change in the situation: The results of the clinical examination of the combinations of Palbociclib with Letrozole or Fulvestrantom showed doubling of the median survival rate without the disease progress compared to single hormonal therapy. This strategy called Therapy of Breakthroughs combines proven efficiency, good tolerability, maintains a high quality of life and should be used in patients with an al-positive HER2-negative metastatic breast cancer.

метастатический рак молочной железыгормонотерапияпалбоциклиб

metastatic breast cancertherapyPalbociclib

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The authors declare that there are no conflicts of interest present.