文章
醫療新知 > HR+/HER2- 型 晚期乳癌治療新喜訊!

HR+/HER2- 型 晚期乳癌治療新喜訊!

06-02-2023
HR+/HER2- 型 晚期乳癌治療新喜訊!
HR+/HER2- 型 晚期乳癌治療新喜訊!
CDK4/6抑製劑的出現改變了荷爾蒙受體陽性、第二型人類表皮生長因子受體陰性(HR+/HER2-)晚期乳癌治療的格局,並成為標準內分泌聯合治療方案重要元素,但是對於疾病進展快、腫瘤較大、徵狀嚴重的惡性乳癌患者,化療仍是標準的治療選擇。與單藥化療相比,聯合化療具有更高的客觀緩解率(Overall Response Rate, ORR)和更長的無惡化存活期(Progression-Free Survival, PFS),成為這些患者之傳統首選治療方案。

在 2022年12月的世界性乳癌醫學會議SABCS 中,台灣乳癌權威盧彥伸教授公佈第二期臨床試驗RIGHT Choice的結果。RIGHT Choice是首個針對轉移性HR+/HER2- 惡性乳腺癌患者使用聯合化療對比荷爾蒙療法聯合CDK4/6抑制劑的第二期臨床隨機對照試驗。為這類患者帶來化療以外之選擇。

此資訊由諾華製藥(香港)有限公司全力支持
HK2212283919

———
1. O’Shaughnessy J. Extending survival with chemotherapy in metastatic breast cancer. Oncologist. 2005;10 Suppl 3:20-29. doi:10.1634/theoncologist.10-90003-20
2. Lu YS, Mahidin EIBM, et al. Primary results from the randomized Phase II RIGHT Choice trial of premenopausal patients with aggressive HR+/HER2− advanced breast cancer treated with ribociclib + endocrine therapy vs physician’s choice combination chemotherapy. Presented at the 2022 San Antonio Breast Cancer Symposium (SABCS). December 6-10, 2022. Abstract # GS1-10.
3. Yardley DA, Yap YS, et al. Pooled exploratory analysis of survival in patients (pts) with HR+/HER2- advanced breast cancer (ABC) and visceral metastases (mets) treated with ribociclib (RIB) + endocrine therapy (ET) in the MONALEESA (ML) trials. Presented at the European Society of Medical Oncology (ESMO) Congress. September 9-13, 2022. Abstract #205P.
4. Neven P, Fasching PA, et al. Updated overall survival (OS) results from the first-line (1L) population in the Phase III MONALEESA-3 trial of postmenopausal patients with HR+/HER2- advanced breast cancer (ABC) treated with ribociclib (RIB) + fulvestrant (FUL). Presented at the European Society for Medical Oncology (ESMO) Breast Cancer Congress. May 4, 2022. Abstract #LBA4, May 4, 2022.
5. Hortobagyi, et al. Overall Survival With Ribociclib Plus Letrozole in Advanced Breast Cancer. N Engl J Med 2022; 386:942-50.
6. Hortobagyi, et al. Overall survival (OS) results from the phase III MONALEESA (ML)-2 trial of postmenopausal patients with hormone receptor positive/human epidermal growth factor receptor 2 negative (HR+/HER2−) advanced breast cancer (ABC) treated with endocrine therapy (ET) ± ribociclib. Presented at the European Society of Medical Oncology (ESMO) Congress, September 16-21, 2021. Abstract #LBA17.
7. Im, SA. et al. Overall Survival with Ribociclib plus Endocrine Therapy in Breast Cancer. N Engl J Med 2019; 381:307-316.
8. Slamon DJ, Neven P, Chia S, Fasching PA, De Laurentiis M, Im S-A, et al. Overall survival with ribociclib plus fulvestrant in advanced breast cancer. N Engl J Med. 2020;382(6):514–24.
9. Slamon, DJ, et al. Overall survival (OS) results of the Phase III MONALEESA-3 trial of postmenopausal patients (pts) with hormone receptor–positive (HR+), human epidermal growth factor 2–negative (HER2−) advanced breast cancer (ABC) treated with fulvestrant (FUL) ± ribociclib (RIB). Presented at the European Society of Medical Oncology (ESMO) Congress, September 29, 2019, Barcelona, Spain. Abstract #LBA7.
10. Slamon D, Neven P, Chia S, et al. Updated overall survival (OS) results from the Phase III MONALEESA-3 trial of postmenopausal patients (pts) with HR+/HER2− advanced breast cancer (ABC) treated with fulvestrant (FUL) ± ribociclib (RIB. Presented at the American Society of Clinical Oncology (ASCO) Annual Meeting, June 5, 2021. Abstract #1001.
11. Tripathy D, Im S-A, Colleoni M, et al, Updated overall survival (OS) results from the phase III MONALEESA-7 trial of pre- or perimenopausal patients with HR+/HER2− advanced breast cancer (ABC) treated with endocrine therapy (ET) ± ribociclib. Presented at the San Antonio Breast Cancer Symposium, December 9, 2020. Abstract #PD2-04.
12. Yardley, Denise, A. et. al. Overall survival (OS) in patients (pts) with advanced breast cancer (ABC) with visceral metastases (mets), including those with liver mets, treated with ribociclib (RIB) plus endocrine therapy (ET) in the MONALEESA (ML) -3 and -7 trials. Presented at the American Society of Clinical Oncology (ASCO) Annual Meeting. Abstract #1054.
13. O’Shaughnessy J et al. Overall survival subgroup analysis by metastatic site from the Phase III MONALEESA-2 study of first-line ribociclib + letrozole in postmenopausal patients with HR+/HER2− advanced breast cancer. Presented at the San Antonio Breast Cancer Symposium, December 7-10, 2021. Abstract #GS2-01.
14. Novartis Data on File. Novartis Pharmaceuticals Corp: 2021.

疑難排解

會員註冊


或許你會想看
「2026 保誠健康論壇:優化患者醫療體驗」 薈聚醫療界領袖 共同支援香港及大灣區患者
「2026 保誠健康論壇:優化患者醫療體驗」 薈聚醫療界領袖 共同支援香港及大灣區患者   保誠保險 […]
【活動花絮】推動中西醫結合治療——乳癌研討會 圓滿落幕
由 癌症資訊網慈善基金 主辦的「推動中西醫結合治療 – 乳癌交流研討會」於今日 (2026年3月2 […]
【早期肺癌】術後輔助治療 減低復發風險
早期肺癌是有機會治癒,術後輔助治療減低復發風險 | 劉穎虹醫生 肺癌雖然係香港頭號癌症殺手,但早期肺癌是有機會 […]
【亞洲首研究】5 次質子治療控早期前列腺癌
亞洲首研究:5 次質子治療控早期前列腺癌 養和癌症中心備精準定位技術 引領「大劑量少次數」演進 (2026 年 […]
【活動花絮】肝好有您 | 聽講座・測健康
「肝好有您 | 聽講座・測健康」活動已成功舉辦! 本次活動包含健康講座、乙肝快速檢測及健康街站,吸引了眾多市民 […]
【傳媒報道】晚期大腸癌治療迎來新突破:從精準檢測到免疫治療記者會
【urbanlifehk】大腸癌治療特定晚期患者五年存活率由9% 躍升至70%!專家籲精準檢測配雙免疫治療 勿 […]
最新為亞洲人而設的(Pan-Asian ESMO)胰臟癌臨床指引 提出術後可用口服化療藥物減低復發風險
有「癌中之王」稱號的胰臟癌,不算是常見癌症,卻位列癌症殺手第四位,不但反映了胰臟癌之惡,也體現治療此癌的挑戰性 […]
新型「標靶放射治療」 治療晚期前列腺癌效果理想 有望成為未來前列腺癌治療主流
(2026 年 2 月 10 日) 近年,世界各地也有不少名人、官員被發現患上與前列腺相關疾病,社會大眾亦開始 […]
養和醫療集團及香港理工大學 簽訂培訓合作協議 支援營養治療理學碩士課程 提供實習機會接通教學與臨床
(2026 年 2 月 2 日-香港)養和醫療集團 (養和) 與香港理工大學(理大)簽訂合作協議,為理大在香港 […]
【跨境醫療】「醫健通」新增三間可授權指定境外醫療機構存入放射檢查報告
由一月二十七日起,香港市民可透過「醫健通」流動應用程式的「個人資料夾」功能,授權指定境外醫療機構,為他們上載放 […]
【乳癌治療日新月異】助你繼續綻放健康美麗 趙頴欣醫生 內腫瘤科專科醫生
乳癌是本港的頭號婦女癌症,近年確診個案更時有增無減。隨著醫學技術進步,癌症治療的選擇愈來愈多,療效也不斷提升及 […]
兒童癌病康復者的長期護理需要
醫療技術進步和癌症治療突破,使兒童癌症的存活率提高。然而,癌症及其治療對兒童的身心健康產生長期不良影響,因此為 […]