China Oncology ›› 2023, Vol. 33 ›› Issue (2): 110-116.doi: 10.19401/j.cnki.1007-3639.2023.02.003
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ZHANG Huiqiang(), JIANG Zefei(
)
Received:
2022-12-30
Revised:
2023-01-31
Online:
2023-02-28
Published:
2023-03-22
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JIANG Zefei
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ZHANG Huiqiang, JIANG Zefei. Key clinical studies on changing clinical practice of advanced breast cancer in 2022[J]. China Oncology, 2023, 33(2): 110-116.
Tab. 1
Treatment strategy for hormone receptor-positive advanced breast cancer[2]"
Stratifications | Level 1 recommendations | Level 2 recommendations | Level 3 recommendations |
---|---|---|---|
Endocrine therapy-naive | ① AI + abemaciclib (1A); ② AI + palbociclib (1B) | ① AI (1A); ② Fulvestrant (2A); ③ Fulvestrant + CDK4/6 inhibitor (2A) | TAM (2B) |
Failure to TAM | ① AI + Abemaciclib (1A); ② AI + HDAC inhibitor (1A); ③ AI + palbociclib (1B) | ① AI (2A); ② Fulvestrant (2A); ③ Fulvestrant + CDK4/6 inhibitor (1B) | |
Failure to NSAI | ① Fulvestrant + abemaciclib (1A); ② SAI + HDAC inhibitor (2A); ③ Fulvestrant + dalpiciclib (2A); ④ Fulvestran + palbociclib (1B) | ① SAI + CDK4/6 inhibitor (2A); ② SAI + everolimus (1B); ③ Fulvestrant (2A) | ① SAI (2B); ② Fulvestrant + SAI (2B); ③ TAM or toremifene (2B); ④ Progestin (2B) |
Failure to SAI | ① Fulvestrant + abemaciclib (1A); ② Fulvestrant + dalpiciclib (2A); ③ Fulvestrant + palbociclib (1B) | ① Fulvestrant (2A); ② NSAI + CDK4/6 inhibitor (2A) | ① NSAI (2B); ② TAM or toremifene (2B); ③ Progestin (2B) |
Failure to CDK4/6 inhibitor | ① HDAC inhibitor + endocrine therapy (2A); ② Another CDK4/6 inhibitor + endocrine therapy (2A); ③ Scientifically designed clinical trials | ① Progestin (2B); ② Toremifene (2B) |
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