ASCO GUIDELINES Bundle

Metastatic HER2-Negative Breast Cancer – Chemo and Targeted Therapy Either Endocrine-Pretreated or Hormone Receptor-Negative

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Table 1. Targeted Therapies for Metastatic (or locally advanced) Breast Cancer Company Product Generic Name Type Indications Dose Genentech Tecentriq atezolizumab Immune checkpoint inhibitor Triple-negative breast cancer expressing PD-L1 840 mg every 2 weeks, 1200 mg every 3 weeks, or 1680 mg every 4 weeks prior to paclitaxel 100 mg/m 2 on days 1, 8, and 15 for each 28 day cycle Merck Keytruda pembrolizumab Immune checkpoint inhibitor Triple-negative breast cancer expressing PD-L1 200 mg every 3 weeks or 400 mg every 6 weeks with chemotherapy Gilead Trodelvy sacituzumab govitecan Trop-2-directed antibody and topoisomerase inhibitor conjugate mTNBC patients who have received two or more prior systemic therapies, at least one of them for metastatic disease 10 mg/kg IV once weekly on Days 1 and 8 of continuous 21-day treatment AstraZeneca / Merck Lynparza olaparib PARP inhibitor 2nd line for HER2-negative metastatic breast cancer 300 mg taken orally twice daily Pfizer Talzenna talazoparib PARP inhibitor Deleterious or suspected deleterious germline BRCA-mutated (gBRCAm) HER2-negative breast cancer 1 mg taken orally once daily Eisai Halaven eribulin mesylate Microtubule inhibitor for single agent chemotherapy 3rd line for metastatic breast cancer 1.4 mg/m IV over 2–5 minutes on Days 1 and 8 of a 21 day cycle R-Pharm US Ixempra ixabepilone Microtubule inhibitor for single agent chemotherapy or with capecitabine 2nd line for the treatment of metastatic or locally advanced breast cancer 40 mg/m IV over 3 hours every 3 weeks

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