Inhibitor CDK4/6 untuk terapi kanker payudara metastatik reseptor hormonal (HR) positif dan reseptor HER-2 negatif sudah sering digunakan. Inhibitor CDK4/6 seperti palbociclib, bekerja dengan cara menghambat kerja protein CDK4/6 yang berperan pada penghambatan sel. Berdasarkan studi yang ada, penggunaannya bersama dengan terapi endokrin seperti obat golongan inhibitor aromatase diteliti dapat meningkatkan overall survival (OS) dan progression free survival (PFS).[1]
Inhibitor CDK4/6 untuk Terapi Kanker Payudara Metastatik
Referensi
1. Gennari A, et al; ESMO Guidelines Committee. ESMO Clinical Practice Guideline for the diagnosis, staging and treatment of patients with metastatic breast cancer. Ann Oncol. 2021 Dec;32(12):1475-1495.
2. National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology Breast Cancer. 2023.
3. Hortobagyi GN, et al. Ribociclib as First-Line Therapy for HR-Positive, Advanced Breast Cancer. N Engl J Med. 2016 Nov 3;375(18):1738-1748.
4. Slamon DJ, et al. Phase III Randomized Study of Ribociclib and Fulvestrant in Hormone Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Advanced Breast Cancer: MONALEESA-3. J Clin Oncol. 2018 Aug 20;36(24):2465-2472.
5. Tripathy D, et al. Ribociclib plus endocrine therapy for premenopausal women with hormone-receptor-positive, advanced breast cancer (MONALEESA-7): a randomised phase 3 trial. Lancet Oncol. 2018 Jul;19(7):904-915.