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Annals of Oncologyannonc.oxfordjournals.org
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Annals of Oncology is the leading oncology journal in Europe. No other journal provides such excellent readership coverage of clinical and experimental researchers and medical oncologists in Europe.
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2013 Media Kit
Impact Factor: 6.425Ranking: 17/194 Si: Oncology 2011 Journal Citation Reports® (Science Citation Index, ISI)
Target Audience: Oncologists
Frequency: 12Peer Reviewed: Yes Editor-In-Chief: Professor Jan B. Vermorken
Society Affiliation: European Society for Medical Oncology and also affiliated with the Japanese Society of Medical Oncology
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Useful Information
Print Circulation: 6,800Geographic Breakdown: UK 5% - Europe 65% - North America 9% - Rest of World 21%
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als of On
cology Volum
e 23 No. 7
July 2012
pp
1653–1929
www.annonc.oxfordjournals.orgwww.esmo.orgwww.jsmo.umin.jp
Annals ofOncology
ISSN 0923-7534 (print)ISSN 1569-8041 (online)
Volume 23 No. 7 July 2012
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2013 Schedule
24/1 January 28 November 2012 07 January 2013
24/2 February 08 January 2013 15 February 2013
24/3 March 31 January 2013 11 March 2013
24/4 April 05 March 2013 10 April 2013
24/5 May 03 April 2013 10 May 2013
24/6 June 03 May 2013 10 June 2013
24/7 July 05 June 2013 10 July 2013
24/8 August 04 July 2013 07 August 2013
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24/12 December 05 November 2013 09 December 2013
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A
nn
als of On
cology Volum
e 23 No. 7
July 2012
pp
1653–1929
www.annonc.oxfordjournals.orgwww.esmo.orgwww.jsmo.umin.jp
Annals ofOncology
ISSN 0923-7534 (print)ISSN 1569-8041 (online)
Volume 23 No. 7 July 2012
Scan to view this journal on your mobile device
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als of On
cology Volum
e 23 Sup
plem
ent 2 IMPA
KT B
reast Cancer C
onference 3–5 May 2012 B
russels, Belgium www.annonc.oxfordjournals.org
www.esmo.orgwww.jsmo.umin.jp
Annals ofOncology
ISSN 0923-7534 (print)ISSN 1569-8041 (online)
Volume 23 Supplement 2 2012
IMPAKT Breast Cancer Conference
3-5 May 2012Brussels, Belgium
Guest EditorsIMPAKT 2012
Scientific Committee
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This supplement is embargoed until 12:30 Central European Time on 3 May 2012
Pertuzumab: new hope for patients with HER2-positivebreast cancerM. Capelan1,2, L. Pugliano1,3, E. De Azambuja1,2, I. Bozovic1,2, K. S. Saini1,3, C. Sotiriou1,4,S. Loi3,4 & M. J. Piccart-Gebhart1,3*1Department of Medicine, Institute Jules Bordet, L’Université Libre de Bruxelles, Brussels; 2BrEAST Data Center, Institute Jules Bordet, l’Université Libre de Bruxelles,Brussels; 3Breast International Group (BIG), Brussels; 4Breast Cancer Translational Research Laboratory (BCTL) JC Heuson, Institut Jules Bordet, Brussels, Belgium
Received 23 February 2012; revised 27 May 2012; accepted 9 July 2012
Background: Human epidermal growth factor receptor 2 (HER2) overexpression is detected in approximately 15% to20% of all breast cancers (BCs). A revolutionary change in the prognosis of this subgroup of patients has occurredsince trastuzumab therapy was introduced into daily clinical practice. However, because trastuzumab resistance iscommon, new molecules with complementary and/or synergistic mechanisms of action have been developed.Pertuzumab is a new anti-HER2 humanized monoclonal antibody that prevents the formation of HER2 dimers.Material and methods: A computer-based literature search was carried out using PubMed (keywords: breastneoplasm, dimerization, HER-2, pertuzumab); data reported at international meetings are included.Results: This paper describes pertuzumab’s mechanism of action, safety, and role in HER2-positive BCs. It alsoexplores the role of pertuzumab as a single agent or combined with trastuzumab by reviewing data from preclinicalresearch to ongoing clinical trials. Recently published trials, particularly the CLEOPATRA study, highlight the efficacy,tolerability, and increase in disease-free survival associated with this novel agent when combined with trastuzumab.Conclusion: The pertuzumab and trastuzumab anti-HER2 dual blockade is likely to represent a substantial advancefor patients with HER2-positive BCs and a new milestone on the way to personalized medicine.Key words: breast neoplasm, dimerization, HER2, pertuzumab
introductionApproximately 15% to 20% of patients with breast cancer (BC)have human epidermal growth factor receptor 2 (HER2)overexpression or amplification, associated with poorerprognosis [1–3]. The humanized monoclonal antibodytrastuzumab, now used in the metastatic and the adjuvantsettings, has changed the approach to treat patients withHER2-positive BC and the prognosis of the disease [4–8].Nevertheless, not all patients benefit from trastuzumab.
Around 15% of women relapse after trastuzumab-basedtherapy, indicating the presence of de novo or acquiredresistance to trastuzumab [9]. This is the basis for explorationinto additional therapeutics [10], including lapatinib, neratinib,afatinib, trastuzumab emtansine (formerly known astrastuzumab-DM1), heat shock protein 90, histone deacetylaseinhibitors, and pertuzumab [11–17].Pertuzumab is a humanized monoclonal antibody that binds
to the extracellular domain II of HER2. Its mechanism ofaction is complementary to trastuzumab, inhibiting ligand-dependent HER2–HER3 dimerization and reducing signaling
via intracellular pathways such as phosphatidylinositol 3-kinase(PI3K/Akt). Pertuzumab has shown antitumor activity in boththe metastatic and the neoadjuvant settings and is now beingtested as adjuvant therapy [18–22]. In this review, we willdiscuss both pertuzumab and trastuzumab and theirmechanisms of action, explore current evidence and potentialbenefits of treatment with these antibodies, and describecompleted and ongoing clinical trials.
methodsA computer-based literature search was carried out usingPubMed. Articles were selected using the key words ‘pertuzumab’,‘breast neoplasm’, and ‘HER2’. Only papers published in Englishbefore May 2012 were reviewed. Published abstracts frominternational meetings and ongoing trials were also included.
background
the HER family receptorsHER2 family receptors consist of four transmembrane tyrosinekinase receptors present on the surface of normal cells:epidermal growth factor receptor (EGFR, also known as HER1, ErbB1), HER2 (HER2/neu or ErbB2), HER3 (ErbB3), and
*Correspondence to: Dr M. Piccart-Gebhart, Medicine Department, Institut JulesBordet, Boulevard de Waterloo 121, 1000 Brussels, Belgium. Tel: +32-2-541-3206;Fax: +32-2-541-3339; E-mail: [email protected]
review
review Annals of Oncology 0: 1–10, 2012doi:10.1093/annonc/mds328
© The Author 2012. Published by Oxford University Press on behalf of the European Society for Medical Oncology.All rights reserved. For permissions, please email: [email protected].
Annals of Oncology Advance Access published August 29, 2012
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