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  1. Article: Breast Cancer Brain Metastases: Achilles' Heel in Breast Cancer Patients' Care.

    Ferraro, Emanuela / Seidman, Andrew D

    Cancer treatment and research

    2024  Volume 188, Page(s) 283–302

    Abstract: Brain metastases (BM) significantly affect the prognosis as well as the quality of life of breast cancer (BC) patients. Although advancements in neurosurgical and radiotherapy techniques improve local control and symptom management, BM remains associated ...

    Abstract Brain metastases (BM) significantly affect the prognosis as well as the quality of life of breast cancer (BC) patients. Although advancements in neurosurgical and radiotherapy techniques improve local control and symptom management, BM remains associated with a poor prognosis. In addition, the efficacy of currently approved systemic therapies in central nervous system (CNS) compartment is still limited, especially after progression on local therapy. The blood-brain barrier (BBB) has been recognized as a mechanism of primary resistance to many chemotherapeutic agents and targeted therapies due to low drug penetration. Other mechanisms of primary and secondary resistance are still unclear and may vary across the BC subtypes. New small molecules have demonstrated efficacy in BM, in particular for the HER2-positive subtype, with a benefit in survival. A new era has begun in the field of BM, and many trials specifically designed for this population are currently ongoing. The BC research community needs to address this call with the final aim of improving the efficacy of systemic therapy in CNS compartment and ultimately preventing the occurrence of BM.
    MeSH term(s) Humans ; Female ; Breast Neoplasms/therapy ; Quality of Life ; Brain Neoplasms/therapy
    Language English
    Publishing date 2024-01-04
    Publishing country United States
    Document type Journal Article
    ISSN 0927-3042
    ISSN 0927-3042
    DOI 10.1007/978-3-031-33602-7_11
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: New strategies for the treatment of breast cancer with leptomeningeal metastasis.

    Chew, Sonya M / Seidman, Andrew D

    Current opinion in oncology

    2023  Volume 35, Issue 6, Page(s) 500–506

    Abstract: Purpose of review: Leptomeningeal metastasis is a complication of metastatic breast cancer that has a rising incidence likely due to the increased availability of novel systemic therapies, which have improved survival with better extracranial disease ... ...

    Abstract Purpose of review: Leptomeningeal metastasis is a complication of metastatic breast cancer that has a rising incidence likely due to the increased availability of novel systemic therapies, which have improved survival with better extracranial disease control but with limited intracranial efficacy. A poor prognosis of less than 6 months has historically been associated with leptomeningeal metastasis and it is often an exclusion factor for enrollment in clinical trials. There are limited evidence-based data supporting use of therapeutics in leptomeningeal metastasis patients and recommendations are largely derived from retrospective reports and small prospective studies. However, in recent years, there has been a surge in effective modern therapeutics with promising intracranial activity.
    Recent findings: The study aims to review the most recent updates in the management of leptomeningeal metastasis in breast cancer. We discuss the effectiveness and limitations of intrathecal administration, predictive biomarkers in the cerebrospinal fluid, proton radiation therapy and promising new systemic therapies such as antibody drug conjugates.
    Summary: Ongoing development of clinical trials that allow inclusion of leptomeningeal metastasis are essential for establishing efficacy potential and discovering new treatment options in this population of great unmet need.
    MeSH term(s) Humans ; Female ; Breast Neoplasms/pathology ; Retrospective Studies ; Prospective Studies ; Meningeal Carcinomatosis/secondary ; Meningeal Neoplasms/therapy
    Language English
    Publishing date 2023-08-29
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1049384-0
    ISSN 1531-703X ; 1040-8746
    ISSN (online) 1531-703X
    ISSN 1040-8746
    DOI 10.1097/CCO.0000000000000988
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: When to Combine Endocrine Therapy With a New Agent for Hormone Receptor-Positive Metastatic Breast Cancer in Postmenopausal Women.

    Seidman, Andrew D

    Oncology (Williston Park, N.Y.)

    2016  Volume 30, Issue 3, Page(s) 224–228

    MeSH term(s) Antineoplastic Agents, Hormonal/therapeutic use ; Antineoplastic Combined Chemotherapy Protocols ; Breast Neoplasms/drug therapy ; Breast Neoplasms/metabolism ; Breast Neoplasms/pathology ; Cytotoxins/therapeutic use ; Drug Administration Schedule ; Female ; Humans ; Middle Aged ; Neoplasm Metastasis ; Neoplasm Staging ; Patient Selection ; Postmenopause ; Receptors, Estrogen/metabolism
    Chemical Substances Antineoplastic Agents, Hormonal ; Cytotoxins ; Receptors, Estrogen
    Language English
    Publishing date 2016-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1067950-9
    ISSN 0890-9091
    ISSN 0890-9091
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Adjuvant chemotherapy for node negative, high Recurrence Score

    Lake, Diana / Seidman, Andrew D

    NPJ breast cancer

    2019  Volume 5, Page(s) 24

    Language English
    Publishing date 2019-08-12
    Publishing country United States
    Document type Journal Article
    ISSN 2374-4677
    ISSN 2374-4677
    DOI 10.1038/s41523-019-0119-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Symptomatic Necrosis With Antibody-Drug Conjugates and Concurrent Stereotactic Radiotherapy for Brain Metastases.

    Lebow, Emily S / Pike, Luke R G / Seidman, Andrew D / Moss, Nelson / Beal, Kathryn / Yu, Yao

    JAMA oncology

    2023  Volume 9, Issue 12, Page(s) 1729–1733

    MeSH term(s) Humans ; Immunoconjugates ; Brain Neoplasms/secondary ; Radiosurgery/adverse effects ; Necrosis/pathology ; Retrospective Studies ; Brain/pathology
    Chemical Substances Immunoconjugates
    Language English
    Publishing date 2023-10-26
    Publishing country United States
    Document type Journal Article
    ISSN 2374-2445
    ISSN (online) 2374-2445
    DOI 10.1001/jamaoncol.2023.4492
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The search for an elusive uniform strategy for a heterogeneous disease: lesson learned?

    Seidman, Andrew D

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology

    2013  Volume 31, Issue 14, Page(s) 1707–1708

    MeSH term(s) Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Breast Neoplasms/drug therapy ; Breast Neoplasms/pathology ; Female ; Humans ; Maintenance Chemotherapy
    Language English
    Publishing date 2013-05-10
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 604914-x
    ISSN 1527-7755 ; 0732-183X
    ISSN (online) 1527-7755
    ISSN 0732-183X
    DOI 10.1200/JCO.2013.48.6894
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: An Important Step Forward for Biosimilars in Cancer Treatment.

    Schleicher, Stephen M / Seidman, Andrew D

    JAMA oncology

    2017  Volume 3, Issue 7, Page(s) 989–990

    MeSH term(s) Adult ; Biosimilar Pharmaceuticals/administration & dosage ; Biosimilar Pharmaceuticals/adverse effects ; Breast Neoplasms/drug therapy ; Breast Neoplasms/metabolism ; Disease Progression ; Double-Blind Method ; Female ; Humans ; Intention to Treat Analysis ; Middle Aged ; Receptor, ErbB-2/metabolism ; Survival Analysis ; Taxoids/administration & dosage ; Taxoids/adverse effects ; Trastuzumab/administration & dosage ; Trastuzumab/adverse effects ; Treatment Outcome
    Chemical Substances Biosimilar Pharmaceuticals ; Taxoids ; ERBB2 protein, human (EC 2.7.10.1) ; Receptor, ErbB-2 (EC 2.7.10.1) ; Trastuzumab (P188ANX8CK)
    Language English
    Publishing date 2017-02-13
    Publishing country United States
    Document type Clinical Trial, Phase III ; Comparative Study ; Equivalence Trial ; Journal Article ; Multicenter Study ; Randomized Controlled Trial
    ISSN 2374-2445
    ISSN (online) 2374-2445
    DOI 10.1001/jamaoncol.2016.6789
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Incidence of HER2-expressing brain metastases in patients with HER2-null breast cancer: a matched case analysis.

    Moss, Nelson S / Singh, Jolene M / Reiner, Anne S / Drago, Joshua Z / Modi, Shanu / Seidman, Andrew D / Chandarlapaty, Sarat / Ross, Dara S

    NPJ breast cancer

    2023  Volume 9, Issue 1, Page(s) 86

    Abstract: The HER2-directed antibody-drug conjugate trastuzumab deruxtecan is active against lower levels of HER2 expression than prior-generation therapies. The rate of HER2 expression in brain metastases among patients with initially HER2-null breast cancer is ... ...

    Abstract The HER2-directed antibody-drug conjugate trastuzumab deruxtecan is active against lower levels of HER2 expression than prior-generation therapies. The rate of HER2 expression in brain metastases among patients with initially HER2-null breast cancer is undefined, and receptor discordance in advanced breast cancer with brain metastases may underestimate CNS response potential in the absence of brain metastasis sampling. In this cohort study including 136 patients with 401 samples scored according to ASCO/CAP guidelines, 15/28 patients (54%) with HER2-null primary breast cancer have detectable HER2 expression in subsequently resected brain metastases, a significant discordant population.
    Language English
    Publishing date 2023-10-23
    Publishing country United States
    Document type Journal Article
    ISSN 2374-4677
    ISSN 2374-4677
    DOI 10.1038/s41523-023-00592-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Summary of head-to-head comparisons of patient risk classifications by the 21-gene Recurrence Score® (RS) assay and other genomic assays for early breast cancer.

    Varga, Zsuzsanna / Sinn, Peter / Seidman, Andrew D

    International journal of cancer

    2019  Volume 145, Issue 4, Page(s) 882–893

    Abstract: Many genomic assays that assess recurrence risk in early breast cancer (EBC) are prognostic, but they differ in risk group stratification, which can affect clinical utility. Prospective outcomes of >60 K patients treated based on the 21-gene assay ... ...

    Abstract Many genomic assays that assess recurrence risk in early breast cancer (EBC) are prognostic, but they differ in risk group stratification, which can affect clinical utility. Prospective outcomes of >60 K patients treated based on the 21-gene assay results have shown that chemotherapy may be safely omitted in EBC patents with low Recurrence Score (RS) results (RS < 18). Because of its extensive validation and wide clinical use, the RS assay is a common comparator in head-to-head studies with other assays. Published/presented studies of the RS assay performed on the same tumor samples with Breast Cancer Index (BCI), EndoPredict (EP) or EP+ clinical features (EPclin), MammaPrint (MMP) and/or Prosigna (ROR) assays were reviewed. Study findings were summarized descriptively.
    MeSH term(s) Breast Neoplasms/genetics ; Breast Neoplasms/pathology ; Female ; Genomics/methods ; Humans ; Neoplasm Recurrence, Local/genetics ; Neoplasm Recurrence, Local/pathology ; Prognosis ; Prospective Studies
    Language English
    Publishing date 2019-02-12
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 218257-9
    ISSN 1097-0215 ; 0020-7136
    ISSN (online) 1097-0215
    ISSN 0020-7136
    DOI 10.1002/ijc.32139
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Author's reply to: Comparing the performance of gene expression assays in breast cancer.

    Varga, Zsuzsanna / Sinn, Peter / Seidman, Andrew D

    International journal of cancer

    2019  Volume 145, Issue 4, Page(s) 1163–1164

    MeSH term(s) Breast Neoplasms ; Diagnostic Tests, Routine ; Gene Expression ; Genomics ; Humans ; Neoplasm Recurrence, Local
    Language English
    Publishing date 2019-04-06
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 218257-9
    ISSN 1097-0215 ; 0020-7136
    ISSN (online) 1097-0215
    ISSN 0020-7136
    DOI 10.1002/ijc.32289
    Database MEDical Literature Analysis and Retrieval System OnLINE

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