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How has the ASCENT trial impacted your management of previously treated metastatic TNBC?

Are there specific patient cohorts in whom you will more preferentially use sacituzumab govitecan? Can data from ASCENT be applied to patients with CNS metastases?
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Would you consider use of sacituzumab govitecan for TNBC with CNS metastases?

38 physicians have voted

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3 Answers
Mednet Member
Mednet Member
Medical Oncology · UCLA
Answered on

The phase III ASCENT trial demonstrated improved progression-free survival and overall survival with sacituzumab govitecan over single-agent chemotherapy of physician’s choice (TPC) in metastatic triple-negative breast cancer (mTNBC). All the sub-groups derived benefit, including <65 vs >=65, initia...

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Mednet Member
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Medical Oncology · URMC
Answered on

Using sacituzumab 2nd line when possible, definitely third line.

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Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Sarah Cannon Research Institute
Answered on

The approval of sacituzumab has given us a powerful tool in our bag of options for TNBC. In the ASCENT trial, remember that treatment of physician’s choice (TPC) chemotherapy performed very poor with a mPFS in the TPC arm of less than 2 months. Having a drug that not only improves PFS (1.7 to 4. 8 m...

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