npj Breast Cancer · 2025 · 10 citations · 14 references
MedicineOncologyPharmacologyBreast OncologyMetastasisNeuro-oncologyBrain MetastasesBrain MetastasisLeptomeningeal DiseaseMetastatic Breast CancerMetastatic Disease TreatmentNeuro-oncology Clinical TrialsBrain Metastasis Systemic TherapyBreast Cancer PrognosisCentral Nervous System MetastasisLeptomeningeal Metastasis Involving Cranial NervesLeptomeningeal SpreadMetastatic Breast Cancer TreatmentRetrospective Case Study
Central nervous system (CNS) metastases are associated with poor prognosis in patients with metastatic breast cancer (MBC). In this retrospective study, we investigated the activity of sacituzumab govitecan (SG) in 33 patients with HER2-negative MBC and CNS metastases, including active, stable/treated, and leptomeningeal disease (LMD). SG demonstrated a modest CNS objective response rate of 4/30 (13%) and median CNS-progression-free survival of 2.9 months (95%CI:2.0-4.3) in a heavily pretreated population.
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