PMID- 37789989 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231030 IS - 1758-8340 (Print) IS - 1758-8359 (Electronic) IS - 1758-8340 (Linking) VI - 15 DP - 2023 TI - Safety and effectiveness of sacituzumab govitecan in patients with metastatic triple-negative breast cancer in real-world settings: first observations from an interdisciplinary breast cancer centre in Germany. PG - 17588359231200454 LID - 10.1177/17588359231200454 [doi] LID - 17588359231200454 AB - BACKGROUND: Sacituzumab govitecan has been recently approved by the USFDA and EMA for the treatment of patients with metastatic triple-negative breast cancer (mTNBC). We report real-world safety and effectiveness in patients with mTNBC receiving sacituzumab govitecan treatment at a breast cancer centre in Germany. METHODS: Data from patients who had received sacituzumab govitecan as treatment for mTNBC, in both de novo and relapsed disease, at the Kliniken Essen-Mitte, Essen, Germany, were collected through institutional records. Data were analysed for safety parameters and survival outcomes and reported using descriptive statistics. RESULTS: Patients (N = 43) received a median (range) of 5 (1-28) cycles of sacituzumab govitecan and were followed up for a median of 12.9 months. The most reported adverse events (AEs) of any grade were alopecia (n = 39; 90.7%), diarrhoea (n = 16; 37.2%), fatigue (n = 15, 34.9%), anaemia (n = 15, 34.9%) and neutropenia (n = 14, 32.6%). AEs ⩾ Grade 3 with the highest incidence were neutropenia (n = 12; 27.9%) and diarrhoea (n = 8; 18.6%). In eight (18.6%) patients, dose of sacituzumab govitecan dose was reduced due to patients' clinical condition prior to commencing treatment; in further 17 (39.5%) patients, sacituzumab govitecan dose had to be reduced or treatment interrupted on account of AEs associated with the drug after treatment had commenced. Median progression-free survival and median overall survival were calculated to be 5.0and 13.1 months, respectively. CONCLUSION: The real-world safety and effectiveness profile of sacituzumab govitecan in patients with mTNBC are in line with clinical trial data. Further studies are required to guide optimal use of sacituzumab govitecan against mTNBC, especially in context of management of accompanying AEs. CI - (c) The Author(s), 2023. FAU - Reinisch, Mattea AU - Reinisch M AD - Interdisciplinary Breast Unit, Kliniken Essen-Mitte, Henricistrasse 92, Essen 45136, Germany. FAU - Bruzas, Simona AU - Bruzas S AD - Interdisciplinary Breast Unit, Kliniken Essen-Mitte, Essen, Germany. FAU - Spoenlein, Jennifer AU - Spoenlein J AD - Interdisciplinary Breast Unit, Kliniken Essen-Mitte, Essen, Germany. FAU - Shenoy, Satyendra AU - Shenoy S AD - Interdisciplinary Breast Unit, Kliniken Essen-Mitte, Essen, Germany. FAU - Traut, Alexander AU - Traut A AD - Department of Gynecology and Gynecologic Oncology, Kliniken Essen-Mitte, Essen, Germany. FAU - Harrach, Hakima AU - Harrach H AD - Interdisciplinary Breast Unit, Kliniken Essen-Mitte, Essen, Germany. FAU - Chiari, Ouafaa AU - Chiari O AD - Interdisciplinary Breast Unit, Kliniken Essen-Mitte, Essen, Germany. FAU - Cremer, Efsthatia AU - Cremer E AD - Interdisciplinary Breast Unit, Kliniken Essen-Mitte, Essen, Germany. FAU - Ataseven, Beyhan AU - Ataseven B AD - Department of Gynecology and Gynecologic Oncology, Kliniken Essen-Mitte, Essen, Germany. AD - Department of Obstetrics and Gynecology, University Hospital, Ludwig-Maximilians-Universitat, Munich, Germany. FAU - Gubelt, Lars AU - Gubelt L AD - Zentralapotheke, Kliniken Essen-Mitte, Essen, Germany. FAU - Kuemmel, Sherko AU - Kuemmel S AD - Interdisciplinary Breast Unit, Kliniken Essen-Mitte, Essen, Germany. AD - Department of Gynecology with Breast Center, Charite - Universitatsmedizin Berlin, Berlin, Germany. LA - eng PT - Journal Article DEP - 20230928 PL - England TA - Ther Adv Med Oncol JT - Therapeutic advances in medical oncology JID - 101510808 PMC - PMC10542232 OTO - NOTNLM OT - effectiveness OT - metastatic OT - real-world evidence OT - sacituzumab govitecan OT - safety OT - triple-negative breast cancer EDAT- 2023/10/04 06:44 MHDA- 2023/10/04 06:45 PMCR- 2023/09/28 CRDT- 2023/10/04 03:57 PHST- 2023/02/24 00:00 [received] PHST- 2023/08/25 00:00 [accepted] PHST- 2023/10/04 06:45 [medline] PHST- 2023/10/04 06:44 [pubmed] PHST- 2023/10/04 03:57 [entrez] PHST- 2023/09/28 00:00 [pmc-release] AID - 10.1177_17588359231200454 [pii] AID - 10.1177/17588359231200454 [doi] PST - epublish SO - Ther Adv Med Oncol. 2023 Sep 28;15:17588359231200454. doi: 10.1177/17588359231200454. eCollection 2023.