{"id":48879,"date":"2025-03-03T14:14:23","date_gmt":"2025-03-03T13:14:23","guid":{"rendered":"https:\/\/www.bricbordeaux.com\/2025\/03\/lancet-oncology-article-new-anti-androgen-treatment-for-triple-negative-breast-cancer\/"},"modified":"2025-03-04T10:30:25","modified_gmt":"2025-03-04T09:30:25","slug":"lancet-oncology-article-new-anti-androgen-treatment-for-triple-negative-breast-cancer","status":"publish","type":"post","link":"https:\/\/www.bricbordeaux.com\/en\/2025\/03\/lancet-oncology-article-new-anti-androgen-treatment-for-triple-negative-breast-cancer\/","title":{"rendered":"Lancet Oncology article &#8211; New anti-androgen treatment for triple-negative breast cancer."},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">On this World Triple Negative Breast Cancer Day, we are pleased to congratulate the <strong><a href=\"https:\/\/www.bricbordeaux.com\/bric-team\/equipe-7-cibler-la-transcription-dans-le-cancer-du-sein\/\" target=\"_blank\" rel=\"noreferrer noopener\">Team 7 &#8211; \u201cTargeting Transcription in Breast Cancer\u201d<\/a><\/strong>, headed by <a href=\"https:\/\/www.bricbordeaux.com\/people\/martin-teichmann\/\" target=\"_blank\" rel=\"noreferrer noopener\">Pr. Martin Teichmann <\/a>, whose work, led by <strong><a href=\"https:\/\/www.bricbordeaux.com\/people\/richard-iggo\/\">Pr. Richard Iggo <\/a><\/strong> and <strong><a href=\"https:\/\/www.bricbordeaux.com\/people\/herve-bonnefoi\/\">Pr. Herv\u00e9 Bonnefoi <\/a><\/strong>on a rare form of triple-negative breast cancer has been published in the prestigious <strong><a href=\"https:\/\/www.thelancet.com\/lanonc\/about\" target=\"_blank\" rel=\"noreferrer noopener\">Lancet Oncology<\/a><\/strong>. Their work on this rare form of cancer, in which the cancer cells express a high level of the androgen receptor, offers hope of a hormone treatment that is more tolerable than the chemotherapy treatments used to date. Clinical trials have yet to be set up to validate this treatment.  <\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"537\" height=\"373\" src=\"https:\/\/www.bricbordeaux.com\/wp-content\/uploads\/2025\/03\/equipe-reduite.jpeg\" alt=\"\" class=\"wp-image-48866\" srcset=\"https:\/\/cdn-bricbordeaux.onlc.eu\/wp-content\/uploads\/2025\/03\/equipe-reduite.jpeg 537w, https:\/\/cdn-bricbordeaux.onlc.eu\/wp-content\/uploads\/2025\/03\/equipe-reduite-300x208.jpeg 300w\" sizes=\"auto, (max-width: 537px) 100vw, 537px\" \/><figcaption class=\"wp-element-caption\">BRIC team 7 &#8211; Targeting Transcription in Breast Cancer.<\/figcaption><\/figure>\n<\/div>\n<p class=\"wp-block-paragraph\">This work is the fruit of collaboration with researchers and clinicians, mainly in France: <a href=\"https:\/\/www.bergonie.fr\/\" target=\"_blank\" rel=\"noreferrer noopener\">Institut Bergoni\u00e9<\/a> (Bordeaux), <a href=\"https:\/\/www.institutpaolicalmettes.fr\/\" target=\"_blank\" rel=\"noreferrer noopener\">Institut Paoli-Calmettes<\/a> (Marseille), <a href=\"https:\/\/curie.fr\/\" target=\"_blank\" rel=\"noreferrer noopener\">Institut Curie<\/a> (St Cloud), <a href=\"https:\/\/www.centreleonberard.fr\/\" target=\"_blank\" rel=\"noreferrer noopener\">Centre L\u00e9on B\u00e9rard<\/a> (Lyon), <a href=\"https:\/\/www.oncopole-toulouse.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Oncopole Toulouse<\/a>, <a href=\"https:\/\/www.icm.unicancer.fr\/fr\" target=\"_blank\" rel=\"noreferrer noopener\">Institut du Cancer de Montpellier<\/a> and numerous hospital departments (Paris, Quimper, Caen, Villejuif, Orl\u00e9ans, Brest, Clermont-Ferrand, Angers, Charleroi).<\/p>\n\n<p class=\"wp-block-paragraph\">Thanks to our supporters and funders: <a href=\"https:\/\/www.bayer.com\/fr\/fr\/france\" target=\"_blank\" rel=\"noreferrer noopener\">Bayer<\/a>, <a href=\"https:\/\/www.atlanticarea.eu\/discover-our-projects\/approved-projects\/bots\" target=\"_blank\" rel=\"noreferrer noopener\">Europe (Interreg BOTS grant)<\/a>, <a href=\"https:\/\/www.unicancer.fr\/en\/experts-groups\/the-unicancer-french-breast-cancer-intergroup-ucbg\/\" target=\"_blank\" rel=\"noreferrer noopener\">UniCancer Breast Group (UCBG)<\/a>,<a href=\"https:\/\/www.fondationbergonie.fr\/\" target=\"_blank\" rel=\"noreferrer noopener\"> Fondation Bergoni\u00e9<\/a>, Fondation Nova (Geneva), <a href=\"https:\/\/www.ligue-cancer.net\/\" target=\"_blank\" rel=\"noreferrer noopener\">La Ligue contre le cancer<\/a> (comit\u00e9 des Landes et comit\u00e9 des Pyr\u00e9n\u00e9es Atlantiques), La Fondation les 3 Roses.<\/p>\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-fe48e5de wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S147020452400737X?utm_campaign=STMJ_219742_AUTH_SERV_PA&amp;utm_medium=email&amp;utm_acid=258804550&amp;SIS_ID=&amp;dgcid=STMJ_219742_AUTH_SERV_PA&amp;CMX_ID=&amp;utm_in=DM544181&amp;utm_source=AC_\" target=\"_blank\" rel=\"noreferrer noopener\">Read the scientific article<\/a><\/div>\n<\/div>\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<h2 class=\"wp-block-heading\">Explanations by Pr. Richard Iggo : <\/h2>\n\n<p class=\"wp-block-paragraph\">We proposed in 2005 that androgens replace oestrogens as the driver steroids in a subgroup of triple-negative breast cancer (TNBC) with androgen receptor (AR) expression called molecular apocrine (MA) breast cancer. Here, we report the analysis of a clinical trial evaluating the antitumour activity of the anti-androgen darolutamide in MA breast cancer. Transcriptomic analysis was used to classify tumours into groups with high and low AR activity (MA<sup>hi<\/sup> and MA<sup>l<\/sup><sup>o<\/sup>). The primary translational endpoint was clinical benefit rate at 16 weeks. <strong>In patients treated with darolutamide, the clinical benefit rate was 57%<\/strong> (12 of 21; 95% CI 36\u201378) in MA<sup>hi<\/sup> tumours, and 16% (five of 31; 95% CI 3\u201329; p=0\u00b70020) in other tumours. We conclude that high AR activity identifies a subgroup of patients with AR-positive, ER-negative breast cancer who are candidates for treatment with anti-androgens. This means we now have a coherent framework in which to target AR in breast cancer:      <\/p>\n\n<ul class=\"wp-block-list\">\n<li>in ER-positive tumours use androgen agonists<\/li>\n\n\n\n<li>in MA<sup>hi <\/sup>tumours use androgen antagonists<\/li>\n\n\n\n<li>in the remaining groups do not use hormonal therapy.<\/li>\n<\/ul>\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"434\" src=\"https:\/\/www.bricbordeaux.com\/wp-content\/uploads\/2025\/03\/figure-1-classification-tumeurs-mammaires-1024x434.jpg\" alt=\"\" class=\"wp-image-48868\" srcset=\"https:\/\/cdn-bricbordeaux.onlc.eu\/wp-content\/uploads\/2025\/03\/figure-1-classification-tumeurs-mammaires-1024x434.jpg 1024w, https:\/\/cdn-bricbordeaux.onlc.eu\/wp-content\/uploads\/2025\/03\/figure-1-classification-tumeurs-mammaires-300x127.jpg 300w, https:\/\/cdn-bricbordeaux.onlc.eu\/wp-content\/uploads\/2025\/03\/figure-1-classification-tumeurs-mammaires-768x325.jpg 768w, https:\/\/cdn-bricbordeaux.onlc.eu\/wp-content\/uploads\/2025\/03\/figure-1-classification-tumeurs-mammaires-700x297.jpg 700w, https:\/\/cdn-bricbordeaux.onlc.eu\/wp-content\/uploads\/2025\/03\/figure-1-classification-tumeurs-mammaires.jpg 1109w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Fig 1. Schematic diagram mapping human breast tumours onto the mammary lineage. Most human breast tumours are derived from luminal progenitors (LP). LPs can differentiate into hormone sensing cells (HSCs) and milk-secreting cells. HSCs form ER-positive breast tumours. If they lose ER expression, for example through apocrine metaplasia, they form MA tumours. MA tumours can be divided into two groups based on expression of AR target genes. MA tumours with high expression of AR target genes (MA<sup>hi<\/sup> tumours) are sensitive to treatment with anti-androgens.       <\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"830\" src=\"https:\/\/www.bricbordeaux.com\/wp-content\/uploads\/2025\/03\/figure-2-expression-genes-cibles-ar-1024x830.jpg\" alt=\"\" class=\"wp-image-48870\" srcset=\"https:\/\/cdn-bricbordeaux.onlc.eu\/wp-content\/uploads\/2025\/03\/figure-2-expression-genes-cibles-ar-1024x830.jpg 1024w, https:\/\/cdn-bricbordeaux.onlc.eu\/wp-content\/uploads\/2025\/03\/figure-2-expression-genes-cibles-ar-300x243.jpg 300w, https:\/\/cdn-bricbordeaux.onlc.eu\/wp-content\/uploads\/2025\/03\/figure-2-expression-genes-cibles-ar-768x622.jpg 768w, https:\/\/cdn-bricbordeaux.onlc.eu\/wp-content\/uploads\/2025\/03\/figure-2-expression-genes-cibles-ar-700x567.jpg 700w, https:\/\/cdn-bricbordeaux.onlc.eu\/wp-content\/uploads\/2025\/03\/figure-2-expression-genes-cibles-ar.jpg 1044w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Fig 2. Breast tumours fall into three main groups based on AR target gene expression. Basal-like tumours do not express AR and consequently have very low AR target gene expression (red curve). Luminal tumours, which express both AR and ER, have low AR target gene expression (blue curve). MA<sup>lo<\/sup> tumours (green curve) have the same low expression of AR target genes as luminal tumours. MA<sup>hi<\/sup> tumours (pink curve) have high expression of AR target genes.      <\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<p class=\"wp-block-paragraph\">Ref : <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S147020452400737X?utm_campaign=STMJ_219742_AUTH_SERV_PA&amp;utm_medium=email&amp;utm_acid=258804550&amp;SIS_ID=&amp;dgcid=STMJ_219742_AUTH_SERV_PA&amp;CMX_ID=&amp;utm_in=DM544181&amp;utm_source=AC_\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Darolutamide or capecitabine in triple-negative, androgen receptor-positive, advanced breast cancer (UCBG 3-06 START): a multicentre, non-comparative, randomised, phase 2 trial<\/strong>.<\/a><\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Herv\u00e9 Bonnefoi<\/strong>, Florence Lerebours, Marina Pulido, Monica Arnedos, Olivier Tredan, Florence Dalenc, S\u00e9verine Guiu, Luis Teixeira, Delphine Mollon, Christelle Levy, Benjamin Verret, Heba Dawood, Laura Deiana, Marie-Ange Mouret Reynier, Paule Augereau, Jean-Luc Canon, No\u00e9mie Huchet, Clara Guyonneau, J\u00e9r\u00f4me Lemonnier, <strong>Gaetan MacGrogan<\/strong>, Anthony Gon\u00e7alves, <strong>Elodie Darbo<\/strong>, <strong>Richard Iggo<\/strong> Lancet Oncology Published online February 17, 2025<\/p>\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>On this World Triple Negative Breast Cancer Day, we are pleased to congratulate the Team 7 &#8211; \u201cTargeting Transcription in Breast Cancer\u201d, headed by Pr. Martin Teichmann , whose work, led by Pr. Richard Iggo and Pr. Herv\u00e9 Bonnefoi on a rare form of triple-negative&#8230;<\/p>\n","protected":false},"author":3,"featured_media":48873,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[111],"tags":[],"class_list":["post-48879","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/www.bricbordeaux.com\/en\/wp-json\/wp\/v2\/posts\/48879","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bricbordeaux.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bricbordeaux.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bricbordeaux.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bricbordeaux.com\/en\/wp-json\/wp\/v2\/comments?post=48879"}],"version-history":[{"count":3,"href":"https:\/\/www.bricbordeaux.com\/en\/wp-json\/wp\/v2\/posts\/48879\/revisions"}],"predecessor-version":[{"id":48891,"href":"https:\/\/www.bricbordeaux.com\/en\/wp-json\/wp\/v2\/posts\/48879\/revisions\/48891"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bricbordeaux.com\/en\/wp-json\/wp\/v2\/media\/48873"}],"wp:attachment":[{"href":"https:\/\/www.bricbordeaux.com\/en\/wp-json\/wp\/v2\/media?parent=48879"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bricbordeaux.com\/en\/wp-json\/wp\/v2\/categories?post=48879"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bricbordeaux.com\/en\/wp-json\/wp\/v2\/tags?post=48879"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}