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How I Sequence Recently Approved Immunotherapies in Advanced TNBC With vs Without BRCA Mutation

Clinical Thought
With sacituzumab govitecan, pembrolizumab, and atezolizumab all now approved for advanced TNBC, how do we sequence these agents and how does a BRCA1/2 mutation affect sequencing decisions? Here are my thoughts.

Released: December 23, 2020

Expiration: December 22, 2021

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Supporters

Supported by educational grants from

Genentech, a member of the Roche Group

Merck Sharp & Dohme Corp.

Faculty Disclosure

Primary Author

Kevin Kalinsky, MD, MS, FASCO

Professor of Medicine
Louisa and Rand Glenn Family Chair in Breast Cancer Research
Winship Cancer Institute
Emory University
Atlanta, Georgia

Kevin Kalinsky, MD, MS, has disclosed that his spouse/partner has ownership interest in and has received salary from Grail and that he has received consulting fees from Amgen, AstraZeneca, Eisai, Lilly, Merck, Novartis, Pfizer, and Seattle Genetics; and has received funds for research support paid to his institution from Acetylon, Amgen, Calithera, CytomX, Genentech/Roche, Immunomedics, Incyte, Lilly, Novartis, Pfizer, Seattle Genetics, and Zentalis.