Topical TLR7 agonist and radiotherapy in patients with metastatic breast cancer
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ABSTRACT: This study explores the safety and efficacy of combining topical Imiquimod (IMQ), a TLR-7 agonist, with local radiotherapy (RT) for metastatic breast cancer. The phase I/II clinical trial (NCT01421017) aimed to assess systemic and local anti-tumor responses using immune-related response criteria (irRC). Patients were divided into three cohorts: (1) IMQ + RT + cyclophosphamide, (2) IMQ + RT, and (3) RT + cyclophosphamide (control). Cutaneous metastases were treated with IMQ+RT (area A) or IMQ alone (area B). Tumor biopsies were obtained at baseline and after treatment for gene expression profiling. Results demonstrated safety and promising systemic anti-tumor responses, with transcriptional analyses revealing a T-helper 1 immune orientation and DNA-repair gene downregulation associated with complete responses in IMQ+RT-treated areas.
ORGANISM(S): Homo sapiens
PROVIDER: GSE282443 | GEO | 2025/04/16
REPOSITORIES: GEO
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