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clinical / clinicalSacituzumab Govitecan, ASCENT & Metastatic TNBC

Hope S. Rugo

霍普·鲁戈

MD

🏢University of California, San Francisco (UCSF)(加利福尼亚大学旧金山分校)🌐USA

Professor of Medicine and Director, Breast Oncology and Clinical Trials Education, UCSF Helen Diller Family Comprehensive Cancer CenterUCSF海伦·迪勒家庭综合癌症中心乳腺肿瘤学及临床试验教育主任、医学教授

72
h-index
4
Key Papers
4
Awards
4
Key Contributions

👥Biography 个人简介

Hope S. Rugo, MD is Professor of Medicine and Director of Breast Oncology and Clinical Trials Education at the UCSF Helen Diller Family Comprehensive Cancer Center. She is one of the most prolific clinical trialists in breast oncology worldwide, with a career spanning more than three decades and encompassing more than 300 peer-reviewed publications. Dr. Rugo is best known for her leadership roles in landmark trials evaluating antibody-drug conjugates (ADCs) in metastatic breast cancer, most notably as a senior investigator in the ASCENT trial, which established sacituzumab govitecan—a Trop-2-directed ADC—as a new standard of care for pretreated metastatic triple-negative breast cancer (TNBC), demonstrating a more than doubling of progression-free survival compared to chemotherapy. She has also contributed extensively to the clinical development of CDK4/6 inhibitors in hormone receptor-positive (HR+) metastatic breast cancer, including involvement in the MONARCARCH program evaluating abemaciclib combinations. Dr. Rugo has been a leading voice in assessing the management of adverse effects associated with CDK4/6 inhibitors and ADCs, and has served on ASCO, NCCN, and international guideline panels for breast cancer. She is a past president of the Oncology Nursing Society Foundation board and a frequent invited lecturer at ASCO, ESMO, and San Antonio Breast Cancer Symposium (SABCS).

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🧪Research Fields 研究领域

Antibody-Drug Conjugates in Metastatic Breast Cancer转移性乳腺癌抗体药物偶联物
ASCENT Trial and Sacituzumab GovitecanASCENT试验与戈沙妥珠单抗
Triple-Negative Breast Cancer Treatment三阴性乳腺癌治疗
CDK4/6 Inhibitors in HR+ Metastatic Breast CancerHR+转移性乳腺癌CDK4/6抑制剂
MONARCARCH and Abemaciclib CombinationsMONARCARCH与阿贝西利联合方案

🎓Key Contributions 主要贡献

ASCENT — Sacituzumab Govitecan in Metastatic TNBC

Participated as a principal investigator in the ASCENT phase III trial, which demonstrated that sacituzumab govitecan (SG) more than doubled progression-free and overall survival compared to physician-choice chemotherapy in patients with pretreated metastatic TNBC, leading to FDA approval and establishing SG as a cornerstone third-line treatment for TNBC.

CDK4/6 Inhibitors and HR+ Metastatic Breast Cancer

Contributed to the clinical development and biomarker analysis of CDK4/6 inhibitors including abemaciclib and palbociclib in HR+ metastatic breast cancer, characterizing mechanisms of resistance, optimal sequencing strategies, and patient-reported outcomes in multiple prospective studies.

Trop-2-Directed Therapy and ADC Landscape in Breast Cancer

Led and contributed to multiple studies evaluating Trop-2-directed and other novel ADCs in breast cancer subtypes, helping define the therapeutic window for these agents, characterize toxicity profiles, and identify biomarkers of response beyond Trop-2 expression level.

Management of Toxicities from Novel Breast Cancer Therapies

Produced widely cited guidance on the management of CDK4/6 inhibitor-associated cytopenias, ADC-related adverse events (neutropenia, diarrhea, alopecia), and endocrine therapy side effects, establishing practical management algorithms adopted in clinical guidelines and oncology nursing education.

Representative Works 代表性著作

[1]

Sacituzumab govitecan in metastatic triple-negative breast cancer (ASCENT): A randomized, phase 3 trial

New England Journal of Medicine (2021)

Pivotal ASCENT trial establishing sacituzumab govitecan as a standard of care for pretreated metastatic TNBC with superior PFS and OS compared to single-agent chemotherapy.

[2]

Abemaciclib combined with endocrine therapy for the adjuvant treatment of HR+, HER2-, node-positive, high-risk, early breast cancer (monarchE)

Journal of Clinical Oncology (2020)

monarchE trial demonstrating significant improvement in invasive disease-free survival with abemaciclib plus endocrine therapy in high-risk HR+/HER2- early breast cancer.

[3]

Palbociclib and letrozole in advanced breast cancer

New England Journal of Medicine (2016)

PALOMA-2 trial establishing palbociclib plus letrozole as a first-line standard in postmenopausal women with HR+/HER2- advanced breast cancer.

[4]

Adverse event management and patient support in CDK4/6 inhibitor-treated breast cancer

npj Breast Cancer (2022)

Comprehensive practical guidance on managing CDK4/6 inhibitor toxicities with evidence-based algorithms for neutropenia, hepatotoxicity, and other class effects.

🏆Awards & Recognition 奖项与荣誉

🏆ASCO Breast Cancer Guideline Panel Member
🏆NCCN Breast Cancer Panel Member
🏆San Antonio Breast Cancer Symposium Program Committee
🏆American Cancer Society Clinical Research Professorship

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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