Breast cancer

Research

Many breast cancer patients at Fred Hutchinson Cancer Center get promising therapies by taking part in clinical trials. These research studies are done by physicians and scientists from Fred Hutch and UW Medicine. They test new treatments and discover new ways to use current treatments. 

Through this work, we are looking for answers to three main questions: How can we do even better at detecting breast cancer early? How can we make treatments work better? How can we make treatments less toxic and easier on patients?

    New medicines, like targeted therapies for HER2-positive breast cancer, are improving outcomes for more and more people with this disease. Jennifer M. Specht, MD, discusses.

    Clinical trials

    We have clinical trials for all stages of breast cancer, from early to metastatic. Our studies test dozens of treatment options, including:

    Fred Hutch is a national leader in advancing these and other options, bringing new hope to patients.

    When your care team makes your treatment plan, they will give you the choice to join clinical trials that match your situation. Your care team will talk with you about if you might want to join a study and why. This can help you can make the decision that is best for you.

    Metastatic A metastatic cancer is a cancer that has spread to other areas of the body by way of the lymph system or bloodstream. Treatment plan A detailed plan with information about a patient’s disease, the goal of treatment, the treatment options for the disease and the possible side effects and expected length of treatment. A detailed plan with information about a patient’s disease, the goal of treatment, the treatment options for the disease and the possible side effects and expected length of treatment. A treatment plan may also include information about how much the treatment is likely to cost and about regular follow-up care after treatment ends.
    “Fred Hutch has given me my life back. They are constantly trying new treatments. They told me they have patients with metastatic breast cancer that they’ve been treating for 20 years who are doing amazing. And they say, ‘Maria, you’re one of them.”
    — Maria Pearson, Fred Hutch patient
    “Every advance that’s been made for breast cancer — and really for any type of cancer — has been built on the generosity of patients who’ve been willing to receive a new therapy. We owe everything to them. That’s how we make progress.”
    — Jennifer M. Specht, MD, medical oncologist

    Research highlights

    Science says: Cracking the code in solid tumors

    Scientists are working on targeted new therapies for breast cancer and other solid tumors. Dr. Nancy Davidson, who has helped bridge the connection between patient care and cancer research, explains which advances in breast cancer treatment are most exciting.

    Risk vs. benefit: Bisphosphonates in breast cancer

    These common drugs can help prevent and treat the spread of breast cancer to bones, and they may even keep early breast cancer (ductal carcinoma in situ, or DCIS) in check. But they also have both short- and long-term side effects that patients should know about. 
     

    Side effects A problem that occurs when treatment affects healthy tissues or organs. Some side effects of cancer treatment are nausea, vomiting, fatigue, pain, decreased blood cell counts, hair loss and mouth sores.

    Enobosarm may represent a safe, new hormone treatment approach for AR+, ER+ metastatic breast cancer

    It is important not only that any new treatment fights breast cancer but also that patients can live with the treatment’s effects. Dr. Hannah Linden explains a new endocrine therapy that shows promise against the disease and for patients’ quality of life. 

    Hormone therapy Hormones can cause some cancers to grow. To slow or stop growth, synthetic hormones or other drugs can be used to block the body’s natural hormones, or surgery is used to remove a hormone-producing gland. Treatment that adds, blocks or removes hormones. For certain conditions (such as diabetes or menopause), hormones are given to adjust low hormone levels. Hormones can also cause certain cancers (such as prostate and breast cancer) to grow. To slow or stop the growth of cancer, synthetic hormones or other drugs can be used to block the body’s natural hormones, or surgery is used to remove the gland that makes a certain hormone. Also called endocrine therapy, hormonal therapy and hormone treatment.

    A metastatic breast cancer journey: family first

    Watch as patient Liz Satterfield and Fred Hutch’s Dr. Hannah Linden talk about Liz’s experience with breast cancer and the new treatments being developed. “We’re getting much better at controlling the disease,” Linden says, “and buying patients a longer period of quality time.”

    Preventing brain metastasis in breast cancer

    Breast cancer cells can spread through the body and settle in the brain long before they make tumors there. Fred Hutch physicians hope to prevent brain metastases by learning what keeps these cells “asleep” for so long and what finally wakes them up. 
     

    A breast tumor might have thousands of mutations. Which are important?

    To design new targeted treatments, physicians need to know which changes in breast tumor cells drive the cancer and which are passengers, just along for the ride. A new method developed at Fred Hutch may provide answers that will lead to more precise treatment.