MONDAY, Sept. 20, 2021 (HealthDay News) -- New probe offers bully quality for women with an assertive HER2-positive bosom cancer.
A targeted therapy, trastuzumab deruxtecan (T-DXd), sold arsenic Enhertu, triples the magnitude of clip that the crab remains successful cheque erstwhile compared with the existent golden standard, trastuzumab emtansine (T-DM1).
Both of these drugs are second-line attraction options for HER2-positive bosom crab that has continued to dispersed aft archetypal therapy.
"It truly genuinely blew T-DM1 retired of h2o successful presumption of progression-free survival," said survey co-author Dr. Sara Hurvitz, manager of breast cancer objective probe astatine UCLA's Jonsson Comprehensive Cancer Center.
Up to 20% of bosom cancers are HER2-positive, meaning there's excessively overmuch of a macromolecule called quality epidermal maturation origin receptor 2 connected the cell's surface, causing the crab to enactment much aggressively, explained Hurvitz.
Currently, the first-line therapy for women with this benignant of bosom crab is HER2 antibody therapy with pertuzumab/trastuzumab positive chemotherapy. If the crab progresses, the modular attraction is to power to T-DM1 (sold arsenic Kadcyla), which comprises trastuzumab and chemotherapy.
But the caller survey whitethorn alteration this paradigm, Hurvitz said.
Given intravenously, T-DXd attaches to the HER2 protein, blocking its growth, and delivers precocious concentrations of chemotherapy straight to crab cells that overexpress HER2.
The caller survey was funded by T-DXd manufacturers Daiichi Sankyo Inc. and AstraZeneca.
In the survey of 524 women with HER2-positive bosom cancer, those who received T-DXd had a 72% betterment successful their progression-free endurance compared to their counterparts who were treated with T-DM1.
At 1 year, 76% of women taking T-DXd didn't amusement immoderate signs of illness progression. By contrast, lone 34% of women taking T-DM1 did not spot illness progression astatine 1 year.
"This cause truly lengthens progression-free endurance clip oregon clip earlier a diligent needs to power therapies due to the fact that the 1 that they are connected has stopped moving and their illness gets worse," Hurvitz said. "This is precise bully quality for patients."
In addition, tumors shrank successful adjacent to 80% of women taking T-DXd, compared to lone 34% treated with T-DM1. Fully 16% of T-DXd-treated women showed nary grounds of illness astatine 1 year, the survey showed. The caller cause seemed to enactment particularly good successful women whose bosom crab had dispersed to their brain, Hurvitz said.
The findings were presented this play astatine the yearly gathering of the European Society for Medical Oncology. Research presented astatine meetings is typically considered preliminary until published successful a peer-reviewed journal.
One of the main information concerns with this cause is the hazard of interstitial lung disease, a radical of lung conditions that causes scarring of lung tissues, Hurvitz said. The hazard was debased successful the caller study, and the women who did make interstitial lung illness tended to person mild cases, she said.
Outside experts are arsenic enthusiastic astir the survey findings and what they whitethorn mean for women with precocious HER2-positive bosom cancer.
"T-DXd represents a caller modular of care, utilized successful spot of TDM-1, successful precocious HER2-overexpressing bosom cancers," said Dr. Charles Shapiro. He is simply a prof of medicine, hematology and aesculapian oncology astatine Icahn School of Medicine astatine Mount Sinai and a aesculapian bosom oncologist astatine Mount Sinai Tisch Cancer Center successful New York City. "The satellite is brighter for women with HER2 overexpressing bosom cancers."
"This survey whitethorn pb to a alteration successful the modular of attraction for patients with metastatic HER2-positive bosom cancer," said Dr. Jesus Anampa Mesias, a aesculapian oncologist astatine Montefiore Einstein Cancer Center successful New York City. "The results of this survey are awesome and unprecedented [and] volition decidedly alteration however I attraction for women with metastatic HER2-positive bosom cancer."
More information
Learn much astir HER2-positive bosom crab astatine the American Cancer Society.
SOURCES: Sara Hurvitz, MD, director, Breast Cancer Clinical Research Program, Jonsson Comprehensive Cancer Center, UCLA; Charles Shapiro, MD, professor, medicine, hematology, and aesculapian oncology, Icahn School of Medicine, Mount Sinai, and aesculapian bosom oncologist, Mount Sinai Tisch Cancer Center, New York City; Jesus Anampa Mesias, MD, aesculapian oncologist, Montefiore Einstein Cancer Center, New York City; European Society for Medical Oncology Congress, Sept. 16-21, 2021
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