Profile of Trastuzumab Deruxtecan in the Management of Patients with HER2-Positive Unresectable or Metastatic Breast Cancer: An Evidence-Based Review

Anna S Linehan,1 Orla M Fitzpatrick,1 Patrick G Morris1,2 1Cancer Clinical Trials and Research Unit, Beaumont Hospital, Dublin, Ireland; 2Department of Medical Oncology, Royal College of Surgeons in Ireland, Dublin, IrelandCorrespondence: Patrick G MorrisBeaumont Hospital, Dublin, 9, IrelandTel +353...

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Autores principales: Linehan AS, Fitzpatrick OM, Morris PG
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Lenguaje:EN
Publicado: Dove Medical Press 2021
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Acceso en línea:https://doaj.org/article/5755840965e249f389c2e1f705773c31
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spelling oai:doaj.org-article:5755840965e249f389c2e1f705773c312021-12-02T11:03:10ZProfile of Trastuzumab Deruxtecan in the Management of Patients with HER2-Positive Unresectable or Metastatic Breast Cancer: An Evidence-Based Review1179-1314https://doaj.org/article/5755840965e249f389c2e1f705773c312021-02-01T00:00:00Zhttps://www.dovepress.com/profile-of-trastuzumab-deruxtecan-in-the-management-of-patients-with-h-peer-reviewed-article-BCTThttps://doaj.org/toc/1179-1314Anna S Linehan,1 Orla M Fitzpatrick,1 Patrick G Morris1,2 1Cancer Clinical Trials and Research Unit, Beaumont Hospital, Dublin, Ireland; 2Department of Medical Oncology, Royal College of Surgeons in Ireland, Dublin, IrelandCorrespondence: Patrick G MorrisBeaumont Hospital, Dublin, 9, IrelandTel +353 1 8092010Email patrickmorris@beaumont.ieAbstract: Trastuzumab deruxtecan is a novel antibody–drug conjugate for the treatment of advanced solid tumors, including breast cancer, which overexpress or have amplification of the human epidermal growth factor receptor 2 (HER2). The novel structure of this exciting new agent means that it can deliver a highly potent cytotoxic agent to HER2-expressing tissues resulting in selective killing of cancer cells. In phase I and II trials, trastuzumab deruxtecan has shown impressive response rates in heavily pretreated populations, including patients who had received prior treatment with trastuzumab emtansine, another highly active antibody–drug conjugate. The most common side effects are gastrointestinal and hematological. Importantly, a high rate of interstitial lung disease was seen in early trials, but this appears manageable in most patients with corticosteroids. In light of its efficacy, this promising new drug may change the treatment paradigm of HER2-positive breast cancer.Keywords: antibody-drug conjugate, DS8201, HER2, trastuzumab deruxtecan, trastuzumab emtansineLinehan ASFitzpatrick OMMorris PGDove Medical Pressarticleantibody-drug conjugateds8201her2trastuzumab deruxtecantrastuzumab emtansineNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol Volume 13, Pp 151-159 (2021)
institution DOAJ
collection DOAJ
language EN
topic antibody-drug conjugate
ds8201
her2
trastuzumab deruxtecan
trastuzumab emtansine
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle antibody-drug conjugate
ds8201
her2
trastuzumab deruxtecan
trastuzumab emtansine
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Linehan AS
Fitzpatrick OM
Morris PG
Profile of Trastuzumab Deruxtecan in the Management of Patients with HER2-Positive Unresectable or Metastatic Breast Cancer: An Evidence-Based Review
description Anna S Linehan,1 Orla M Fitzpatrick,1 Patrick G Morris1,2 1Cancer Clinical Trials and Research Unit, Beaumont Hospital, Dublin, Ireland; 2Department of Medical Oncology, Royal College of Surgeons in Ireland, Dublin, IrelandCorrespondence: Patrick G MorrisBeaumont Hospital, Dublin, 9, IrelandTel +353 1 8092010Email patrickmorris@beaumont.ieAbstract: Trastuzumab deruxtecan is a novel antibody–drug conjugate for the treatment of advanced solid tumors, including breast cancer, which overexpress or have amplification of the human epidermal growth factor receptor 2 (HER2). The novel structure of this exciting new agent means that it can deliver a highly potent cytotoxic agent to HER2-expressing tissues resulting in selective killing of cancer cells. In phase I and II trials, trastuzumab deruxtecan has shown impressive response rates in heavily pretreated populations, including patients who had received prior treatment with trastuzumab emtansine, another highly active antibody–drug conjugate. The most common side effects are gastrointestinal and hematological. Importantly, a high rate of interstitial lung disease was seen in early trials, but this appears manageable in most patients with corticosteroids. In light of its efficacy, this promising new drug may change the treatment paradigm of HER2-positive breast cancer.Keywords: antibody-drug conjugate, DS8201, HER2, trastuzumab deruxtecan, trastuzumab emtansine
format article
author Linehan AS
Fitzpatrick OM
Morris PG
author_facet Linehan AS
Fitzpatrick OM
Morris PG
author_sort Linehan AS
title Profile of Trastuzumab Deruxtecan in the Management of Patients with HER2-Positive Unresectable or Metastatic Breast Cancer: An Evidence-Based Review
title_short Profile of Trastuzumab Deruxtecan in the Management of Patients with HER2-Positive Unresectable or Metastatic Breast Cancer: An Evidence-Based Review
title_full Profile of Trastuzumab Deruxtecan in the Management of Patients with HER2-Positive Unresectable or Metastatic Breast Cancer: An Evidence-Based Review
title_fullStr Profile of Trastuzumab Deruxtecan in the Management of Patients with HER2-Positive Unresectable or Metastatic Breast Cancer: An Evidence-Based Review
title_full_unstemmed Profile of Trastuzumab Deruxtecan in the Management of Patients with HER2-Positive Unresectable or Metastatic Breast Cancer: An Evidence-Based Review
title_sort profile of trastuzumab deruxtecan in the management of patients with her2-positive unresectable or metastatic breast cancer: an evidence-based review
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/5755840965e249f389c2e1f705773c31
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AT fitzpatrickom profileoftrastuzumabderuxtecaninthemanagementofpatientswithher2positiveunresectableormetastaticbreastcanceranevidencebasedreview
AT morrispg profileoftrastuzumabderuxtecaninthemanagementofpatientswithher2positiveunresectableormetastaticbreastcanceranevidencebasedreview
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