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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Dove Medical Press
2021
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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) |
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antibody-drug conjugate ds8201 her2 trastuzumab deruxtecan trastuzumab emtansine Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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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 |
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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 |
work_keys_str_mv |
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1718396288510197760 |