Publications by authors named "V G Kaklamani"

Background: Novel agents have expanded the traditional HER2 definitions to include HER2-Low (HER2L) Breast Cancer (BC). We sought to evaluate the distinct molecular characteristics of HER2L BC to understand potential clinical/biologic factors driving resistance and clinical outcomes.

Methods: Retrospective analysis was performed on 13,613 BC samples, tested at Caris Life Sciences via NextGen DNA/RNA Sequencing.

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Sacituzumab Govitecan (SG) is an antibody-drug conjugate that has demonstrated efficacy in patients with TROP-2 expressing epithelial cancers. In a xenograft model of intracranial breast cancer, SG inhibited tumor growth and increased mouse survival. We conducted a prospective window-of-opportunity trial (NCT03995706) at the University of Texas Health Science Center at San Antonio to examine the intra-tumoral concentrations and intracranial activity of SG in patients undergoing craniotomy for breast cancer with brain metastases (BCBM) or recurrent glioblastoma (rGBM).

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Article Synopsis
  • Elacestrant, a treatment for estrogen receptor-positive (ER+), HER2-negative metastatic breast cancer, showed significantly longer progression-free survival (PFS) compared to standard endocrine therapy (SOC) for patients with ESR1 mutations who had previously received ET plus CDK4/6 inhibitors.
  • In a phase III trial named EMERALD, patients were randomly assigned to receive either elacestrant or SOC, and the results indicated that those with ESR1 mutations and prior ET plus CDK4/6i usage of 12 months or more had a notably longer median PFS with elacestrant (8.6 months) versus SOC (1.9 months).
  • The observed benefits of elacestrant
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  • The 21-gene recurrence score (RS) test, called Oncotype DX, helps decide if breast cancer patients need chemotherapy.
  • Researchers studied over 10,000 women to see how well the RS works with other information like tumor size and patient age to predict cancer recurrence after treatment.
  • They found that combining the RS with other factors gives much better predictions about whether the cancer will come back, especially between 5 to 10 years after diagnosis.
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