Trastuzumab-Deruxtecan: Redefining HER2 as a Tumor Agnostic Biomarker.

Target Oncol

Hematology-Oncology Department, Faculty of Medicine, Saint-Joseph University of Beirut, Beirut, Lebanon.

Published: September 2024

AI Article Synopsis

  • - Trastuzumab deruxtecan (T-DXd) is an antibody-drug conjugate specifically designed to target and treat HER2-positive cancers, delivering a drug directly to cancer cells to promote cell death and slow tumor growth.
  • - Clinical trials have demonstrated T-DXd's effectiveness in advanced or metastatic cancers like breast, gastric, lung, and colorectal, leading to its recent FDA approval for HER2-positive solid tumors.
  • - New findings suggest T-DXd is not only effective against brain metastasis but also shows potential benefits for patients with HER2-low and HER2-ultra-low metastatic breast cancer, expanding the range of patients who can be treated.

Article Abstract

Trastuzumab deruxtecan (T-DXd) is an antibody-drug conjugate (ADC) targeting HER2-positive malignancies across various tumor types. Through its unique composition, T-DXd achieves selective payload delivery, inducing cell death and halting tumor progression. Clinical trials initially investigated T-DXd's efficacy in HER2-positive advanced or metastatic breast, gastric, lung, and colorectal cancers; however, recent results from the DESTINY-PanTumor02 trial further underscore T-DXd's versatility, prompting T-DXd's US FDA approval for HER2-positive (immunohistochemistry [IHC] 3+) solid tumors. Moreover, in addition to T-DXd's efficacy against brain metastasis, T-DXd is showing promising results in HER2-low and HER2-ultra-low metastatic breast cancer, indicating a broader population of patients who may benefit.

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Source
http://dx.doi.org/10.1007/s11523-024-01079-4DOI Listing

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