Community Health Media

Dr. Jason Mouabbi, Dr. Fenting Yan, & Dr. Paolo Tarantino - First-Line T-DXd in HER2+ mBC

49 min · 25. juni 2026
episode Dr. Jason Mouabbi, Dr. Fenting Yan, & Dr. Paolo Tarantino - First-Line T-DXd in HER2+ mBC cover

Description

Can T-DXd plus pertuzumab finally replace the CLEOPATRA regimen as the new first-line standard for metastatic HER2-positive breast cancer?In this comprehensive discussion from ASCO 2026, Dr. Jason Mouabbi, Dr. Fengting Yan, and Dr. Paolo Tarantino break down the practice-changing DESTINY-Breast09 data and what it means for treatment sequencing, patient selection and toxicity management. Beyond the clinical trial results, the experts share their perspectives on the evolving therapeutic landscape—specifically, the future possibility of achieving cures in metastatic HER2-positive breast cancer.The panel explores why antibody-drug conjugates are moving earlier in treatment, the impressive progression-free survival results from DESTINY-Breast09, the significance of deep partial responses, and how clinicians should think about treatment duration, maintenance strategies, and long-term disease control.Topics discussed include:• DESTINY-Breast09 study design and results• T-DXd plus pertuzumab vs CLEOPATRA (THP)• Progression-free survival and response outcomes• Deep partial response vs complete response• Attrition rates and why first-line therapy matters• ILD monitoring and management strategies• Nausea, fatigue, and alopecia management• Olanzapine for T-DXd-associated nausea• PIK3CA-mutated HER2-positive disease• PATINA and HER2CLIMB-05 implications• Maintenance therapy considerations• Rechallenging T-DXd after recurrence• ADC sequencing in metastatic HER2-positive breast cancer• The possibility of cure in metastatic HER2-positive diseaseAs treatment options continue to evolve, understanding how to maximize the benefits of T-DXd while managing toxicity will be critical for improving outcomes in HER2-positive metastatic breast cancer.Subscribe for more expert oncology discussions, breast cancer treatment updates, and ASCO 2026 coverage.

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64 episodes

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Dr. Rena Callahan & Dr. Aditya Bardia - Integrating T-DXd in HER2+ Breast Cancer: DB11, DB05 & DB09

HER2-positive breast cancer treatment is evolving rapidly. With FDA approvals from DESTINY-Breast11 and DESTINY-Breast05, when should clinicians incorporate trastuzumab deruxtecan (T-DXd) into practice—and how should it be used across early-stage and into metastatic disease?In this in-depth discussion, Dr. Rena Callahan and Dr. Aditya Bardia explore how these landmark studies are changing treatment decisions today across neoadjuvant, adjuvant, and metastatic settings—including the management of residual disease and the optimization of first-line metastatic care.Key topics discussed:• How DESTINY-Breast11 is changing neoadjuvant treatment strategies• DESTINY-Breast05 and the role of T-DXd for residual disease• Which patients should receive T-DXd versus T-DM1• Managing ILD risk and monitoring requirements• Treatment decisions for patients who do not achieve pCR• Rechallenging T-DXd after recurrence• First-line metastatic HER2-positive breast cancer after DESTINY-Breast09• Deep responses, complete responses, and long-term outcomes• T-DXd versus THP in clinical practice• PATINA, HER2CLIMB-05, and evolving maintenance strategies• CNS metastases and the role of HER2-targeted ADCs• Treatment holidays, ctDNA monitoring, and personalized careAs T-DXd moves into earlier lines of therapy, oncologists are facing new questions around sequencing, toxicity management, and optimizing long-term outcomes. This conversation provides practical insights for both academic and community clinicians navigating this rapidly changing landscape.Subscribe for more expert oncology discussions, breast cancer updates, and clinical trial insights from Community Health Media.

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25. juni 20261 h 14 min
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