Community Health Media
How is trastuzumab deruxtecan (T-DXd) reshaping treatment across early-stage and metastatic HER2-positive breast cancer?Dr. Sarah Premji, Dr. Reshma Mahtani, and Dr. Eleftherios "Terry" Mamounas discuss the practice-changing implications of DESTINY-Breast11, DESTINY-Breast05, and DESTINY-Breast09, exploring how T-DXd is moving earlier in the treatment paradigm and influencing decision-making from the neoadjuvant setting through first-line metastatic disease. The conversation examines pathologic complete response (pCR), residual disease management, toxicity monitoring, multidisciplinary care, and the evolving role of biomarkers in treatment personalization.Topics include:• DESTINY-Breast11 and neoadjuvant T-DXd strategies• Pathologic complete response (pCR) and treatment de-escalation• Residual disease management after neoadjuvant therapy• DESTINY-Breast05 and adjuvant T-DXd in high-risk disease• Monitoring and managing interstitial lung disease (ILD)• Patient education, supportive care, and toxicity mitigation• Multidisciplinary collaboration in HER2-positive breast cancer care• DESTINY-Breast09 and first-line metastatic treatment advances• T-DXd plus pertuzumab in metastatic HER2-positive disease• Future roles for ctDNA and biomarker-guided treatment decisionsAs HER2-directed therapies continue to evolve, clinicians are increasingly challenged to determine when to introduce the most effective treatments, how to manage long-term toxicities, and how to personalize care across the entire disease continuum.Watch more expert oncology discussions from Community Health Media and subscribe for future conversations with leading oncology experts.
62 episodes
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