Community Health Media
The treatment landscape for early-stage HER2-positive breast cancer has shifted.Dr. Komal Jhaveri, Dr. Sarah Tolaney, and Dr. Shanu Modi discuss the landmark FDA approvals of trastuzumab deruxtecan (T-DXd) in the early-stage setting, and break down the practice-changing data from the DESTINY-Breast11 and DESTINY-Breast05 trials. They discuss what these results mean for clinical practice and patient care today.The conversation explores: * How DESTINY-Breast11 is changing neoadjuvant treatment strategies * Which patients are most appropriate for T-DXd in early-stage HER2-positive disease * Pathologic complete response (pCR) improvements with T-DXd * Practical adoption of DB11 in academic and community settings * Managing ILD, nausea, and toxicity monitoring in curative-intent patients * The evolving role of imaging and surveillance during treatment * How to approach residual disease after neoadjuvant T-DXd * T-DXd versus T-DM1 in the adjuvant setting * Lessons from DESTINY-Breast05 and implications for high-risk patients * Sequencing challenges between early-stage and metastatic HER2-positive disease * Future research priorities and unresolved clinical questions This is a must-watch discussion for oncologists navigating the rapidly evolving treatment landscape of early-stage HER2-positive breast cancer.Watch the full discussion to learn how DESTINY-Breast11 and DESTINY-Breast05 are reshaping the treatment of early-stage HER2-positive breast cancer.
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