Community Health Media
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.
64 episodes
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