Adjuvant Strategies in HER2+ Brest Cancer: Timing and Tailoring

Opinion
Video

Health care professionals review considerations in transitioning breast cancer patients to the adjuvant setting and discuss response monitoring, treatment tailoring, and the evolving role of imaging.

This is a video synopsis/summary of a Peer Exchange involving Joyce O’Shaughnessy, MD; Priyanka Sharma, MD; Claudine Isaacs, MD; Heather McArthur, MD; and Hope S. Rugo, MD, FASCO.

O’Shaughnessy shifts the discussion to the adjuvant setting, prompting insights from Sharma on managing patients undergoing preoperative therapy. They explore the timing of surgeries and potential variations based on patient responses. Sharma emphasizes setting patient expectations for the entire regimen, often opting for imaging after 3 or 4 cycles to assess cancer response. The conversation touches on the role of reimaging and considerations for changing treatments based on imaging results, with a focus on MRI and PET scans.

Sharma discusses ongoing trials such as DIRECT, investigating PET scan results to guide preoperative therapy. Challenges related to obtaining PET coverage, especially for Medicaid patients, are acknowledged. The importance of tailoring therapy based on pathological response is highlighted, with specific considerations for T-DM1 (trastuzumab emtansine) post pathologic complete response. Sharma delves into biomarkers such as HER2 and immune signatures, indicating their potential in prognostic assessments.

Video synopsis is AI-generated and reviewed by OncLive® editorial staff.

Related Videos
Video 8 - "The Evolving Landscape of Second-Line Therapies in HCC Management"
Video 7 - "Comorbidity Considerations for HCC Treatment"
Video 8 - "Future Outlook for RET Fusion-Targeted Therapies"
Video 7 - "Impact and Positioning of Tumor Agnostic Approvals"
Video 14 - "Toxicity Profiles for DTC Guidelines Therapies"
Video 13 - "Understanding the Impact of COSMIC-311 and Sequencing in DTC"
Video 6 - "Shared Decision Making and Multidisciplinary Collaboration in the Evolving HR+/HER2- Early-Stage Breast Cancer Landscape"
Video 6 - "Updates from IMbrave150, LEAP-002, and HIMALAYA Trials"
Video 5 - "Emerging Therapies in Intermediate-Stage HCC"
Video 6 "PRKAR1A-RET Fusion in Pancreatic Cancer: Unlocking New Therapeutic Frontiers"
Related Content