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Opinion|Videos|March 26, 2025

Clinical Insights: Incorporating Zanidatamab and Other HER2-Targeted Agents Into the Real-World Practice in Advanced BTC

Author(s)Shubham Pant, MD, MBBS, Haley Ellis, MD , Amit Mahipal, MD

Panelists discuss how treatment selection among HER2-targeted agents for biliary tract cancer (BTC) depends on multiple factors including patient characteristics and prior therapies, while also considering the role of traditional chemotherapy regimens such as FOLFOX in specific clinical scenarios.

Episodes in this series

4 experts are featured in this series.

EP. 1 Guiding Patients Through Advanced BTC Prognosis and Expectations

4 experts are featured in this series.

EP. 2 The Importance of Early Biomarker Testing in Managing Advanced BTC

4 experts are featured in this series.

EP. 3 Biomarker Testing in BTC: Approaches and Practices Across Academic and Community Clinicians

4 experts are featured in this series.

EP. 4 Expert Insights: Challenges With ctDNA Testing in BTC

4 experts are featured in this series.

EP. 5 Landmark Trials in First-Line Treatment Landscape for Advanced BTC: Expert Insights from TOPAZ-1 and KEYNOTE-966 Trials

4 experts are featured in this series.

EP. 6 Applying Data to Clinical Practice: Immunotherapy in the First-Line Treatment Setting in Advanced BTC

4 experts are featured in this series.

EP. 7 Understanding HER2 Testing in BTC: Detection and Clinical Approaches

4 experts are featured in this series.

EP. 8 Expert Perspectives From DESTINY-PanTumor 02 and Real-World Experience with Trastuzumab Deruxtecan in HER2-Positive BTC

4 experts are featured in this series.

EP. 9 New Approvals in HER2-Positive BTC: Zanidatamab - Key Findings from HERIZON-BTC-01 Study

4 experts are featured in this series.

EP. 10 Expert Perspectives in HER2-Positive BTC: Trastuzumab With Pertuzumab or Tucatinib From MyPathway and SGNTUC-019 Trials

4 experts are featured in this series.

EP. 11 Clinical Insights: Incorporating Zanidatamab and Other HER2-Targeted Agents Into the Real-World Practice in Advanced BTC

4 experts are featured in this series.

EP. 12 Future Perspectives and Unmet Needs in HER2-Positive Advanced BTC Treatment

4 experts are featured in this series.

EP. 13 Key Takeaways From ASCO GI 2025: Exciting Updates on BTC

Video content above is prompted by the following:

What is your general treatment approach when deciding among the available HER2-targeted agents? For those with HER2-positive tumors, are there situations in which you may still proceed with a 5-FU–containing regimen such as FOLFOX?
Please comment on any differences and/or similarities in practice regarding HER2-directed therapy selection. Please describe any specific patient and/or disease factors considerations in your treatment approach.

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