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Opinion|Videos|December 24, 2024

Diagnosis and Risk Stratification for Early-Stage HR+/HER2- Breast Cancer

Panelists discuss how the NCCN guidelines for risk stratification in HR+/HER2- early-stage breast cancer inform clinical decision-making, with an emphasis on biomarker testing, the use of tools like RSClin N+, and the evolving role of CDK4/6 inhibitors and adjuvant therapies. They also address challenges in risk assessment and the integration of newer treatment strategies, such as CDK4/6 inhibitors and PARP inhibitors in the early-stage setting.

Episodes in this series

EP. 1 Diagnosis and Risk Stratification for Early-Stage HR+/HER2- Breast Cancer

EP. 1 Diagnosis and Risk Stratification for Early-Stage HR+/HER2- Breast Cancer

EP. 2 CDK4/6 Inhibitors for HR+/HER2- Early Breast Cancer

EP. 2 CDK4/6 Inhibitors for HR+/HER2- Early Breast Cancer

EP. 3 Current Practices for Targeted Therapies and Molecular Testing for HR+/HER2- Metastatic Breast Cancer

EP. 3 Current Practices for Targeted Therapies and Molecular Testing for HR+/HER2- Metastatic Breast Cancer

EP. 4 Exploring 1L and 2L CDK4/6 Inhibitors + Endocrine Therapies

EP. 4 Exploring 1L and 2L CDK4/6 Inhibitors + Endocrine Therapies

EP. 5 Clinical Perspectives: Use of CDK4/6i After CDK4/6i

EP. 5 Clinical Perspectives: Use of CDK4/6i After CDK4/6i

EP. 6 The Current Treatment Landscape of Oral SERDs in Metastatic Breast Cancer

EP. 6 The Current Treatment Landscape of Oral SERDs in Metastatic Breast Cancer

EP. 7 Clinical Findings of Elacestrant, an Oral SERD for ER+/HER2– Metastatic Breast Cancer

EP. 7 Clinical Findings of Elacestrant, an Oral SERD for ER+/HER2– Metastatic Breast Cancer

EP. 8 Emerging Data of Additional SERDs in Metastatic Breast Cancer

EP. 8 Emerging Data of Additional SERDs in Metastatic Breast Cancer

EP. 9 CDK4/6 Inhibitors Plus Novel Agents for ER+/HER2–Advanced or mBC

EP. 9 CDK4/6 Inhibitors Plus Novel Agents for ER+/HER2–Advanced or mBC

EP. 10 Toxicities and Treatment Selection of Endocrine-Based Therapies in HR+/HER2– Breast Cancer

EP. 10 Toxicities and Treatment Selection of Endocrine-Based Therapies in HR+/HER2– Breast Cancer

EP. 11 Genotype-Directed Therapies for HR+/HER2– Advanced Breast Cancer

EP. 11 Genotype-Directed Therapies for HR+/HER2– Advanced Breast Cancer

EP. 12 Exploring Data of PI3K/AKT/mTOR Inhibitors in HER2– mBC

EP. 12 Exploring Data of PI3K/AKT/mTOR Inhibitors in HER2– mBC

EP. 13 Clinical Developments of Antibody-Drug Conjugates (ADCs) in HR+/HER2– mBC

EP. 13 Clinical Developments of Antibody-Drug Conjugates (ADCs) in HR+/HER2– mBC

EP. 14 ADCs: Recent Data of Dato-DXd from TROPION-Breast01

EP. 14 ADCs: Recent Data of Dato-DXd from TROPION-Breast01

EP. 15 Impact of ADC Toxicities and Clinical Decision-Making for mBC

EP. 15 Impact of ADC Toxicities and Clinical Decision-Making for mBC

EP. 16 Continued Advances and Treatment Sequencing for HR+/HER2– Breast Cancer

EP. 16 Continued Advances and Treatment Sequencing for HR+/HER2– Breast Cancer

Video content above is prompted by the following:

What are the key NCCN guidelines for risk-stratifying patients with HR+, HER2- early-stage breast cancer (eBC)?
How closely does overall real-world practice follow these guidelines?
Can you please describe your approach to diagnosing and stratifying HR+, HER2- breast cancer at an early stage?
What clinical scenarios make risk stratification complex?
How do you define “high risk” in this setting?
What are your thoughts on the RSClin N+ tool (ASCO 2024)
What biomarkers do you typically test for in HR+/HER2- eBC? (hormone receptor, progesterone receptor, HER2, others?)
What testing methodologies are most used (next-generation sequencing, fluorescence in situ hybridization, immunohistochemistry, panels, etc)?
How do they differ, and what can you learn from each?
Do you ever check circulating tumor DNA?
How do various testing results guide your treatment approach?
Please briefly describe the predominant role of CDK4/6i in HR+/HER2- eBC.
Given your experience and the positive trials in the metastatic setting, how comfortable are you with using CDK4/6i in eBC?
Could you provide an overview of current treatment options for eBC?
What are the limitations of current treatments?
How are newer strategies like adjuvant CDK4/6 and PARP inhibitors changing the paradigm?
What is the rationale for combining CDK4/6 inhibitors with endocrine therapy in eBC?

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