Paolo Tarantino @PTarantinoMD
Medical Oncologist, Research Fellow @DanaFarber | @Harvard | PhD @LaStatale. SoMe Editor @ESMO_Open. Interested in breast oncology, HER2, ADCs & good music. Boston, MA Joined January 2018-
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DB06 TDXD compared to chemo of choice showed positive PFS in MBC HR+ HER-2 low or ultralow post 1-2 line of endocrine therapy (Chemo-Naive Patients) Sooo excited to see the Kaplan–Meier curves details #ASCO2024
DB06 TDXD compared to chemo of choice showed positive PFS in MBC HR+ HER-2 low or ultralow post 1-2 line of endocrine therapy (Chemo-Naive Patients) Sooo excited to see the Kaplan–Meier curves details #ASCO2024
T-DXd has shown remarkable activity for treating HER2-positive and HER2-low breast cancers. However, it may soon expand its reach, and become a treatment option even for HER2-0 tumors. Here’s the 10 reasons why:
Refresher for the current & upcoming definitions of HER2 in breast oncology: Table 1 from the @myESMO consensus on HER2-low matches each pattern of HER2 IHC expression with the conclusion by the ASCO/CAP guidelines and by the Consensus group. 👉 annalsofoncology.org/article/S0923-…
Such an important question addressed in the Alliance A011502 study looking at adjuvant aspirin in breast cancer found no benefit. Wonderful work by Wendy Chen and the Alliance team! @DFCI_BreastOnc
Such an important question addressed in the Alliance A011502 study looking at adjuvant aspirin in breast cancer found no benefit. Wonderful work by Wendy Chen and the Alliance team! @DFCI_BreastOnc
Answer: Only <5% of the weight of an ADC is determined by the payload. Examples: - T-DM1: MW 145,000 Da, of which ≈2500 Da related to the payload (738 Da X 3.5 [DAR]) - T-DXd: MW 158,000 Da, of which ≈4000 Da related to the payload (493 Da X 8 [DAR]) @EladSharonMD
Answer: Only <5% of the weight of an ADC is determined by the payload. Examples: - T-DM1: MW 145,000 Da, of which ≈2500 Da related to the payload (738 Da X 3.5 [DAR]) - T-DXd: MW 158,000 Da, of which ≈4000 Da related to the payload (493 Da X 8 [DAR]) @EladSharonMD
@PTarantinoMD Reason 11: free payload exposure. pubmed.ncbi.nlm.nih.gov/34895651/
10 reasons why T-DXd can be effective for treating HER2-0 breast cancer from 1.5 yrs ago All still valid 🧵👇
10 reasons why T-DXd can be effective for treating HER2-0 breast cancer from 1.5 yrs ago All still valid 🧵👇
@DrChoueiri @DFCI_BreastOnc @DrHBurstein @PTarantinoMD @stolaney1 @elmayermd @BreastCancerNow @SusanGKomen @AnnPartridgeMD @antgiorda @Otto_DFCI Beyond the press release: The question here is to know how much better T-Dx is in terms os PFS. The magnitude of benefit should’ve to be clearly significative since a clinical point of view to defeat capecitabine (good, cheap, easy, per os, and with better tolerability.
Excited to share that our article on the impact of neoadjuvant #pembro in early #TNBC was just published in the @OncJournal! @jmortimer @hmcarthur Younger patients and those who completed 8 cycles of neoadjuvant pembro were more like to achieve pCR. academic.oup.com/oncolo/advance…
Please include some patients with “marker-negative” tumors in early #drugdevelopment. Drugs often have more targets than we know, & sometimes the first target we find isn’t even the best one. It’s a lot more resource-intensive to go back & figure this out. #OncTwitter
In pts w/ HR+ mBC (with HER2low, or HER2 ultralow dz) TDXd led to a significant ⬆️ in PFS c/w TPC Press release out from DESTINY-Breast06 Will be very interested to see the data; will have profound impact on tx sequencing + could put an end to HER2low as a biomarker
In pts w/ HR+ mBC (with HER2low, or HER2 ultralow dz) TDXd led to a significant ⬆️ in PFS c/w TPC Press release out from DESTINY-Breast06 Will be very interested to see the data; will have profound impact on tx sequencing + could put an end to HER2low as a biomarker
Well, the @DanaFarber_GU is hiring again: Apply at: nejmcareercenter.org/job/760635/gen…
Here's the #BreastCancer Research Digest - a summary of last week’s publications from select high-impact journals (April 22nd-28th, 2024). #ClinicalResearch #CancerTreatment #BCSM #BreastCancerResearch
Ever evolving HER2 low. Hoping this will find its way to ASCO!
Ever evolving HER2 low. Hoping this will find its way to ASCO!
HER2 is about to change again. In DESTINY-Breast06, T-DXd significantly improved PFS in chemo-naive patients with HER2-low and HER2-#ultralow MBC. OS immature. Presented at ASCO? Press Release: astrazeneca.com/media-centre/p… Navigating HER2-low: aacrjournals.org/cancerdiscover…
HER2 is about to change again. In DESTINY-Breast06, T-DXd significantly improved PFS in chemo-naive patients with HER2-low and HER2-#ultralow MBC. OS immature. Presented at ASCO? Press Release: astrazeneca.com/media-centre/p… Navigating HER2-low: aacrjournals.org/cancerdiscover… https://t.co/XHzm6HdP0r
ENHERTU® Demonstrated Statistically Significant and Clinically Meaningful Improvement in Progression-Free Survival in HR Positive, HER2 Low Metastatic Breast Cancer Following One or More Lines of Endocrine Therapy in DESTINY-Breast06 Phase 3 Trial - businesswire.com/news/home/2024…
Here we go again?? #HER2 is about to change again. Seems like every month is a new knowledge about #HERlow #HER2ultralow 👏💪 @PTarantinoMD @SDS_Optic @inPROBE_
Here we go again?? #HER2 is about to change again. Seems like every month is a new knowledge about #HERlow #HER2ultralow 👏💪 @PTarantinoMD @SDS_Optic @inPROBE_
Vivek Subbiah, MD @VivekSubbiah
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4K Followers 1K Following Medical Director of the McGill Thoracic Oncology Program; Chest surgeon; Neutrophil biologist; Cancer immunologist; Aspiring farmerHR pos disease is rarely completely her2 0. There’s usually some her2 expression. Therefore results from this trial likely mean that we can use tdxd for all HR pos breast cancer. In TNBC things can be different since most of her2 0 tnbc has no her2 expression.
.@VKaklamani and @dradityabardia discussed the Phase III Destiny-Breast06 trial, in which TDXd demonstrated improvement in PFS in patients with HR-positive, HER2-low and HER2-ultralow metastatic breast cancer. Watch now on SABCS Snippets: bit.ly/3JHpw9q @UTHealthSAMDA
Such an important question addressed in the Alliance A011502 study looking at adjuvant aspirin in breast cancer found no benefit. Wonderful work by Wendy Chen and the Alliance team! @DFCI_BreastOnc
💊Adjuvant Aspirin in Breast Cancer The Alliance A011502 randomized phase 3 trial @JAMA_current ❌Negative study, lack of benefit for invasive DFS and OS ➡️3020 participants ➡️high-risk nonmetastatic breast cancer ➡️Aspirin vs placebo ➡️By median follow-up of 33.8 months,…
AZ reports DESTINYbreast06 trial which is first line study of TDXD vs chemo in her2 low or ultra low (i.e. 0) tumors. So essentially drug works irrespective of Her2 status and “HER2 low” is a thing of the past astrazeneca.com/media-centre/p…
Incredibly grateful to @ILCAnews - the perfect platform to disseminate your research on liver cancer !
Seize this opportunity to showcase your work and connect with other liver cancer specialists as passionate as you. Learn more: ilcalive.org/annual-confere…
A great thread by @PTarantinoMD of why using HER2 IHC testing to select patients for #tdxd may not be necessary. Awaiting the presentation/publication of DB-06! #bcsm #educatepatients #MedTwitter #MedX astrazeneca.com/media-centre/p…
T-DXd has shown remarkable activity for treating HER2-positive and HER2-low breast cancers. However, it may soon expand its reach, and become a treatment option even for HER2-0 tumors. Here’s the 10 reasons why:
DB06 TDXD compared to chemo of choice showed positive PFS in MBC HR+ HER-2 low or ultralow post 1-2 line of endocrine therapy (Chemo-Naive Patients) Sooo excited to see the Kaplan–Meier curves details #ASCO2024
HER2 is about to change again. In DESTINY-Breast06, T-DXd significantly improved PFS in chemo-naive patients with HER2-low and HER2-#ultralow MBC. OS immature. Presented at ASCO? Press Release: astrazeneca.com/media-centre/p… Navigating HER2-low: aacrjournals.org/cancerdiscover…
@PTarantinoMD Reason 11: free payload exposure. pubmed.ncbi.nlm.nih.gov/34895651/
@DrChoueiri @DFCI_BreastOnc @DrHBurstein @PTarantinoMD @stolaney1 @elmayermd @BreastCancerNow @SusanGKomen @AnnPartridgeMD @antgiorda @Otto_DFCI Beyond the press release: The question here is to know how much better T-Dx is in terms os PFS. The magnitude of benefit should’ve to be clearly significative since a clinical point of view to defeat capecitabine (good, cheap, easy, per os, and with better tolerability.
Excited to share that our article on the impact of neoadjuvant #pembro in early #TNBC was just published in the @OncJournal! @jmortimer @hmcarthur Younger patients and those who completed 8 cycles of neoadjuvant pembro were more like to achieve pCR. academic.oup.com/oncolo/advance…
Please include some patients with “marker-negative” tumors in early #drugdevelopment. Drugs often have more targets than we know, & sometimes the first target we find isn’t even the best one. It’s a lot more resource-intensive to go back & figure this out. #OncTwitter
@PTarantinoMD The question is rather, how much does the specific payload subtype contribute to the efficacy vs toxicity of the typical ADC? Come to ILCC24 in Huntington Beach on July 25-27 and find out. @HwakeleeMD @DrRoyHerbstYale @gotoPER @IASLC
What is the contribution of the payload to the molecular weight of a typical ADC?
📢 Monday early morning press release notes -"The DESTINY-Breast06 -trastuzumab deruxtecan phase 3 trial has reported positive topline results" - for patients with Her2 low and ultra-low! 👉How low can you go? This morning, @ErikaHamilton9 @SarahCannonDocs enlightened us…
Really feel like we don't need to be testing for HER-2 for TDXd in #bcsm: 1) IHC testing isn't that good 2) HER-2 is so heterogeneous biopsy to biopsy 3) other ADCs we don't test (TROP, HER-3 etc). Only b/c it was "HER-2" did we get stuck in this testing algorithm to begin with!
The first randomized trial of medical #AI to show it saves lives ECG-AI alert in 16,000 hospitalized patients 31% reduction of mortality (absolute 7 per 100 patients) in pre-specified high-risk group nature.com/articles/s4159… @NatureMedicine
Seems like the gift that keeps giving! TDXD shows improvement in PFS in primary and overall population including HER2 low and HER2 ultra low HR + MBC in DESTINY-Breast06 Phase III trial. Can't wait to see the details @OncoAlert #bcsm astrazeneca.com/media-centre/p…
In pts w/ HR+ mBC (with HER2low, or HER2 ultralow dz) TDXd led to a significant ⬆️ in PFS c/w TPC Press release out from DESTINY-Breast06 Will be very interested to see the data; will have profound impact on tx sequencing + could put an end to HER2low as a biomarker
NEWS FROM INDUSTRY Results from the DESTINY-Breast06 trial indicate that trastuzumab deruxtecan🧪could become a new standard of care for #HER2 -low 🧬and HER2-ultralow metastatic #BreastCancer patients ➡️showing significant PFS improvements 📈over standard chemotherapy after…
Well, the @DanaFarber_GU is hiring again: Apply at: nejmcareercenter.org/job/760635/gen…
I’ve told you guys before😉 You can trust-uzumab deruxtecan!
NEWS FROM INDUSTRY Results from the DESTINY-Breast06 trial indicate that trastuzumab deruxtecan🧪could become a new standard of care for #HER2 -low 🧬and HER2-ultralow metastatic #BreastCancer patients ➡️showing significant PFS improvements 📈over standard chemotherapy after…
ついに来ました!HER2-lowにおける1st lineの標準治療が変わります。DESTINY-Breast06試験: ホルモン受容体陽性HER2低発現の転移再発乳癌の1次治療において、T-DXd(エンハーツ)が従来の標準治療と比べて統計学的に有意なPFS延長を認めたとのこと。businesswire.com/news/home/2024…
⭐️When an “interim” analysis of a phase 1 trial is published in @Nature it must be extraordinary. 👉🏼Phase 1 trial of mRNA to treat an inborn error of metabolism -propionic acidemia 👉🏼This is ultimate #PrecisionMedicine & Phenomenal that two gene products were delivered to…