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Most non-small cell lung cancers ( NSCLC ) are caused by oncogenic variants, and targeted therapies have greatly reduced mortality in NSCLC patients in recent years
.
Mutations in the gene encoding human epidermal growth factor receptor 2 (HER2, also known as ERBB2) are closely associated with approximately 3% of non-squamous NSCLC
.
Lung cancer NSCLC Compared with NSCLC patients without HER2 mutation or with other mutations, NSCLC patients with HER2 mutation have a slightly younger age of onset and a higher incidence of brain metastases .
This study is a multicenter, international phase 2 clinical trial to evaluate the efficacy and safety of trastuzumab deruxtecan (6.
4 mg/kg) in patients with metastatic HER2-mutant NSCLC refractory to standard therapy.
security
.
The primary endpoint was objective response rate as determined by an independent central review
.
median progression-free survival
median progression-free survivalA total of 91 patients were recruited
.
The median follow-up was 13.
1 months
Objective responses were achieved in 55% of patients
median overall survival
median overall survivalDrug safety was generally consistent with those reported in previous studies; 46% of patients experienced grade ≥3 drug-related adverse events, with the most common event being neutropenia (19%)
.
In addition, 26% of patients experienced drug-related interstitial lung disease, which resulted in 2 deaths
.
adverse event
adverse eventResponses were observed in patients with different HER2 mutant subtypes, and also in patients with no detectable HER2 expression or HER2 amplification
In conclusion, trastuzumab deruxtecan demonstrated durable anticancer activity in previously treated patients with HER2-mutant NSCLC
Trastuzumab deruxtecan exhibits durable anticancer activity in previously treated HER2-mutant NSCLC patients Trastuzumab deruxtecan exhibits durable anticancer activity in previously treated HER2-mutant NSCLC patients
Original source:
Original source:Bob T.
Trastuzumab Deruxtecan in HER2-Mutant Non–Small-Cell Lung Cancer.
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