ASCO 2024: Two Key Highlights in Metastatic Breast Cancer Care

Kevin Kalinsky, MD

Disclosures

June 10, 2024

Kevin Kalinsky, MD, remarks on how at ASCO 2024, significant studies in metastatic breast cancer were presented, with a focus on hormone-receptor positive disease. The most anticipated trial was DESTINY-Breast06, which evaluated trastuzumab deruxtecan in patients with HER2-low breast cancer that progressed on endocrine therapy. Results showed improved median progression-free survival, although overall survival data are preliminary. Notably, even patients with HER2-ultralow disease showed some benefit.

Another highlight was the postMONARCH trial, which investigated switching endocrine therapy after initial CDK4/6 inhibition. Results indicated improved progression-free survival with abemaciclib plus fulvestrant, particularly in patients who had been on prior CDK4/6 inhibition for 12 months or longer or who lacked visceral metastasis. These studies provide actionable insights for clinical practice, amid ongoing developments in breast cancer therapy.

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