Rupert Bartsch
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109 Extended Adjuvant Neratinib in HER2+/HR+ Early Breast Cancer in Clinical Routine: Final Results from the Multi-national, Prospective, Observational Study ELEANOR
Background Neratinib is an oral, irreversible pan-HER tyrosine kinase inhibitor approved in Europe as extended adjuvant treatment for adult patients with HER2-positive/hormone receptor–positive early breast cancer who completed adjuvant trastuzumab-based therapy less than 1 year ago. In the phase 3 ExteNET study, neratinib significantly improved 2-year invasive disease-free survival (iDFS) (Δ4.5%, HR,0.49; 95% CI, 0.30-0.78) with an iDFS rate of 95.3% for neratinib.
Comparison of T-DXd-associated pulmonary toxicity in real-world settings and clinical trials
Abstract Interstitial lung disease (ILD) is a common and potentially life-threatening adverse event associated with trastuzumab deruxtecan (T-DXd). In the pivotal T-DXd clinical trials, 10–15% of patients developed ILD, with stringent mitigation strategies aimed at the early detection of low-grade cases. Real-world data are urgently needed to assess ILD incidence and outcomes outside controlled trial settings.
Long-term prognostic value of ctDNA in early breast cancer: insights from the neoadjuvant ABCSG-34 Trial
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Abstract Circulating tumor DNA (ctDNA) is a promising biomarker in early breast cancer for assessing treatment response, minimal residual disease (MRD), and recurrence risk. In the ABCSG-34 phase II trial, we previously reported that persistent ctDNA during neoadjuvant therapy (NAT) was associated with higher residual cancer burden and lower rates of pathological complete response. Here, we present long-term follow-up data evaluating the prognostic relevance of ctDNA dynamics.
By Daniel Egle, Dominik Hlauschek, Simon Peter Gampenrieder, Gabriel Rinnerthaler, Christian F. Singer, Georg Pfeiler, Rupert Bartsch, Gregor Huber, Angelika Pichler, Edgar Petru, Zsuzsanna Bago-Horvath, Christian Fesl, Qing Zhou, Sabrina Hammer, Nadia Dandachi, Martin Filipits, Michael Gnant, Ellen Heitzer, Marija Balic, Anna-Sophia Kermanidis, Ricarda Graf
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Nature
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