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Yakup Ergün· @dr_yakupergun · X·· 2 days agoScore70

TALENT

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#ESMO26 | TALENT

In HR+/HER2-low early breast cancer, neoadjuvant T-DXd ± anastrozole or sequential chemotherapy achieved pCR/near-pCR rates of only 16–17%.

Adding anastrozole or sequential chemotherapy showed no clear benefit.

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Conference abstracts
LBA23matched by Proffered paper 1: Breast cancer, early and advanced stage

Final results of TALENT: A neoadjuvant trial of T-DXd with or without anastrozole, or in sequence with chemotherapy for HER2-low, HR+ early-stage breast cancer

https://esmocongress.esmo.org
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#ESMO26 | TALENT Neoadjuvant T-DXd showed very low pCR rates in HR+/HER2-low early breast cancer: - T-DXd: 7% - T-DXd + anastrozole: 3% - T-DXd → chemotherapy: 9% We should remember that pCR is a limited surrogate endpoint in HR+ disease. However, these results do not support T-DXd as an alternative to standard neoadjuvant chemotherapy. Moreover, given the heterogeneity of HER2-low disease, I find it unsurprising that the success of T-DXd in the metastatic setting does not translate into similar outcomes in early-stage disease, despite the lower tumor burden.
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Source: Yakup Ergün · x.com

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