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ASCO 2024 | Therapeutic advances in targeting HER2 alterations in NSCLC & remaining challenges

Nicolas Girard, MD, PhD, Institut Curie, Paris, France, discusses the development of new agents for managing HER2-positive non-small cell lung cancer (NSCLC). Traditionally treated with chemotherapy and immune checkpoint inhibitors, these patients have limited targeted options. Promising new agents include trastuzumab deruxtecan (T-DXd), an ADC targeting HER2, and HER2-directed TKIs like tucatinib. The Phase II DESTINY-Lung02 trial (NCT04644237) showed a higher response rate in TKIs like tucatinib than in T-DXd. Key questions remain about sequencing these treatments and whether to combine them with chemotherapy. Personalized treatment strategies are crucial for these typically young, non-smoking patients. This interview took place during the 2024 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

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Disclosures

Employment – AstraZeneca (I)
Consulting or Advisory Role – Abbvie; AMGEN; AstraZeneca; BeiGene; Bristol-Myers Squibb; Daiichi Sankyo/Astra Zeneca; Gilead Sciences; Ipsen; Janssen; LEO Pharma; Lilly; MSD; Novartis; Pfizer; Roche; Sanofi; Takeda
Research Funding – AstraZeneca (Inst); BMS (Inst); MSDavenir (Inst); Roche (Inst)
Travel, Accommodations, Expenses – Janssen Oncology; Janssen Oncology; Roche