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ASCO 2025 | Evaluating the role of vepdegestrant in metastatic breast cancer

Erika Hamilton, MD, Sarah Cannon Research Institute, Nashville, TN, comments on the potential of vepdegestrant as a novel endocrine backbone in the treatment of metastatic breast cancer, particularly in combination with CDK4/6 inhibitors, and its potential for use in earlier lines of therapy. The findings from the VERITAC-2 trial (NCT05654623) may have an impact in the second and third line settings, where a majority of patients had only received one prior treatment in the metastatic setting. This interview took place during the 2025 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

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Transcript

Yeah, so, you know, this was a registrational trial, and there will be conversations with authorities specifically in that setting post-CDK 4/6. In the trial, patients were also allowed if they’d had one additional line of therapy, so it was kind of a second and third line trial in some ways, but 80% of patients had only received one prior in the metastatic setting...

Yeah, so, you know, this was a registrational trial, and there will be conversations with authorities specifically in that setting post-CDK 4/6. In the trial, patients were also allowed if they’d had one additional line of therapy, so it was kind of a second and third line trial in some ways, but 80% of patients had only received one prior in the metastatic setting. So I think this is where it’s immediately most actionable. Certainly, you know, Vepdegustrant is a novel endocrine backbone. And as we discovered with other endocrine agents, we certainly can combine, whether that’s with CDK4/6 inhibitors, whether that’s with PI3K inhibitors or novel CDK2, CDK6, et cetera. And we also could imagine this potentially going earlier line, first line with CDK4/6s or even in the higher risk adjuvant setting where some other oral SERDs are being explored. Thank you.

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