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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