Perjeta (pertuzumab) / Roche 
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  • ||||||||||  Safety and Efficacy of Stereotactic Radiosurgery with Concurrent Targeted Systemic Therapy for Brain Metastases (Hall B2; In Person Only; Screen: 11) -  Aug 22, 2023 - Abstract #ASTRO2023ASTRO_663;    
    Although heterogeneous, patients treated with SRS/SRT and ongoing CNS-active targeted systemic therapies have on average >6 month intracranial PFS and little evidence of significant toxicity. We observed <6% G2+ radiation necrosis for this cohort, and no particular class of agent was associated with a significantly higher rate of G2+ radiation necrosis.
  • ||||||||||  Herceptin (trastuzumab) / Roche, Perjeta (pertuzumab) / Roche
    Journal:  Binding Affinity of Trastuzumab and Pertuzumab Monoclonal Antibodies to Extracellular HER2 Domain. (Pubmed Central) -  Aug 16, 2023   
    Furthermore, experiments revealed that the pertuzumab IgG antibody binds preferentially to two HER2 proteins, one per Fab fragment, while trastuzumab mainly forms a monovalent complex. This finding was interpreted based on a geometrical model that identified steric crowding in the trastuzumab-HER2 complex as compared with the pertuzumab-HER2 complex.
  • ||||||||||  Enhertu (fam-trastuzumab deruxtecan-nxki) / Daiichi Sankyo, AstraZeneca, Perjeta (pertuzumab) / Roche
    Review, Journal:  PET/CT and SPECT/CT Imaging of HER2-Positive Breast Cancer. (Pubmed Central) -  Aug 12, 2023   
    Additionally, PET and SPECT could help evaluate effectiveness of HER2-targeted therapies, such as trastuzumab or pertuzumab for HER2-positive cancers, and specially modified antibody drug conjugates (ADC), such as trastuzumab-deruxtecan, for HER2-low variants. This review will explore the current and future role of HER2 imaging in personalizing the care of patients diagnosed with breast cancer.
  • ||||||||||  Herceptin (trastuzumab) / Roche, Perjeta (pertuzumab) / Roche
    Journal:  Determination of HER2 binding domain in antigen-antibody complexes based on chemical crosslinking mass spectrometry. (Pubmed Central) -  Aug 7, 2023   
    We suggest that all established CDI and DSSO crosslinks should be comprehensively considered for correct binding domain analysis because predictions solely based on DSSO might be ambiguous. We have determined the binding interface in the HER2-H-mab using CDI and DSSO, which is the first successful application of XL/MS in real-world early-stage biopharmaceutical development.
  • ||||||||||  Perjeta (pertuzumab) / Roche
    Enrollment change:  Testing a New Imaging Agent to Identify Cancer (clinicaltrials.gov) -  Aug 4, 2023   
    P1,  N=60, Recruiting, 
    Further investigations regarding front-line use or novel combinations of pyrotinib might facilitate to maximize its anti-tumor potential. N=20 --> 60
  • ||||||||||  Perjeta (pertuzumab) / Roche
    Journal:  Relevance of Coding Variation in FLG And DOCK8 in Finnish Pediatric Patients with Early-Onset Moderate-To-Severe Atopic Dermatitis. (Pubmed Central) -  Aug 3, 2023   
    Loss-of-function variants, previously reported pathogenic variants, or statistically significant enrichment of nonsynonymous coding region variants were not found in the 13 candidate genes studied by amplicon sequencing. However, higher IgE and eosinophil counts were found in carriers of potentially pathogenic DOCK8 missense variants, suggesting that the role of DOCK8 variation in AD should be further investigated in larger cohorts.
  • ||||||||||  Herceptin (trastuzumab) / Roche, Perjeta (pertuzumab) / Roche
    Journal, Metastases:  Treatment Strategies for HER2-Positive Metastatic Colorectal Cancer (Pubmed Central) -  Jul 31, 2023   
    The TRIUMPH trial was conducted in Japan for patients with HER2-positive colorectal cancer, and its results led to the approval of the combination therapy of pertuzumab and trastuzumab for the treatment of HER2-positive unresectable advanced or recurrent colorectal cancer that has progressed during chemotherapy in March 2022 in Japan. In the field of colorectal cancer, the development of new HER2-targeted drugs such as antibody-drug conjugates and bispecific antibodies is ongoing, and future developments are expected to be of interest.
  • ||||||||||  ZN-A-1041 / Roche
    Trial completion date, Trial primary completion date, Metastases:  A Phase 1 Trial of ZN-A-1041 Enteric Capsules or Combination in Patients With HER2-Positive Advanced Solid Tumors (clinicaltrials.gov) -  Jul 31, 2023   
    P1,  N=210, Recruiting, 
    In the field of colorectal cancer, the development of new HER2-targeted drugs such as antibody-drug conjugates and bispecific antibodies is ongoing, and future developments are expected to be of interest. Trial completion date: Nov 2023 --> Oct 2024 | Trial primary completion date: Mar 2023 --> Oct 2023
  • ||||||||||  Kadcyla (ado-trastuzumab emtansine) / Roche, Perjeta (pertuzumab) / Roche
    Nodular Regenerative Hyperplasia in a Patient Treated for Triple Positive Breast Cancer (Exhibit Hall) -  Jul 29, 2023 - Abstract #ACG2023ACG_4435;    
    She was started on TCHP (docetaxel, carboplatin, trastuzumab, pertuzumab) every 3 weeks for 6 cycles followed by mastectomy and then Kadcyla based on the KATHERINE study...(H&E; 400x) (F) Dilated shunt vessel extending into the hepatic lobule. (H&E; 400x)
  • ||||||||||  Herceptin (trastuzumab) / Roche, Perjeta (pertuzumab) / Roche
    Gastric Linitis Plastica - An Unusual Presentation of Metastatic Breast Cancer (Exhibit Hall) -  Jul 29, 2023 - Abstract #ACG2023ACG_3306;    
    She had been tried on famotidine and ondansetron without relief for a presumed diagnosis of GERD...She was started on docetaxel, trastuzumab and pertuzumab with a good response...(b) Diffuse gastric wall thickening with hyperenhancement was present throughout the entire stomach. (c) Deformity and poor distensibility in the gastric body, concerning for linitis plastica.
  • ||||||||||  Development of Celiac Disease After Immunotherapy for Psoriasis, Breast Cancer, and Renal Cell Carcinoma: A Case Series (Exhibit Hall) -  Jul 29, 2023 - Abstract #ACG2023ACG_1756;    
    Case Description/ A 21 year old female with psoriasis on ixekizumab (IL-17A antagonist) and recent dose of risankizumab (IL-23A antibody) presented with abdominal pain, diarrhea, and bloating...Colonoscopy showed lymphocytic colitis, and she started budesonide and gluten free diet with some improvement...A 49 year old female with invasive ductal carcinoma was treated with leuprolide, exemestane, trastuzumab and pertuzumab (anti-HER2 antibodies) and developed severe watery diarrhea requiring hospitalization for electrolyte abnormalities and total parenteral nutrition...An 82 year old male with metastatic renal cell carcinoma was treated with axitinib, complicated by diarrhea requiring dose reduction, and pembrolizumab, discontinued due to colitis requiring prednisone, then cabozantinib, complicated by diarrhea which persisted after dose reduction...Figure: Figure: Duodenal Biopsy of Case 3, Celiac Disease in an 82 year old male with metastatic renal cell carcinoma treated with axitinib, pembrolizumab, and cabozantinib. (A) Routine H&E staining of a duodenal biopsy showed subtotal to total villous atrophy, (B) Duodenal biopsy with thickened sub-epithelial collagen layer highlighted on trichrome stain, (C) Duodenal biopsy with intraepithelial lymphocytosis confirmed by CD3 immunohistochemistry Table: Immunotherapies and Presentations of Celiac Disease
  • ||||||||||  Herceptin (trastuzumab) / Roche, Perjeta (pertuzumab) / Roche
    Metastatic Breast Cancer Masquerading as Colonic Mass (Exhibit Hall) -  Jul 29, 2023 - Abstract #ACG2023ACG_689;    
    The analysis of cases as the one above can lay the groundwork in forming cohort of patients to study the polarity of metastatic patterns. Figure: (a)diffuse wall thickening of descending colon (b) coronal view, notable for gastric abutment of transverse colon (c) tissue sample demonstrating linear single-file cells, ER +, PR-, resembling histologically primary breast lesion
  • ||||||||||  Herceptin (trastuzumab) / Roche, Perjeta (pertuzumab) / Roche
    Trial completion date:  Paclitaxel + Trastuzumab + Pertuzumab as Pre-Op for Inflammatory BrCa (clinicaltrials.gov) -  Jul 28, 2023   
    P2,  N=23, Active, not recruiting, 
    Figure: (a)diffuse wall thickening of descending colon (b) coronal view, notable for gastric abutment of transverse colon (c) tissue sample demonstrating linear single-file cells, ER +, PR-, resembling histologically primary breast lesion Trial completion date: Mar 2023 --> Mar 2024
  • ||||||||||  Nerlynx (neratinib) / Puma, Knight Therap, Pierre Fabre
    Patient profiles treated with extended adjuvant neratinib in the early access registry study: NEAR study () -  Jul 27, 2023 - Abstract #ESMO2023ESMO_1903;    
    P
    In the neoadjuvant setting, most patients received trastuzumab + pertuzumab (58.7%) and trastuzumab (31.7%), whereas in the adjuvant setting, anti-HER2 treatment mainly consisted of trastuzumab (79.6%). Conclusions Patients treated in this EAP reflected the profile of patients who were expected to receive extended adjuvant neratinib during the observational period, which included the use of more recent (neo)adjuvant treatments.
  • ||||||||||  Kadcyla (ado-trastuzumab emtansine) / Roche, Perjeta (pertuzumab) / Roche
    Journal, Real-world evidence, Real-world, Metastases:  Real-world survival of Danish patients with HER2-positive metastatic breast cancer. (Pubmed Central) -  Jul 24, 2023   
    Patients receiving treatment according to guidelines had a significantly higher median OS compared to patients who did not. We also found that patients with ER-negative disease or high tumor burden had a significantly higher risk of developing brain metastases.