PMID- 38336982 OWN - NLM STAT- Publisher LR - 20240209 IS - 1699-3055 (Electronic) IS - 1699-048X (Linking) DP - 2024 Feb 9 TI - Safety profile of trastuzumab deruxtecan in advanced breast cancer: Expert opinion on adverse event management. LID - 10.1007/s12094-024-03383-x [doi] AB - Trastuzumab deruxtecan (T-DXd) is an antibody-drug conjugate that targets human epidermal growth factor receptor 2 (HER2) and has shown promising results in the treatment of advanced/metastatic breast cancer. The objective of this report is to provide guidance on the prophylaxis, monitoring, and management of adverse events (AEs) in patients with breast cancer treated with T-DXd, and to emphasize that proper management of AEs is needed to optimize the effectiveness of T-DXd treatment and reduce the number of discontinuations. The article covers various aspects of T-DXd treatment, including its clinical efficacy, safety profile, and dosing considerations, and provides practical recommendations for managing AEs, such as nausea/vomiting, interstitial lung disease, and hematologic toxicity. Although there are still many knowledge gaps about the cause and incidence of AEs in real-world patients, this document may serve as a valuable resource for clinicians who are involved in the care of breast cancer patients receiving T-DXd treatment. CI - (c) 2024. The Author(s). FAU - Ciruelos, Eva AU - Ciruelos E AD - Medical Oncology Unit, Hospital 12 de Octubre, Madrid, Spain. FAU - Garcia-Saenz, Jose Angel AU - Garcia-Saenz JA AD - Medical Oncology Unit, Hospital Clinico San Carlos, Madrid, Spain. FAU - Gavila, Joaquin AU - Gavila J AD - Medical Oncology Unit, Fundacion Instituto Valenciano de Oncologia, Valencia, Spain. FAU - Martin, Miguel AU - Martin M AD - Medical Oncology Unit, Hospital Gregorio Maranon, Madrid, Spain. FAU - Rodriguez, Cesar A AU - Rodriguez CA AD - Medical Oncology Unit, Hospital Universitario de Salamanca-IBSAL, Salamanca, Spain. FAU - Rodriguez-Lescure, Alvaro AU - Rodriguez-Lescure A AUID- ORCID: 0000-0002-6823-5290 AD - Medical Oncology Unit, Hospital General Universitario de Elche, Alicante, Spain. alescure@geicam.org. LA - eng GR - Funding of the writing of the manuscript/Daiichi Sankyo and AstraZeneca/ PT - Journal Article PT - Review DEP - 20240209 PL - Italy TA - Clin Transl Oncol JT - Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico JID - 101247119 SB - IM OTO - NOTNLM OT - Adverse event management OT - Breast cancer OT - HER2 OT - Trastuzumab deruxtecan EDAT- 2024/02/10 10:51 MHDA- 2024/02/10 10:51 CRDT- 2024/02/09 23:57 PHST- 2023/10/09 00:00 [received] PHST- 2024/01/04 00:00 [accepted] PHST- 2024/02/10 10:51 [medline] PHST- 2024/02/10 10:51 [pubmed] PHST- 2024/02/09 23:57 [entrez] AID - 10.1007/s12094-024-03383-x [pii] AID - 10.1007/s12094-024-03383-x [doi] PST - aheadofprint SO - Clin Transl Oncol. 2024 Feb 9. doi: 10.1007/s12094-024-03383-x.