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How do you prioritize treatment in a lung cancer patient who has HER2 IHC3+ along with other actionable mutations that have tumor-specific drugs available?

Would you sequence tumor-specific treatments first? Where would you sequence non-targeted standard chemotherapy or immunotherapy?
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How would you prioritize treatment in NSCLC with HER2 IHC3+ and treated for another actionable mutation (e.g., EGFR, ALK, ROS1) in first line?

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3 Answers
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Medical Oncology · Mary Lanning Healthcare Morrison Cancer Center/University of Nebraska Medical Center Adjunct Faculty
Answered on · Updated on

Non-small cell lung cancer (NSCLC) can harbor different HER2 alterations: HER2 protein overexpression (2-35%), HER2 gene amplification (2-20%), and HER2 gene mutations (1-4%). Unlike breast or gastric cancer, HER2 protein overexpression in NSCLC is not a validated biomarker for first-line HER2-targe...

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Medical Oncology · MD Anderson Cancer Center
Answered on

For all cancers, it is important to balance the expected antitumor activity of agents with tumor-specific approvals as well as adverse event profiles to personalize treatment choice and sequence of therapies.

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Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Mary Lanning Healthcare Morrison Cancer Center/University of Nebraska Medical Center Adjunct Faculty
Answered on

Non-small cell lung cancer (NSCLC) can harbor different HER2 alterations: HER2 protein overexpression (2-35%), HER2 gene amplification (2-20%), and HER2 gene mutations (1-4%). Unlike breast or gastric cancer, HER2 protein overexpression in NSCLC is not a validated biomarker for first-line HER2-targe...

Join for free or sign in to see the full answer