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Concomitant radiation therapy and trastuzumab deruxtecan in metastatic breast cancer : feasibility, safety, and outcomes from a real-life multicentre international cohortVisani, Luca ...Background and purpose: Radiation therapy (RT) remains a cornerstone of management for metastatic breast cancer (mBC), though systemic therapy drives overall disease control. Administering RT ... concomitantly with systemic treatment may raise concerns regarding toxicity. This multicentre retrospective study evaluated the safety of trastuzumab deruxtecan (T-DXd), an antibody–drug conjugate, when delivered alongside RT. Materials and methods: Data from six European centres were analysed. Concomitancy was defined as RT administered during T-DXd or within 10 days of a treatment cycle. The primary endpoint was the incidence of grade ≥3 adverse events (AEs). Exploratory endpoints included progression-free survival (PFS) and overall survival (OS). Results: A total of 147 patients were included; 67 received concomitant RT (71 courses) and 80 received T-DXd alone. Median age was 49 years (range 25–85). The central nervous system was the most frequent RT site (54.9 %). Grade ≥3 AEs occurred in 24 patients (16.3 %), with no significant difference between RT and no-RT cohorts (11.9 % vs 20.0 %; p = 0.30). Permanent T-DXd discontinuation due to toxicity occurred in 19 patients (12.9 %), with similar rates in the RT and no-RT groups (11.9 % vs 13.8 %). One case of symptomatic radionecrosis was observed after intracranial RT. Exploratory analyses showed no adverse effect of concomitant RT on PFS or OSVir: The Breast. - ISSN 0960-9776 (Vol. 85, Feb. 2026, str. 104691-1-104691-7)Vrsta gradiva - članek, sestavni del ; neleposlovje za odrasleLeto - 2026Jezik - angleškiCOBISS.SI-ID - 264285955
Avtor
Visani, Luca |
Ratoša, Ivica |
Bartsch, Rupert |
Linderholm, Barbro |
Griguolo, Gaia |
Saieva, Calogero |
Becherini, Charlotta |
Valzano, Marianna |
Salvestrini, Viola |
Kus, Peter, 1997- |
Ribnikar, Domen
Teme
metatstatski rak dojke |
trastuzumab deruxtecan |
radioterapija |
metastatic breast cancer |
trastuzumab deruxtecan |
radiotherapy
Vnos na polico
Trajna povezava
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| Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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| Visani, Luca | ![]() |
| Ratoša, Ivica | 34883 |
| Bartsch, Rupert | ![]() |
| Linderholm, Barbro | ![]() |
| Griguolo, Gaia | ![]() |
| Saieva, Calogero | ![]() |
| Becherini, Charlotta | ![]() |
| Valzano, Marianna | ![]() |
| Salvestrini, Viola | ![]() |
| Kus, Peter, 1997- | ![]() |
| Ribnikar, Domen | 36202 |
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