Cardiovascular Toxicity of Novel HER2-Targeted Therapies in the Treatment of Breast Cancer

Susan F. Dent, Amber Morse, Sarah Burnette, Avirup Guha, Heather Moore

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Purpose of Review: HER2-targeted therapies have led to improved clinical outcomes in early and advanced breast cancer (BC). We review the long-term cardiotoxicity of HER2-targeted therapy in early and advanced BC, our current knowledge of cardiotoxicity of novel HER2-targeted therapies, and propose a cardiac monitoring (CM) strategy for this population. Recent Findings: Long-term data from studies with HER2-targeted therapy in the adjuvant setting have failed to demonstrate an increase in cardiotoxicity over time, and rates of cardiotoxicity seen with novel HER2 agents remain low. Despite over a decade of experience with HER2-targeted therapy, CM in clinical practice is inconsistent in patients with early BC and almost non-existent in advanced BC. Summary: Long-term follow-up of clinical trials with HER2-targeted agents in early and advanced BC has failed to demonstrate increased rates of cardiotoxicity over time, attesting to the long-term safety of this class of drugs for the majority of patients, although the long-term cardiac safety of newer HER2 agents in the non-clinical trial setting is largely unknown. We propose CM incorporating clinical history, cardiac imaging, and biomarkers.
Original languageEnglish (US)
JournalCurrent Oncology Reports
Volume23
Issue number11
DOIs
StatePublished - Nov 1 2021

Keywords

  • Breast cancer
  • Cardiac monitoring
  • Cardiotoxicity
  • Novel HER2 agents

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