Izalontamab Brengitecan in Heavily Pretreated HR+/HER2- Breast Cancer: Insights from the PANKU-Breast01 Phase 3 Trial in China

Highlights

  • Izalontamab brengitecan (iza-bren), a bispecific antibody-drug conjugate targeting EGFR and HER3 with a topoisomerase I inhibitor payload, showed significant progression-free survival (PFS) improvement over standard chemotherapy in heavily pretreated HR+/HER2- breast cancer.
  • The PANKU-Breast01 trial conducted exclusively in China offers important regional clinical evidence in a population with limited treatment options after endocrine therapy, CDK4/6 inhibitors, and chemotherapy.
  • Hematological toxicities were the predominant adverse events with iza-bren, underscoring the need for supportive care strategies focusing on platelet management.
  • Overall survival data remain immature; future global studies may elucidate long-term benefits and inform earlier line use in HER2-negative breast cancer.

Background

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