Table 1 Patient demographics.

From: Efficacy and safety of trastuzumab deruxtecan in HER2-positive breast cancer patients with brain metastases after failure of pyrotinib-based therapy

Characteristic

No. (%) (N = 15)

Age (years)

 Median (range)

51 (32–66)

ECOG performance status

 0

2 (13.3%)

 1

8 (53.3%)

 2

3 (20.0%)

 3

2 (13.3%)

Hormone receptor status

 ER/PR positive

5 (33.3%)

 ER and PR negative

10 (66.7%)

HER2 status

 IHC 3 + 

14 (93.3%)

 IHC 2 + /ISH + 

1 (6.7%)

Extracranial metastases

14 (93.3%)

Patients with target lesion*

 With intracranial target lesion

9 (60.0%)

 With extracranial target lesion

14 (93.3%)

 With intracranial or extracranial target lesion

15 (100%)

Number of metastasis sites

 1

1 (6.7%)

 2

0 (0.0%)

 ≥ 3

14 (93.3%)

Metastasis sites

 Bone

11 (73.3%)

 Liver

9 (60.0%)

 Lung

10 (66.7%)

 Brain

15 (100%)

Brain metastases status

 Active

9 (60.0%)

 Stable

6 (40.0%)

Time from breast cancer diagnosis to brain metastases (months)

 Median (range)

41.0 (4.6–88.9)

Time from metastases breast cancer diagnosis to brain metastases (months)

 Median (range)

19.2 (0–69.6)

Symptoms of brain metastases

 Yes

6 (40.0%)

 No

9 (60.0%)

Prior local therapy for brain metastases

 Stereotactic radiotherapy

4 (26.7%)

 Whole-brain radiation therapy

5 (33.3%)

 Whole-brain radiation therapy and stereotactic radiotherapy

2 (13.3%)

 Surgery and stereotactic radiotherapy

2 (13.3%)

 None

2 (13.3%)

Time from last local brain treatment to enrollment (months)

 Median (range)

8.1 (1.1–36.8)

Previous anti-HER2 therapy

 Trastuzumab

15 (100%)

 Pertuzumab

13 (86.7%)

 T-DM1

9 (60.0%)

 Pyrotinib

15 (100%)

Anti-HER2 therapy after brain metastases

 Trastuzumab

13 (86.7%)

 Pertuzumab

11 (73.3%)

 T-DM1

5 (33.3%)

 Pyrotinib

8 (53.3%)

Lines of previous anti-HER2 therapy in the metastatic setting

 Median (range)

5(2–9)

 2

2 (13.3%)

 ≥ 3

13 (86.7%)

Lines of previous chemotherapy in the metastatic setting

 Median (range)

5 (2–11)

 2

2 (13.3%)

 ≥ 3

13 (86.7%)

Number of treatment lines from the time of brain metastases diagnosis to enrollment

 Median (range)

2 (0–5)

 0

1 (6.7%)

 1

3 (20.0%)

 ≥ 2

11 (73.3%)

Lines of previous systemic therapy in the metastatic setting

 Median (range)

6 (2–11)

 2

1 (6.7%)

 ≥ 3

14 (93.3%)

  1. ECOG, Eastern Cooperative Oncology Group; ER, estrogen receptor; PR, progesterone receptor; HER2, human epidermal growth factor receptor 2; IHC, immunohistochemistry; ISH, in situ hybridization; T-DXd, trastuzumab deruxtecan; MBC, metastatic breast cancer.
  2. *Target lesion: measurable lesion according to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1