Re: breaking news from ASCO--new drug penetrates BBB , effectively combines w TDM1,is
donocco--according to today's lecture on neratinib it is a tyrosine kinase inhibitor which irreversibly prevents phosphorylation of her1 2 and 4 (her 3 does not have an active intracellular domain which requires phosphorylation for activation as the other 3 her receptors do)
The worst side effect was diarrhea which caused some to discontinue use in the first 1-2 months, but they later found a workaround , a medication which resolved the diarrhea problems when taken regularly and discontinuations have fallen off.
THE RESULTS REPORTED SEEMS PHENOMENAL ESPECIALLY as they were even better for FOR ER+HER2+,.a group which traditionally experiences less pCRs from her2blockade with monoconal antibodies or their combinations with or without chemo.
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