Explore the latest findings from the KATHERINE, PATINA, and HER2CLIMB-05 trials, highlighting advancements and challenges in breast cancer treatment.
The KATHERINE trial evaluated patients with early HER2-positive breast cancer who had residual disease after neoadjuvant therapy, comparing adjuvant T-DM1 with trastuzumab and demonstrating a marked reduction in recurrence risk. In the metastatic setting, HER2CLIMB-05 is assessing the addition of a CDK4/6 inhibitor to standard HER2-directed therapy, while PATINA examined a maintenance strategy that combines anti-estrogen therapy, dual HER2 blockade, and CDK4/6 inhibition for HER2+/HR+ disease. Together, these trials explore ways to deepen response and prolong disease control across settings. Their strengths include clear patient selection, rational treatment escalation, and clinically meaningful endpoints. Limitations include evolving standards of care, heterogeneous prior therapies, and questions around long-term tolerability and sequencing. Overall, these studies provide important insights that help refine tailored treatment strategies for HER2-positive breast cancer.