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Dr. Susan Galbraith

👤 Person
331 total appearances

Appearances Over Time

Podcast Appearances

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

The debate really is about the safety profile of the two, because there are adverse events that come from the anthracycline containing regimen, which should determine some of those choices.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

So I think it's well established that it's an even efficacy bar, regardless of which regimen you choose.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

And then in terms of the safety profile, there are different safety events that you see with one regimen or the other.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

Comparing with either of those historical regimens in terms of the safety profile of INHER2 for the four cycles in Destiny Breast 11, I think the general feedback that we're getting is that it clearly seemed to be an overall better tolerated regimen than either of those two previous accepted regimens and with good

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

outcomes on not just the pathologic complete response rate, but as I say, that early trend to improvement in event-free survival, although it's immature and clearly not statistically significant at the current point, will start to be a robust status there.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

And again, I think people are looking at the overall

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

efficacy for INHER2 with the totality of data across the Destiny Breast 11 and the Destiny Breast 05 data set.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

So I don't think that anybody is feeling that there needs to be another study comparing with TCT-HB in order to make the decision as well.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

So just to be really clear, depending on which is what's called the preferred term that gets entered into the electronic data record, it could be either pneumonitis or ILD.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

Then there's an adjudication committee that determines whether or not, taking into account all of these, there's an expert committee that view whether this is a drug-related ILD event, but they're using that terminology.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

depending on either of the codings that are actually put in there.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

So the rate that we saw is an adjudicated rate.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

And again, in the DB11 data set was a lower rate actually that was seen on the control arm, you know, similar, but just numerically slightly lower.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

So, you know,

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

I don't think there's a major issue about splitting those two out.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

In terms of the long-term side effects, of course, there was one fatal event on both arms.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

You know, so that's the first one.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

Of the remaining events that were seen, the vast majority of these have fully resolved.

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

So, you know, I think, you know, again, with the four...

Vanguards of Health Care by Bloomberg Intelligence
Recapping ESMO, Inside AstraZeneca’s Bold Bet on Antibody Drug Conjugates

dose regimen, relatively short exposure in this early stage setting.