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. 2023 Jun 19;28(9):e843–e846. doi: 10.1093/oncolo/oyad185

Table 1.

Patient characteristics, treatment detail, and dose modifications for thrombocytopenia.

Age & gender Race Breast cancer subtype Agent Line of therapy Delays Dose reductions Cycle of 1st reduction for TCP Cycle of 2nd reduction for TCP Platelet nadir Met CIT criteria*
57F White ER-/PR-/HER2 3+ T-DM1 2nd line metastatic 0 2 6 8 52 yes
53F White ER-/PR-/HER2 2 + (ISH+) T-DXd 3rd line metastatic 0 1 1 N/A 91 no**
36F Asian ER+/PR+/HER2 3+ T-DXd 4th line metastatic 3 3 5 10 24 yes
57F White ER+/PR-/HER2 3+ T-DM1 2nd line metastatic 0 1 18 N/A 50 yes
58F White ER-/PR-/HER2 3+ T-DXd 3rd line metastatic 1 2 7 21 57 yes
80F White ER-/PR-/HER2 3+ T-DM1 Adjuvant 2 2 4 6 50 yes

*Chemotherapy-induced thrombocytopenia (CIT) criteria: platelet count < 100 000/mcL for ≥ 3 weeks following last antibody-drug conjugate administration.

**1 individual did not meet CIT criteria while on T-DXd; however, the individual had disease progression on dose-reduced and dose-delayed T-DM1, and the reason for therapy delays and reductions was thrombocytopenia and the clinician made decision to dose-reduce the next line of therapy, T-DXd, as a result.

Abbreviations: TCP, thrombocytopenia; F, female; ER, estrogen receptor; PR, progesterone receptor; HER2, human epidermal growth factor receptor 2; 2+, 2 + by immunohistochemistry; 3+, 3 + by immunohistochemistry; ISH, in situ hybridization; T-DM1, trastuzumab emtansine; T-DXd, trastuzumab deruxtecan.