Table 1.
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.