Release Date: April 30, 2024
Expiration Date: April 30, 2025
Activity Overview
For patients with HR+/HER2- early-stage breast cancer (eBC), endocrine therapy represents the mainstay of adjuvant therapy. Options for higher risk disease historically included adjuvant chemotherapy, and/or extending endocrine therapy from 5 to 10 years. However, in recent years, options for high-risk patients have expanded to include CDK4/6 inhibitors, and PARP inhibitors for patients with germline BRCA1/2 mutations. Additional approaches, such as immune checkpoint inhibitors and antibody-drug conjugates, are also being explored.
This Community Practice Connection™ program provides an in-depth review of some of the key highlights from the Medical Crossfire®: Leveraging Multidisciplinary Teams in an Evolving Treatment Landscape for Early Stage HR+, HER2- Breast Cancer symposium, held in March 2024. This unique and engaging multimedia activity is ideal for the community-based clinician and focuses on the practical aspects of managing patients with HR+/HER2- eBC, putting recent clinical trial data into clinical context. The program is designed for those who did not attend the live meeting and to help reinforce learnings for those who did.
Target Audience
This educational activity is directed toward physicians and other health care professionals involved in the treatment of breast cancer.
Learning Objectives
Upon successful completion of this activity, you should be better prepared to:
- Integrate biomarkers to assess recurrence risk and develop multidisciplinary treatment plans for patients with early-stage HR+/HER2- breast cancer
- Assess emerging data from clinical trials investigating systemic therapies for patients with early-stage HR+, HER2- breast cancer and the placement of therapies into evolving treatment paradigms
- Integrate recent evidence from clinical trials of systemic therapies, along with expert guidelines, into multidisciplinary treatment planning for individual
- Develop plans to optimize outcomes and improve patient quality of life by mitigating, monitoring for, and managing adverse events in patients undergoing treatment for early-stage HR+, HER2-breast cancer

Joyce O’Shaughnessy, MD
Celebrating Women Chair in Breast Cancer Research
Baylor University Medical Center
Director, Breast Cancer Research Program
Texas Oncology
US Oncology
Dallas, TX
Disclosures: Grant/Research Support: AbbVie; Agendia, Inc; Amgen; Aptitude Health; AstraZeneca; Bayer; Bristol Myers Squibb; Celgene; Clovis Oncology; Daiichi Sankyo; Eisai Co; G1 Therapeutics, Inc; Genentech; Gilead Sciences, Inc; GRAIL; Halozyme Therapeutics, Inc; Heron Therapeutics, Inc; Immunomedics; Ipsen; Lilly; Merck; Myriad Genetics, Inc; Nektar Therapeutics; Novartis; Ontada; Pfizer Inc; Pharmacyclics; Pierre Fabre Laboratories; PRIME; Puma Biotechnology, Inc; Roche; Samsung Bioepis; Sanofi; Seagen Inc; Syndax Pharmaceuticals; Synthon; Taiho Oncology, Inc; Takeda.

Michael Alvarado, MD
Professor of Clinical Surgery
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, CA
Disclosures: Michael Alvarado, MD, has no relevant financial relationships with ineligible companies.

Heather McArthur, MD, MPH
Associate Professor, Department of Internal Medicine
Clinical Director, Breast Cancer Program
Simmons Cancer Center
UT Southwestern Medical Center
Dallas, TX
Disclosures: Grant/Research Support: Investigator-initiated trial research support from: Bristol Myers Squibb; BTG/Boston Scientific; Merck Grant support from: ASCO/Conquer Cancer Foundation; Breast Cancer Research Foundation Susan G. Komen; US Department of Defense. Consultant: AstraZeneca; Bristol Myers Squibb; Crown Bioscience; Daiichi Sankyo; Gilead Sciences, Inc; Merck; Novartis; Pfizer Inc; Puma Biotechnology, Inc; Seagen Inc.

Debu Tripathy, MD
Professor and Chair
Department of Breast Medical Oncology, Division of Cancer Medicine
The University of Texas MD Anderson Cancer Center
Houston, TX
Disclosures: Grant/Research: Clinical trial support (paid to institution): Ambrx Biopharma, Inc; Novartis; Pfizer Inc; Tvardi Therapeutics, Inc. Consultant: Ambrx Biopharma, Inc; Gilead Sciences, Inc; Menarini Group; Novartis; Personalis, Inc; Pfizer Inc; Puma Biotechnology, Inc; Roche; Sermonix Pharmaceuticals, Inc.
The staff of Physicians’ Education Resource, LLC, have no relevant financial relationships with ineligible companies.
PER® mitigated all COI for faculty, staff, and planners prior to the start of this activity by using a multistep process.
Off-Label Disclosure and Disclaimer
This activity may or may not discuss investigational, unapproved, or off-label use of drugs. Learners are advised to consult prescribing information for any products discussed. The information provided in this accredited activity is for continuing education purposes only and is not meant to substitute for the independent clinical judgment of a health care professional relative to diagnostic, treatment, or management options for a specific patient’s medical condition. The opinions expressed in the content are solely those of the individual faculty members and do not reflect those of PER® or any company that provided commercial support for this activity.

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