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Aleix Prat: The prospective real-world clinical impact of HER2DX
Mar 11, 2025, 06:08

Aleix Prat: The prospective real-world clinical impact of HER2DX

Aleix Prat, Director of the Clinic Barcelona Comprehensive Cancer Center, shared a post on LinkedIn about recent paper by Olga Martínez-Sáez et al., titled “Clinical decision impact of HER2DX, an algorithm-powered genomic diagnostic in early-stage HER2-positive breast cancer: results from a prospective real-world study” published on ESMO Real World Data and Digital Oncology.

Authors: O. Martínez-Sáez, M. Tapia, M. Marín-Aguilera, E. Hernández-Illán, C. Tébar, A.I. Martinez-Puchol, P. Jares, S. Marín-Liébana, A. Magro, J.A. Puig-Butille, L. Palomar, E. Sanfeliu, M.T. Martinez, M.V. Losada, C. Hernando, B. Adamo, V. Iranzo, T. Pascual, A. Pouptsis, F. Schettini, A. Santaballa, B. Conte, M.D. Torregrosa, F. Brasó-Maristany, B. Walbaum, R. Gómez-Bravo, O. Burgués, I.G. Fructuoso, I. Garrido-Cano, E. Seguí, L. Paré, M. Muñoz, E. Carcelero, J. Sànchez, P. Villagrasa-González, W. Buckingham, A. Prat, G. Villacampa, N. Chic, P. Rivera, A. Rezqallah, C. Saura, S. Escrivà, B. Bermejo, A. Lluch, A. Llombart, J.M. Cejalvo

Aleix Prat: The prospective real-world clinical impact of HER2DX

“New Publication Alert!

Excited to share our latest study published in ESMO Real World Data and Digital Oncology, where we assessed, for the very first time, the prospective real-world clinical impact of HER2DX, a genomic test designed to predict recurrence risk and pathological complete response (pCR) likelihood in 297 patients with early-stage HER2+ breast cancer.

Led by Olga Martínez Sáez, Juan Miguel Cejalvo Andújar, Antonio Llombart Cussac, this study has been conducted across 12 spanish hospitals and have participated 34 medical oncologists.

Key Findings:

  • HER2DX led to treatment modifications in nearly 50% of cases, primarily enabling treatment de-escalation.
  • The pCR likelihood score was a strong predictor of pCR outcomes, beyond HR status.
  • Patients with HER2DX pCR-high disease had similar pCR rates with paclitaxel + dual anti-HER2 blockade as with multi-agent chemotherapy, supporting de-escalation in selected patients.
  • Physician confidence in treatment decisions significantly increased after using HER2DX.
  • Healthcare costs were reduced by optimizing therapy intensity and minimizing unnecessary treatments.

This study reinforces the clinical utility of HER2DX in guiding personalized treatment decisions, improving patient care, and optimizing healthcare resources.

Read the press release here.”