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Updated: May 4, 2026

Validated Immunochemical Assay for Comprehensive Determination of the Human Epidermal Growth Factor Receptor 2 Released from and Bound to Cells
Published on: May 9, 2025
Updates on the treatment of human epidermal growth factor receptor type 2-positive breast cancer
Miriam Kim1, Surbhi Agarwal, Debu Tripathy
1aUniversity of Southern California bKeck School of Medicine cUSC/Norris Comprehensive Cancer and Department of Medicine, Los Angeles, California, USA.
Purpose Of Review:
To review the most recent developments in the treatment of human epidermal growth factor receptor type 2 (HER2)-positive breast cancer with novel HER2-targeting agents and combinations that have significantly improved clinical outcomes.
Recent Findings:
Since the approval of trastuzumab 15 years ago, the natural history of HER2-positive breast cancer has been altered with improvements in survival for both early and advanced disease with the addition of this agent to standard chemotherapy. The HER2 receptor pathway drives breast cancer growth and aggressiveness, and HER2-targeted agents can improve survival in early and advanced disease. In the advanced setting, two new drugs have been approved since 2012, pertuzumab and ado-trastuzumab emtansine (T-DM1), both of which improve survival without any reciprocal increase in toxicity. However, resistance almost always ensues, pointing to the need to understand the driving mechanisms and to biomarkers that will help individualize therapy and point to newer signal transduction and other modulators.
Summary:
HER2-positive breast cancer represents a distinct subtype with more aggressive clinical characteristics. HER2-targeted therapies, usually in combination with chemotherapy, are the standard of care, improving the cure rate in early-stage breast cancer and lengthening survival in the advanced setting.
Insights
Novel HER2-targeting agents have significantly improved survival for HER2-positive breast cancer. These advancements offer better outcomes in both early and advanced stages, though resistance remains a challenge.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- HER2-positive breast cancer is an aggressive subtype.
- The HER2 receptor pathway is a key driver of tumor growth and aggressiveness.
- Trastuzumab has previously altered the natural history of this disease.
Purpose of the Study:
- To review recent developments in HER2-positive breast cancer treatment.
- To focus on novel HER2-targeting agents and combinations.
- To highlight improvements in clinical outcomes.
Main Methods:
- Review of recent clinical studies and approvals.
- Analysis of survival data with new HER2-targeted agents.
- Examination of resistance mechanisms and biomarkers.
Main Results:
- New agents like pertuzumab and ado-trastuzumab emtansine (T-DM1) improve survival in advanced HER2-positive breast cancer.
- These agents demonstrate improved survival without increased toxicity.
- Resistance to HER2-targeted therapies is a significant clinical challenge.
Conclusions:
- HER2-targeted therapies, often combined with chemotherapy, are standard of care.
- These treatments improve cure rates in early-stage disease and prolong survival in advanced disease.
- Understanding resistance mechanisms is crucial for individualizing future therapies.
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