Managed Care Considerations in the Treatment of HER2-Positive Advanced Breast Cancer: A Closer Look at Recent Advances for Improved Patient Outcomes

A continuing medical education activity provided by NAMCP and AAMCN

This activity is an archive from the live session from the 2023 Spring Managed Care Forum. If you participated in the live session, you are not eligible for continuing education credits from this archive.

This activity is valid from June 1, 2023 to August 1, 2024
 

Instructions for CME/NCPD: Complete the pre-test, listen to the audio and view the slides, complete the post test, complete the evaluation form and hit submit. You will be asked to enter your name and email address on the pre-test, evaluation and post-test. If you close your internet browser without completing the post test, you will have ONE more opportunity to complete. A score of 70% must be achieved on the post test to receive continuing education credits. If you do not pass the post test after two attempts, you will not be eligible to try again. Once you complete the evaluation form and score 70% or higher on your post test, you will automatically be given your certificate.

To print or save your certificate, you will need to click on the “download” button and either print or save.

 

Audience: This activity is intended for healthcare professionals practicing in managed care environments.

This activity is supported by educational grants from
AstraZeneca, Daiichi Sankyo, and Seagen

Description:
Breast Cancer is the most common cancer found in women, regardless of race or ethnicity. According to the American Cancer Society, there were an estimated 281,550 new cases of invasive breast cancer in women in the United States during 2022. The incidence in women in the United States is 1 in 8 (about 12 percent). About 46,600 women were expected to die from breast cancer last year, though death rates have been steadily decreasing over the past 20 years due to new and ever improving treatment options. However, in the later stages of disease, when distant metastases are present, cure becomes less likely, and few patients are rendered free of disease. Therapy in the advanced, metastatic setting then focuses on prolonging life and managing disease-and treatment-related adverse events. There is no single treatment strategy that will work for all patients with metastatic breast cancer (MBC). Instead, treatment selection must be individualized based upon patient- and tumor-specific factors, as well as safety and efficacy profile of available agents, with an emphasis on the combined goals of tumor control, prolonged survival, and maintenance of patient quality of life. Fortunately for patients with advanced breast cancer, several new agents, including small molecule tyrosine kinase inhibitors (TKI), have recently been approved, especially in HER2-positive disease and brain metastases. They have shown the ability to improve safety and efficacy outcomes in the approximately 40% of patients living with HER2-positive advanced breast cancer. With these now available for the treatment of metastatic breast cancer, it is critical to provide medical directors, oncologists, practicing physicians and others on the interprofessional management team with updated clinical data and strategies on these new therapies the changing treatment paradigm, with the ultimate goal of improving patient outcomes.

Upon completion of this activity, participants will be able to:

  • Discuss the clinical and economic burden of HER2-positive breast cancer in terms of relative survival, mortality, drug utilization, adverse event management, and hospitalizations

  • Evaluate efficacy and safety data from practice-changing clinical trials for patients with HER2-positive advanced breast cancer and the impact on evolving treatment standards

  • Assess the role of HER2-directed antibody-drug conjugates and tyrosine kinase inhibitors in the treatment of patients with HER2-positive advanced breast cancer and those with brain metastases

  • Examine recent updates for patients who express low levels of HER2 who were traditionally unable to receive HER2-directed therapies

  • Analyze strategies for anticipating, recognizing, and managing adverse events of new and emerging therapies, including antibody-drug conjugates and tyrosine kinase inhibitors, in HER2-positive advanced breast cancer

  • Identify the role of managed care in the evolving approach to diagnosing and treating HER2-positive and HER2-low breast cancer

     

Faculty: Shanu Modi, MD
Member and Attending
Breast Medicine Service
Memorial Sloan Kettering Cancer Center
Professor of Medicine
Weill Cornell Medical College

Disclosure:

(Relevant Financial Relationships with Ineligible Companies in the Last 24 Months):
Dr. Modi has served on an advisory board for AstraZeneca, Daiichi Sankyo, Genentech, Gilead, Macrogenics, and Seagen. She has served as a consultant for AstraZeneca, Daiichi Sankyo, Genentech, Gilead, and Seagen. She has received grant/research support from AstraZeneca, Daiichi Sankyo, Genentech, and Seagen. She has served as a speaker for AstraZeneca, Daiichi Sankyo, and Seagen. Her presentation has been reviewed for any bias.
Planning Committee: Bill Williams, MD has no relevant financial relationships with an ineligible company in the last 24 months to disclose.

Jeremy Williams has no relevant financial relationships with an ineligible company in the last 24 months to disclose.

Jacqueline Cole, RN, MS, CMCN has no relevant financial relationships with an ineligible company in the last 24 months to disclose.

NAMCP and/or the presenter has copyright or has received permissions for use of materials provided in this activity.

Accreditation & Designation
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the National Association of Managed Care Physicians (NAMCP) and American Association of Managed Care Nurses (AAMCN). The National Association of Managed Care Physicians is accredited by the ACCME to provide continuing medical education for physicians.

NAMCP designates this enduring material for a maximum of 1 AMA PRA Category 1 credit(s)TM. Each
physician should claim credit commensurate with the extent of their participation in the activity.

The American Association of Managed Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Nurses who complete this activity and achieve a passing score will receive 1 hour in nursing continuing professional development.

This activity has been approved by the American Board of Managed Care Nursing for 1.0 contact hours toward CMCN recertification requirements.

This activity is supported by educational grants from
AstraZeneca, Daiichi Sankyo, and Seagen


NAMCP and/or this website does not provide medical advice, diagnosis or treatment. NAMCP does not endorse or imply endorsement of the content on any linked website. This website is to be used as an informational resource. With any health related concern, consult with your physician or healthcare professional.

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