Neratinib and the Role of Anti‐HER2 Therapy in Salivary Duct Carcinoma

ABSTRACT Backgroud Salivary duct carcinoma (SDC) is a rare and aggressive malignancy with a generally dismal prognosis and no standard of care established, despite a known association with epidermal growth factor receptor 2 (HER2) and androgen receptor (AR) over‐expression. Case We report the case o...

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Main Authors: Martina Napolitano, Lucia Trudu, Enrica Martinelli, Chiara Santini, Massimo Dominici, Federica Bertolini
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Cancer Reports
Subjects:
Online Access:https://doi.org/10.1002/cnr2.70065
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author Martina Napolitano
Lucia Trudu
Enrica Martinelli
Chiara Santini
Massimo Dominici
Federica Bertolini
author_facet Martina Napolitano
Lucia Trudu
Enrica Martinelli
Chiara Santini
Massimo Dominici
Federica Bertolini
author_sort Martina Napolitano
collection DOAJ
description ABSTRACT Backgroud Salivary duct carcinoma (SDC) is a rare and aggressive malignancy with a generally dismal prognosis and no standard of care established, despite a known association with epidermal growth factor receptor 2 (HER2) and androgen receptor (AR) over‐expression. Case We report the case of a 64‐year‐old female with extra‐ and intracranial metastases of SDC with evidence of AR and HER2 overexpression. After progression on first line chemotherapy, was administered neratinib, a pan‐Erb2 receptor tyrosine kinase inhibitor. Even with central nervous system involvement at diagnosis, a durable clinical response was obtained with a PFS of 11 months and no significant toxicities to manage. Best response observed during tratment was partial response. Conclusions This case confirms the potential efficacy of neratinib in HER2‐positive SDC and underlines the need to define the best therapeutic sequence and potential biomarkers for these rare patients.
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spelling doaj-art-aa47aebe2fcb48acbd56af12d654fe5a2025-01-30T15:46:35ZengWileyCancer Reports2573-83482025-01-0181n/an/a10.1002/cnr2.70065Neratinib and the Role of Anti‐HER2 Therapy in Salivary Duct CarcinomaMartina Napolitano0Lucia Trudu1Enrica Martinelli2Chiara Santini3Massimo Dominici4Federica Bertolini5Department of Oncology and Hematology Azienda Ospedaliero‐Universitaria di Modena Modena ItalyDepartment of Oncology and Hematology Azienda Ospedaliero‐Universitaria di Modena Modena ItalyDepartment of Oncology and Hematology Azienda Ospedaliero‐Universitaria di Modena Modena ItalyAULSS7 Pedemontana—Unità Operativa Complessa di Oncologia ItalyDepartment of Oncology and Hematology Azienda Ospedaliero‐Universitaria di Modena Modena ItalyDepartment of Oncology and Hematology Azienda Ospedaliero‐Universitaria di Modena Modena ItalyABSTRACT Backgroud Salivary duct carcinoma (SDC) is a rare and aggressive malignancy with a generally dismal prognosis and no standard of care established, despite a known association with epidermal growth factor receptor 2 (HER2) and androgen receptor (AR) over‐expression. Case We report the case of a 64‐year‐old female with extra‐ and intracranial metastases of SDC with evidence of AR and HER2 overexpression. After progression on first line chemotherapy, was administered neratinib, a pan‐Erb2 receptor tyrosine kinase inhibitor. Even with central nervous system involvement at diagnosis, a durable clinical response was obtained with a PFS of 11 months and no significant toxicities to manage. Best response observed during tratment was partial response. Conclusions This case confirms the potential efficacy of neratinib in HER2‐positive SDC and underlines the need to define the best therapeutic sequence and potential biomarkers for these rare patients.https://doi.org/10.1002/cnr2.70065head and neckHER2 targeted therapyneratinibprecision medicinesalivary duct carcinoma
spellingShingle Martina Napolitano
Lucia Trudu
Enrica Martinelli
Chiara Santini
Massimo Dominici
Federica Bertolini
Neratinib and the Role of Anti‐HER2 Therapy in Salivary Duct Carcinoma
Cancer Reports
head and neck
HER2 targeted therapy
neratinib
precision medicine
salivary duct carcinoma
title Neratinib and the Role of Anti‐HER2 Therapy in Salivary Duct Carcinoma
title_full Neratinib and the Role of Anti‐HER2 Therapy in Salivary Duct Carcinoma
title_fullStr Neratinib and the Role of Anti‐HER2 Therapy in Salivary Duct Carcinoma
title_full_unstemmed Neratinib and the Role of Anti‐HER2 Therapy in Salivary Duct Carcinoma
title_short Neratinib and the Role of Anti‐HER2 Therapy in Salivary Duct Carcinoma
title_sort neratinib and the role of anti her2 therapy in salivary duct carcinoma
topic head and neck
HER2 targeted therapy
neratinib
precision medicine
salivary duct carcinoma
url https://doi.org/10.1002/cnr2.70065
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AT luciatrudu neratinibandtheroleofantiher2therapyinsalivaryductcarcinoma
AT enricamartinelli neratinibandtheroleofantiher2therapyinsalivaryductcarcinoma
AT chiarasantini neratinibandtheroleofantiher2therapyinsalivaryductcarcinoma
AT massimodominici neratinibandtheroleofantiher2therapyinsalivaryductcarcinoma
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