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Josh Drago, MD, MS

@joshdragomd.bsky.social
274 followers 76 following 7 posts

Breast Cancer Specialist Clinical and Translational Investigator Memorial Sloan Kettering Cancer Center

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Josh Drago, MD, MS @joshdragomd.bsky.social · 10/11/2025
In this manuscript, online today in Cancer Discovery, we investigate target-mediated resistance to ADCs, and propose ways to overcome it. aacrjournals.org/cancerdiscov...
aacrjournals.org
Trastuzumab Deruxtecan (T-DXd) Resistance via Loss of HER2 Expression and Binding
Abstract. T-DXd is clinically beneficial in HER2 positive and HER2 low metastatic breast cancer. However, therapeutic resistance emerges over time in most patients, with poorly defined resistance mech...
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Reposted by Josh Drago, MD, MS
Sarat Chandarlapaty @saratchandarlapaty.bsky.social · 16/05/2025
Published online today - work from our team led by Avantika Gupta, revealing how APOBEC3 mutagenesis promotes resistance to several targeted therapies in breast cancer. Check it out! urldefense.com/v3/__https:/...
urldefense.com
APOBEC3 mutagenesis drives therapy resistance in breast cancer
Nature Genetics - Analysis of a large cohort of metastatic breast cancer samples shows that APOBEC mutational signatures are enriched in post-treatment samples. APOBEC activity was also associated...
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Reposted by Josh Drago, MD, MS
Sarat Chandarlapaty @saratchandarlapaty.bsky.social · 12/12/2024
Fantastic presentation #SABCS by @avantikagupta.bsky.social on apobec3 in breast cancer. Demonstrating the role of this process in promoting therapy resistance.
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Reposted by Josh Drago, MD, MS
Sarah Sammons MD @drsarahsammons.bsky.social · 09/12/2024
RSclin for node positive ER+ patients is validated! I hope it’s available to use soon. Always helpful to have tools to estimate recurrence and chemo benefit in these hard conversations with patients! ascopubs.org/doi/10.1200/...
ascopubs.org
Development and Validation of the RSClinN+ Tool to Predict Prognosis and Chemotherapy Benefit for Hormone Receptor–Positive, Node-Positive Breast Cancer
PURPOSEClinicopathological factors and the 21-gene Oncotype DX Breast Recurrence Score (RS) test both influence prognosis. Our goal was to develop a new tool, RSClinN+, to individualize recurrence ris...
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Reposted by Josh Drago, MD, MS
Tatiana Prowell, MD @tmprowell.bsky.social · 12/11/2024
NEW #Oncology: EGFR expression mediates resistance to T-DXd (EGFR overexpression ⬇️ HER2 homodimerization & HER2/ADC internalization) Combining with EGFR mAbs restored HER2/ADC trafficking & ⬆️ activity in nonclinical models #DrugDevelopment #OncoSky www.cell.com/cell-reports...
cell.com
EGFR-directed antibodies promote HER2 ADC internalization and efficacy
Gupta et al. demonstrate that high EGFR expression mediates resistance to HER2 antibody drug conjugates (ADCs) including trastuzumab deruxtecan (T-DXd) by limiting HER2/ADC internalization. The additi...
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