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Expert Interview

Slingshot members are talking to an expert! The topic is:

Evaluating the Phase 3 VERITAC-2 Trial Results for Vepdegestrant (ARV-471) in ER+/HER2- Breast Cancer from Arvinas and Pfizer

Ticker(s): ARVN, PFE

Who's the expert?

A medical oncologist specializing in breast cancer, particularly in endocrine-resistant ER+/HER2- disease. The expert should have experience with targeted therapies, clinical trials, and the emerging role of protein degradation technologies in oncology.

Interview Questions
Q1.

The VERITAC-2 trial met its primary endpoint, showing a statistically significant improvement in PFS for patients with ESR1 mutations. How meaningful is this finding in the context of current treatment options for ER+/HER2- metastatic breast cancer?

Added By: slingshot_insights
Q2.

Vepdegestrant is the first PROTAC degrader to demonstrate clinical benefit in a Phase 3 trial. What makes PROTAC technology different from traditional endocrine therapies, and how could this approach reshape the future of breast cancer treatment?

Added By: slingshot_insights
Q3.

Endocrine resistance is a major challenge in treating ER+ metastatic breast cancer, with ESR1 mutations playing a key role. How does vepdegestrant address this resistance compared to existing selective estrogen receptor degraders (SERDs) like fulvestrant?

Added By: slingshot_insights
Q4.

The trial compared vepdegestrant to fulvestrant, a widely used SERD. How do the efficacy and safety data from VERITAC-2 compare, and could vepdegestrant become the preferred option for patients in this setting?

Added By: slingshot_insights
Q5.

At the time of analysis, overall survival data were immature. Given the importance of OS in regulatory and clinical decision-making, what would you like to see in future analyses to confirm vepdegestrant’s long-term benefit?

Added By: slingshot_insights
Q6.

With these results, Arvinas and Pfizer plan to share data with global regulatory agencies. What are the key considerations for regulatory approval, and could vepdegestrant receive an accelerated review based on its Fast Track designation?

Added By: slingshot_insights
Q7.

Vepdegestrant is also being explored in combination with CDK4/6 inhibitors and other targeted agents. How might it fit into a broader treatment strategy for ER+/HER2- breast cancer, particularly in earlier-line settings?

Added By: slingshot_insights
Q8.

This is the first Phase 3 success for a PROTAC degrader in oncology. Do you see this as a validation of the PROTAC platform, and could this technology be applied to other tumor types with challenging targets?

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