  {"id":226853,"date":"2025-12-12T15:34:56","date_gmt":"2025-12-13T01:34:56","guid":{"rendered":"https:\/\/www.hawaii.edu\/news\/?p=226853"},"modified":"2025-12-12T15:46:20","modified_gmt":"2025-12-13T01:46:20","slug":"switching-drugs-cancer-treatment-effectiveness","status":"publish","type":"post","link":"https:\/\/www.hawaii.edu\/news\/2025\/12\/12\/switching-drugs-cancer-treatment-effectiveness\/","title":{"rendered":"Switching drugs may boost cancer treatment effectiveness"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading time: <\/span> <span class=\"rt-time\"> &lt; 1<\/span> <span class=\"rt-label rt-postfix\">minute<\/span><\/span><figure id=\"attachment_126104\" aria-describedby=\"caption-attachment-126104\" style=\"width: 676px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2020\/08\/manoa-cancer-center-exterior-1.jpg\" alt=\"exterior shot of cancer center\" width=\"676\" height=\"381\" class=\"size-full wp-image-126104\" srcset=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2020\/08\/manoa-cancer-center-exterior-1.jpg 676w, https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2020\/08\/manoa-cancer-center-exterior-1-300x169.jpg 300w, https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2020\/08\/manoa-cancer-center-exterior-1-130x73.jpg 130w\" sizes=\"auto, (max-width: 676px) 100vw, 676px\" \/><figcaption id=\"caption-attachment-126104\" class=\"wp-caption-text\"><abbr title=\"University of Hawaii\">UH<\/abbr> Cancer Center<\/figcaption><\/figure>\n<p>A <a href=\"http:\/\/www.uhcancercenter.org\">University of <span lang=\"haw\">Âé¶¹´«Ã½<\/span> Cancer Center<\/a> study suggests that breast cancer patients may benefit longer from antibody-drug treatments if doctors switch to a different drug type after the first one stops working.<\/p>\n<p>Presented December 10, 2025, at the San Antonio Breast Cancer Symposium, the research shows that in laboratory and animal models, tumors that stopped responding to one antibody-drug conjugate (<abbr>ADC<\/abbr>) regained sensitivity when treated with a follow-up <abbr>ADC<\/abbr> carrying a different drug class.<\/p>\n<p><abbr>ADC<\/abbr>s work by using an antibody to guide a potent cancer drug directly to tumor cells. Many breast cancer <abbr>ADC<\/abbr>s, however, use the same <abbr title=\"deoxyribonucleic acid\">DNA<\/abbr>-targeting drug type, and clinical experience has shown that using similar <abbr>ADC<\/abbr>s back-to-back often provides limited benefit.<\/p>\n<p>The <abbr title=\"University of Hawaii\">UH<\/abbr> team found this may be due to cross-resistance. In models of both HER2-positive and triple-negative breast cancer, switching from a <abbr>DNA<\/abbr>-targeting drug to a cell-division\u2013blocking drug restored tumor control, even though the antibody was still hitting the same cancer-cell marker.<\/p>\n<p>&ldquo;A simple takeaway is this: After a cancer progresses on one <abbr>ADC<\/abbr>, choose the next <abbr>ADC<\/abbr> with a different kind of drug,&rdquo; said Jangsoon (Jason) Lee, associate professor and director of the <abbr>UH<\/abbr> Cancer Center Preclinical Core. &ldquo;This drug-guided approach could help these smart treatments work longer for patients.&rdquo;<\/p>\n<p>&ldquo;These findings show that drug resistance is not necessarily the end of the line for cancer patients,&rdquo; added Naoto T. Ueno, <abbr>UH<\/abbr> Cancer Center director. &ldquo;Choosing the right kind of drug next could help more patients benefit from <abbr>ADC<\/abbr>s.&rdquo;<\/p>\n<p>The <abbr>UH<\/abbr> Cancer Center is now working with clinical partners to design studies that match the next <abbr>ADC<\/abbr>\u2019s drug payload to how a patient\u2019s tumor becomes resistant, aiming to extend treatment benefit.<\/p>\n","protected":false},"excerpt":{"rendered":"<p><abbr>UH<\/abbr> research shows switching <abbr>ADC<\/abbr> drug types may restore breast cancer treatment benefit.<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[218,165,169,9],"class_list":["post-226853","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research","tag-cancer","tag-health","tag-uh-cancer-center","tag-uh-manoa","entry","has-media"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"Âé¶¹´«Ã½research shows switching ADC drug types may restore breast cancer treatment benefit.\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"Âé¶¹´«Ã½News\"\/>\n\t<meta name=\"keywords\" content=\"uh cancer center,breast cancer research,antibody drug conjugates,adc resistance,san antonio breast cancer symposium,cancer treatment sequencing,drug payload switching,her2 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