# HER2-Positive Metastatic Breast Cancer — An Interview with Prof Dr Sibylle Loibl on First-Line and Maintenance Therapy Page: https://stenobird.com/podcast/oncology-today-with-dr-neil-love-1004241/her2-positive-metastatic-breast-cancer-an-interview-with-prof-dr-sibylle-loibl-on-first-line-and-maintenance-therapy Text version: https://stenobird.com/podcast/oncology-today-with-dr-neil-love-1004241/her2-positive-metastatic-breast-cancer-an-interview-with-prof-dr-sibylle-loibl-on-first-line-and-maintenance-therapy.md Podcast: [Oncology Today with Dr Neil Love](https://stenobird.com/podcast/oncology-today-with-dr-neil-love-1004241) Published: 2026-07-17T13:00:00+00:00 Episode link: https://oncologytoday.captivate.fm/episode/6091-oncologytodayfirstlineher2posmbc26 Audio file: https://dts.podtrac.com/redirect.mp3/episodes.captivate.fm/episode/3fcfc54e-efea-4da8-8757-29dc956d19f9.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/oncology-today-with-dr-neil-love-1004241/episodes/her2-positive-metastatic-breast-cancer-an-interview-with-prof-dr-sibylle-loibl-on-first-line-and-maintenance-therapy Duration seconds: 2788 ## Resource Featuring an interview with Prof Dr Sibylle Loibl, including the following topics: Perspectives on overall survival gains achieved over the years for patients with metastatic breast cancer (mBC) (0:00) Previous treatment and patient outcomes in the DESTINY-Breast09 trial of trastuzumab deruxtecan (T-DXd) with or without pertuzumab (5:35) Role of endocrine therapy in the treatment of hormone receptor-positive, HER2-positive mBC (8:01) Targeting the PI3K signaling pathway in HER2-positive mBC (11:08) Contraindications for T-DXd; T-DXd-associated gastrointestinal toxicities and interstitial lung disease (13:53) Optimal duration of and therapeutic partner for T-DXd as first-line maintenance therapy for patients with HER2-positive mBC (20:44) Case: A woman in her early 40s with metastatic relapse of HER2-positive breast cancer 2 years after completing neoadjuvant and adjuvant therapy (26:54) Role of exercise and weight control in the management of breast cancer; effect of pregnancy on the breast tumor immune environment (40:03) CME information and select publications ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/oncology-today-with-dr-neil-love-1004241/episodes/her2-positive-metastatic-breast-cancer-an-interview-with-prof-dr-sibylle-loibl-on-first-line-and-maintenance-therapy/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/oncology-today-with-dr-neil-love-1004241/her2-positive-metastatic-breast-cancer-an-interview-with-prof-dr-sibylle-loibl-on-first-line-and-maintenance-therapy.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.