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Translational Medicine / 转化医学HER2-Targeted ADC Development

Ian E. Krop

伊恩·克罗普

MD, PhD

🏢Yale School of Medicine / Yale Cancer Center(耶鲁大学医学院/耶鲁癌症中心)🌐USA

Associate Director for Clinical Research, Yale Cancer Center; Professor of Medicine, Yale School of Medicine耶鲁癌症中心临床研究副主任;耶鲁大学医学院医学教授

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Ian E. Krop, MD, PhD is Associate Director for Clinical Research at Yale Cancer Center and Professor of Medicine at Yale School of Medicine. He is a world-leading expert in the development of antibody-drug conjugates (ADCs) for HER2-positive breast cancer, with a career spanning the translational development of multiple generations of HER2-directed ADCs. Dr. Krop was the lead investigator on pivotal early-phase trials of ado-trastuzumab emtansine (T-DM1), including the TDM4258g phase II study that defined the T-DM1 dose, schedule, and response profile that went forward into the successful EMILIA and KATHERINE pivotal trials. He subsequently led DESTINY-Breast01, the phase II study of trastuzumab deruxtecan (T-DXd) that demonstrated extraordinary activity (ORR ~60%) in heavily pretreated HER2+ metastatic breast cancer patients—results that led to FDA Breakthrough Therapy Designation and accelerated approval in 2019. Dr. Krop also led early studies of HER2-targeted ADC therapy in patients with HER2+ breast cancer brain metastases, a clinically challenging and underserved population. Prior to Yale, he was at Dana-Farber Cancer Institute where he built one of the premier HER2-targeted ADC development programs. He has authored more than 200 peer-reviewed publications and serves as a standing member of the FDA Oncologic Drugs Advisory Committee.

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🧪Research Fields 研究领域

Antibody-Drug Conjugate Development in HER2+ Breast CancerHER2+乳腺癌抗体药物偶联物开发
T-DM1 Mechanistic and Clinical InvestigationT-DM1机制与临床研究
Trastuzumab Deruxtecan Phase I/II Development曲妥珠单抗德鲁替康I/II期开发
HER2-Directed Therapy in Brain MetastasesHER2靶向治疗在脑转移中的应用
Biomarker-Driven Precision Therapy in Breast Cancer乳腺癌生物标志物驱动精准治疗

🎓Key Contributions 主要贡献

Pivotal Phase II Development of T-DM1 (Ado-Trastuzumab Emtansine)

Led the TDM4258g phase II trial of T-DM1 in HER2+ metastatic breast cancer, defining the optimal dose and schedule and demonstrating significant single-agent activity (ORR 26%) in heavily pretreated patients, providing the clinical foundation that enabled the successful EMILIA and KATHERINE phase III trials and ultimately FDA approval of T-DM1.

DESTINY-Breast01 — Establishing T-DXd in Heavily Pretreated HER2+ Breast Cancer

Led DESTINY-Breast01, the phase II study of trastuzumab deruxtecan in patients with HER2+ metastatic breast cancer who had received prior T-DM1, demonstrating an unprecedented ORR of approximately 61% and durable responses, directly enabling FDA Breakthrough Therapy Designation and accelerated approval that transformed the HER2+ treatment landscape.

HER2-Targeted ADC Therapy in Breast Cancer Brain Metastases

Led prospective clinical studies evaluating T-DM1 and T-DXd in patients with HER2+ breast cancer brain metastases, demonstrating that T-DXd achieves intracranial responses in active brain metastases due to its small-molecule payload and bystander effect, contributing to inclusion of patients with brain metastases in subsequent phase III trials.

ADC Mechanism of Action, Payload Optimization, and Resistance

Conducted translational studies characterizing the molecular basis for differential T-DM1 versus T-DXd activity, including the impact of drug-to-antibody ratio, linker stability, payload bystander killing, and HER2 expression heterogeneity on ADC efficacy, informing the design of next-generation HER2-directed ADC platforms.

Representative Works 代表性著作

[1]

Phase II study of trastuzumab emtansine in patients with HER2-positive metastatic breast cancer who have received prior trastuzumab, lapatinib, and chemotherapy (TDM4258g)

Journal of Clinical Oncology (2012)

Pivotal phase II study defining T-DM1 activity and dose schedule in HER2+ metastatic breast cancer, establishing the clinical foundation for the EMILIA phase III trial and FDA approval.

[2]

Trastuzumab deruxtecan in previously treated HER2-positive breast cancer (DESTINY-Breast01)

New England Journal of Medicine (2020)

DESTINY-Breast01 phase II trial demonstrating extraordinary activity of T-DXd (ORR ~61%) in heavily pretreated HER2+ metastatic breast cancer, leading to FDA accelerated approval in December 2019.

[3]

Activity of lapatinib and trastuzumab in HER2-positive breast cancer brain metastases

Journal of Clinical Oncology (2015)

Prospective study demonstrating CNS activity of combined lapatinib plus trastuzumab in HER2+ breast cancer brain metastases, establishing intracranial response as an achievable endpoint in HER2-directed trials.

[4]

HER2 antibody-drug conjugates: The next frontier in HER2-targeted breast cancer therapy

Cancer Discovery (2021)

Comprehensive review of the mechanistic basis for HER2 ADC development, comparing T-DM1 and T-DXd pharmacology and clinical profiles, with future directions for next-generation HER2-targeted conjugates.

🏆Awards & Recognition 奖项与荣誉

🏆FDA Oncologic Drugs Advisory Committee Standing Member
🏆ASCO Clinical Cancer Advances Recognition
🏆Dana-Farber Cancer Institute Outstanding Research Award
🏆Breast Cancer Research Foundation Investigator Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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