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Translational Medicine / 转化医学Breast Cancer & HER2

Ian Krop

MD, PhD

🏢Yale School of Medicine / Yale Cancer Center🌐USA

Associate Director for Clinical Research, Yale Cancer Center; Professor of Medicine, Yale School of Medicine

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Ian Krop is Associate Director for Clinical Research at Yale Cancer Center and a leading expert in HER2-targeted therapy and antibody-drug conjugates for breast cancer. He spent the majority of his career at Dana-Farber Cancer Institute before joining Yale, and throughout that time he has been one of the most productive and influential clinical investigators in HER2+ breast cancer. Krop was a principal investigator on several of the pivotal trials establishing trastuzumab emtansine (T-DM1) as a standard of care in HER2+ metastatic breast cancer, including the EMILIA and TH3RESA trials, and he has continued this work with trastuzumab deruxtecan (T-DXd). Krop has also made significant contributions to the treatment of HER2+ breast cancer with brain metastases, a particularly challenging clinical scenario. He led the TBCRC 022 trial evaluating lapatinib and capecitabine in HER2+ brain metastases, and he has been involved in multiple subsequent studies evaluating neratinib, tucatinib, and T-DXd in patients with active or stable brain metastases. This work has helped improve outcomes for a historically underserved patient population. Beyond clinical trials, Krop has conducted translational research into mechanisms of resistance to HER2-directed therapy and has studied predictive biomarkers for ADC response. He is a nationally recognized educator and mentor, and his move to Yale reflects his continued commitment to building world-class breast cancer clinical trials infrastructure.

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🧪Research Fields 研究领域

HER2-targeted therapy
Trastuzumab deruxtecan
Ado-trastuzumab emtansine (T-DM1)
Brain metastases in HER2+ breast cancer
Antibody-drug conjugates

🎓Key Contributions 主要贡献

Ado-Trastuzumab Emtansine (T-DM1) Clinical Development

Principal investigator on the EMILIA and TH3RESA phase III trials establishing T-DM1 as standard of care in previously treated HER2+ metastatic breast cancer, contributing to FDA approvals that transformed second-line HER2+ therapy.

HER2+ Breast Cancer Brain Metastases

Led the TBCRC 022 trial and contributed to multiple other studies evaluating CNS-penetrant HER2-directed therapies in patients with brain metastases, developing treatment strategies for one of the most challenging complications of HER2+ breast cancer.

Trastuzumab Deruxtecan Development

Contributed to the clinical development of T-DXd including early-phase and combination studies, extending the DESTINY-Breast program into new patient populations including those with brain metastases and HER2-ultralow expression.

Resistance Mechanisms to HER2-Directed Therapy

Investigated molecular mechanisms underlying resistance to HER2-targeted agents, including the role of HER2 mutations, downstream pathway activation, and tumor microenvironment factors, to guide next-generation therapy development.

Representative Works 代表性著作

[1]

Trastuzumab Emtansine versus Treatment of Physician's Choice for Pretreated HER2-Positive Advanced Breast Cancer (TH3RESA)

The Lancet Oncology (2014)

Demonstrated T-DM1 superiority over physician's choice chemotherapy in heavily pretreated HER2+ metastatic breast cancer, confirming T-DM1 as a standard third-line or later option.

[2]

Trastuzumab Emtansine for HER2-Positive Advanced Breast Cancer (EMILIA)

New England Journal of Medicine (2012)

Pivotal phase III trial demonstrating T-DM1 significantly improved PFS and OS versus lapatinib plus capecitabine in previously treated HER2+ metastatic breast cancer.

[3]

Lapatinib plus Capecitabine for HER2-Positive Breast Cancer with Brain Metastases (TBCRC 022)

Journal of Clinical Oncology (2018)

Evaluated lapatinib-capecitabine in HER2+ breast cancer with untreated or progressing brain metastases, characterizing CNS response rates and informing the management of this underserved patient population.

🏆Awards & Recognition 奖项与荣誉

🏆ASCO Young Investigator Award
🏆Breast Cancer Research Foundation Investigator Award
🏆Harvard Medical School Teaching Excellence Award

📄Data Sources 数据来源

Last updated: 2026-04-05 | All information from publicly available academic sources

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