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clinical / clinicalCardio-Oncology & CDK4/6 Toxicity Management

Maryam B. Lustberg

玛丽亚姆·拉斯特贝格

MD, MPH

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

Chief, Breast Medical Oncology, Yale Cancer Center; Associate Professor of Medicine, Yale School of Medicine耶鲁癌症中心乳腺内科肿瘤学主任;耶鲁大学医学院医学副教授

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Maryam B. Lustberg, MD, MPH is Chief of Breast Medical Oncology at Yale Cancer Center and Associate Professor of Medicine at Yale School of Medicine. She is an internationally recognized leader at the intersection of breast oncology and cardio-oncology, with particular focus on cardiovascular toxicities associated with CDK4/6 inhibitors, endocrine therapies, and novel breast cancer treatments including antibody-drug conjugates. Dr. Lustberg was among the first to systematically characterize the QTc prolongation associated with ribociclib and the cardiac monitoring requirements for CDK4/6 inhibitor-treated patients, work that shaped FDA labeling and clinical monitoring guidelines. She directs a dedicated cardio-oncology program and has led prospective studies examining cardiac biomarker changes, echocardiographic parameters, and patient-reported cardiovascular symptoms in women receiving long-term CDK4/6 inhibitor and endocrine therapy combinations. Dr. Lustberg has also been a champion for equity in breast cancer outcomes and toxicity management, studying how cardiovascular comorbidities interact with treatment tolerability across diverse populations. Prior to joining Yale, she was at The Ohio State University Comprehensive Cancer Center. She serves on the ASCO Survivorship Guideline Committee and the American Society for Preventive Cardiology, and has published more than 150 peer-reviewed articles.

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🧪Research Fields 研究领域

Cardiotoxicity of CDK4/6 Inhibitors and Endocrine TherapyCDK4/6抑制剂和内分泌治疗的心脏毒性
Cancer Treatment-Related Cardiovascular Disease癌症治疗相关心血管疾病
Cardio-Oncology in Breast Cancer Survivors乳腺癌幸存者心脏肿瘤学
Patient-Reported Outcomes and Quality of Life in Breast Cancer乳腺癌患者报告结局与生活质量
Toxicity Management and Supportive Oncology毒性管理与支持性肿瘤学

🎓Key Contributions 主要贡献

Cardiovascular Toxicity of CDK4/6 Inhibitors, Particularly Ribociclib

Led systematic clinical investigations into QTc prolongation associated with ribociclib, characterizing its incidence, risk factors, and management in real-world and trial populations, resulting in evidence-based monitoring recommendations that were incorporated into FDA labeling, prescriber information, and international guidelines.

Cardio-Oncology Screening and Surveillance in Breast Cancer

Developed and validated cardio-oncology screening protocols for breast cancer patients receiving therapies with cardiovascular risk, integrating cardiac biomarkers (troponin, BNP), echocardiography, and patient-reported outcomes into structured surveillance programs applicable across academic and community settings.

Patient-Reported Outcomes and Treatment Tolerability

Conducted multiple prospective studies using validated patient-reported outcome instruments to capture cardiovascular symptoms, fatigue, musculoskeletal toxicities, and quality-of-life impact in CDK4/6 inhibitor and endocrine therapy recipients, demonstrating that patient-experienced toxicities often diverge from clinician-graded adverse events.

Long-Term Survivorship and Cardiovascular Health in Breast Cancer

Led research examining long-term cardiovascular outcomes in breast cancer survivors treated with modern systemic therapies, identifying modifiable risk factors and establishing evidence-based survivorship care models that integrate cardiovascular risk reduction into routine breast oncology follow-up.

Representative Works 代表性著作

[1]

Cardiovascular toxicity and monitoring recommendations for CDK4/6 inhibitors in breast cancer

Journal of the National Cancer Institute (2021)

Comprehensive review and expert consensus on cardiac monitoring strategies for ribociclib and other CDK4/6 inhibitors, addressing QTc prolongation, bradyarrhythmia, and cardiac biomarker surveillance in clinical practice.

[2]

Patient-reported outcomes with CDK4/6 inhibitors versus chemotherapy in HR+/HER2- metastatic breast cancer: Systematic review and meta-analysis

Breast Cancer Research and Treatment (2022)

Systematic comparison of patient-reported quality of life and toxicity burdens across CDK4/6 inhibitor versus chemotherapy regimens in HR+ metastatic breast cancer, demonstrating overall PRO superiority of CDK4/6-based therapy.

[3]

Cardiovascular disease risk among long-term breast cancer survivors

JAMA Cardiology (2020)

Population-based analysis demonstrating significantly elevated cardiovascular mortality risk in breast cancer survivors compared to age-matched controls, supporting integration of cardio-oncology care into long-term survivorship programs.

[4]

Cardio-oncology in breast cancer: A practical guide for the clinical oncologist

npj Breast Cancer (2023)

Practical algorithmic guidance for breast oncologists on cardiovascular risk stratification, monitoring protocols, and management of treatment-related cardiotoxicity across major breast cancer therapeutic classes.

🏆Awards & Recognition 奖项与荣誉

🏆ASCO Survivorship Guideline Committee Member
🏆American Society for Preventive Cardiology Member
🏆Ohio State University Outstanding Faculty Research Award
🏆Young Investigator Award, San Antonio Breast Cancer Symposium

📄Data Sources 数据来源

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

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