DZD1516对重度经治患者有潜在疗效。DZD1516治疗HER2+ BC的I期试验中,共纳入24例患者,25-300mg BID治疗,基线患者62.5%伴CNS转移,既往中位治疗线数为7,均经受HER2 ADC治疗,82.6%经受HER2 TKI治疗。多数不良事件为1级。仅300mg组发生2例DLT(1例为3级骨骼疼痛),250 mg BID被确定为MTD剂量。6例患者实现SD,250mg剂量组DCR为60%(来源:Jian Zhang等,Preclinical and clinical activity of DZD1516, a full blood–brain barrier-penetrant, highly selective HER2 inhibitor,Breast Cancer Research)。