articleNature MedicineSep 13, 2024HYBRID OA

Trastuzumab deruxtecan in HER2-positive advanced breast cancer with or without brain metastases: a phase 3b/4 trial

Breast Center · Ludwig-Maximilians-Universität München · +98 more institutions

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Abstract

Abstract Trastuzumab deruxtecan (T-DXd) intracranial activity has been observed in small or retrospective patient cohorts with human epidermal growth factor receptor 2–positive (HER2 + ) advanced/metastatic breast cancer (mBC) and stable or active (untreated/previously treated and progressing) brain metastases (BMs). The phase 3b/4 DESTINY-Breast12 study investigated T-DXd in patients with HER2 + mBC and is, to our knowledge, the largest prospective study of T-DXd in patients with BMs in this setting. Patients (stable/active BMs ( n = 263) and no BMs ( n = 241)) treated with one or more prior anti-HER2–based regimens received T-DXd (5.4 mg per kg). Primary endpoints were progression-free survival (PFS; BMs…

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173
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Authors

92

Topics & keywords

Keywords
  • Trastuzumab
  • Medicine
  • Breast cancer
  • Oncology
  • Internal medicine
  • Cancer
UN Sustainable Development Goals
  • Good health and well-being
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