drugset / Trial / NCT05113251

Trastuzumab Deruxtecan (T-DXd) Alone or in Sequence With THP, Versus Standard Treatment (ddAC-THP), in HER2-positive Early Breast Cancer

NCT05113251 ↗

Phase 3 Active not recruiting 927 enrolled AstraZeneca Daiichi Sankyo · collab
RandomizedParallel-groupOpen-labelTreatment

Summary

This study will look at the efficacy and safety of trastuzumab deruxtecan (T-DXd) in a neoadjuvant setting, in high-risk, HER2-positive early non-metastatic breast cancer.

Timeline

Start
2021-10-25
Primary completion
2025-03-12
Completion
2027-04-30

Outcome

Sources disagree · no verdict is set; each source's reading is shown below

registry analysis (superiority test); Arm A vs Arm C; p = 0.001; M&N estimate of difference in rates -13.18 (95% CI -20.84 to -5.41) reads as mixed primary results NCT05113251 ↗

registry analysis (superiority test); Arm B vs Arm C; p = 0.003; M&N estimate of difference in rates 11.17 (95% CI 3.95 to 18.28) reads as mixed primary results NCT05113251 ↗

release “In DESTINY-Breast11, Enhertu followed by THP resulted in a pCR rate of 67.3% compared with 56.3% for ddAC-THP” reads as met primary endpoint astrazeneca.com ↗

Drugs

EvaluationDrugModalityDoseRoute
Comparator Cyclophosphamide Other / unclassified — Intravenous
Comparator Doxorubicin Other / unclassified — Intravenous
Subject Paclitaxel Small molecule — Intravenous
Subject Pertuzumab Monoclonal antibody — Intravenous
Subject Trastuzumab Monoclonal antibody — Intravenous
Subject Trastuzumab deruxtecan Monoclonal antibody — Intravenous