NCT03529110

Brief Summary

This study is designed to compare the anti-tumor activity as well as the safety and efficacy of DS-8201a versus T-DM1 in HER2-positive, unresectable and/or metastatic breast cancer subjects previously treated with trastuzumab and taxane.

Trial Health

67
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Strong global presence with extensive site network
Enrollment
524

participants targeted

Target at P50-P75 for phase_3 breast-cancer

Timeline
Completed

Started Aug 2018

Typical duration for phase_3 breast-cancer

Geographic Reach
15 countries

164 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 13, 2018

Completed
1 month until next milestone

First Posted

Study publicly available on registry

May 18, 2018

Completed
3 months until next milestone

Study Start

First participant enrolled

August 9, 2018

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 21, 2021

Completed
11 months until next milestone

Results Posted

Study results publicly available

April 29, 2022

Completed
4.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

July 30, 2026

Completed
Last Updated

October 21, 2025

Status Verified

October 1, 2025

Enrollment Period

2.8 years

First QC Date

April 13, 2018

Results QC Date

March 7, 2022

Last Update Submit

October 17, 2025

Conditions

Keywords

Breast CancerMetastatic breast cancerDS-8201aDESTINY - Breast 03

Outcome Measures

Primary Outcomes (1)

  • Progression-Free Survival (PFS) Based on Blinded Independent Central Review (BICR) in Participants With HER2-Positive, Unresectable and/or Metastatic Breast Cancer Previously Treated With Trastuzumab and Taxane

    Progression-free survival (PFS) by BICR was defined as the time from the date of enrollment to the earlier of the dates of the first objective documentation of disease progression (as per RECIST v1.1) or death due to any cause. Progressive disease was defined as at least a 20% increase in the sum of diameters of target lesions.

    Up to 33 months (data cut-off)

Secondary Outcomes (4)

  • Overall Survival (OS) in Participants With HER2-Positive, Unresectable and/or Metastatic Breast Cancer Previously Treated With Trastuzumab and Taxane

    Up to 33 months (data cut-off)

  • Percentage of Participants With Objective Response Rate (ORR) Based on BICR and Investigator Assessment in Participants With HER2-Positive, Unresectable and/or Metastatic Breast Cancer Previously Treated With Trastuzumab and Taxane

    Up to 33 months (data cut-off)

  • Duration of Response (DoR) Based on BICR and Investigator Assessment in Participants With HER2-Positive, Unresectable and/or Metastatic Breast Cancer Previously Treated With Trastuzumab and Taxane

    Up to 33 months (data cut-off)

  • Progression-Free Survival (PFS) Based on Investigator Assessment in Participants With HER2-Positive, Unresectable and/or Metastatic Breast Cancer Previously Treated With Trastuzumab and Taxane

    Up to 33 months (data cut-off)

Study Arms (2)

Trastuzumab deruxtecan (T-DXd)

EXPERIMENTAL

Participants with HER2-positive, unresectable and/or metastatic breast cancer participants previously treated with trastuzumab and taxane who received T-DXd as a sterile intravenous (IV) solution at a dose of 5.4 mg/kg every 3 weeks (Q3W).

Drug: Trastuzumab deruxtecan (T-DXd)

Ado-trastuzumab emtansine (T-DM1)

ACTIVE COMPARATOR

Participants with HER2-positive, unresectable and/or metastatic breast cancer participants previously treated with trastuzumab and taxane who received T-DM1 in accordance with the approved label.

Drug: Ado-trastuzumab emtansine (T-DM1)

Interventions

T-DXd is sterile lyophilized powder reconstituted into a sterile aqueous solution (100 mg/5 mL) to be administered intravenously.

Also known as: DS-8201a
Trastuzumab deruxtecan (T-DXd)

The treatment will be in accordance with the approved label.

Also known as: T-DM1
Ado-trastuzumab emtansine (T-DM1)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Must be competent and able to comprehend, sign, and date an Institutional Review Board (IRB) or Ethics Committee (EC) approved ICF before performance of any study-specific procedures or tests.
  • Adults ≥18 y old. (Please follow local regulatory requirements if the legal age of consent for study participation is \>18 y old.)
  • Pathologically documented breast cancer that:
  • is unresectable or metastatic.
  • has confirmed HER2-positive expression as determined according to American Society of Clinical Oncology - College of American Pathologists guidelines evaluated at a central laboratory.23
  • was previously treated with trastuzumab and taxane in the advanced/ metastatic setting or progressed within 6 mo after neoadjuvant or adjuvant treatment involving a regimen including trastuzumab and taxane.
  • Documented radiologic progression (during or after most recent treatment or within 6 mo after completing adjuvant therapy).
  • Subjects must be HER2-positive as confirmed by central laboratory assessment of most recent tumor tissue sample available. If archived tissue is not available, a fresh biopsy is required.
  • Presence of at least 1 measurable lesion per modified Response Evaluation Criteria in Solid Tumors (mRECIST) version 1.1

You may not qualify if:

  • Prior treatment with an anti-HER2 ADC (such as T-DM1) in the metastatic setting. Prior treatment in the adjuvant/neoadjuvant setting would be allowed if progression of disease did not occur within 12 mo of end of adjuvant therapy.
  • Uncontrolled or significant cardiovascular disease, including any of the following:
  • History of myocardial infarction within 6 mo before randomization;
  • History of symptomatic congestive heart failure (New York Heart Association Class II to IV);
  • Troponin levels consistent with myocardial infarction as defined according to the manufacturer within 28 d prior to randomization;
  • Corrected QT interval (QTc) prolongation to \> 470 ms (females) or \>450 ms (male) based on average of Screening triplicate 12-lead ECG;
  • LVEF \< 50% within 28 d prior to randomization
  • Has a history of (noninfectious) ILD/pneumonitis that required steroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at Screening.
  • Spinal cord compression or clinically active central nervous system (CNS) metastases, defined as untreated or symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms.
  • Subjects with clinically inactive brain metastases may be included in the study.
  • Subjects with treated brain metastases that are no longer symptomatic and who require no treatment with corticosteroids or anticonvulsants may be included in the study if they have recovered from the acute toxic effect of radiotherapy. A minimum of 2 wk must have elapsed between the end of whole brain radiotherapy and study enrollment.
  • Has a history of severe hypersensitivity reactions to either the drug substances or inactive ingredients in the drug product.
  • History of severe hypersensitivity reactions to other mAbs.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (164)

UCLA Hematology Oncology

Los Angeles, California, 90095, United States

Location

Sharp Memorial Hospital

San Diego, California, 92123, United States

Location

University of California San Francisco

San Francisco, California, 94115, United States

Location

Innovative Clinical Research Institute

Whittier, California, 90603, United States

Location

Washington Cancer Institute

Washington D.C., District of Columbia, 20010, United States

Location

Florida Cancer Specialists-Broadway

Fort Myers, Florida, 33916, United States

Location

Florida Cancer Specialists NORTH

St. Petersburg, Florida, 33705, United States

Location

Piedmont Cancer Institute, PC

Atlanta, Georgia, 30318, United States

Location

Loyola University Health System

Maywood, Illinois, 60153, United States

Location

Norton Cancer Institute

Louisville, Kentucky, 40207, United States

Location

Dana-Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

University of Nebraska Medical Center

Omaha, Nebraska, 68198, United States

Location

North Shore Hematology Oncology Associates, PC

East Setauket, New York, 11733, United States

Location

University of Rochester

Rochester, New York, 14642, United States

Location

Wake Forest University Baptist Medical Center

Winston-Salem, North Carolina, 27157, United States

Location

University of Cincinnati Medical Center

Cincinnati, Ohio, 45267, United States

Location

Seidman Cancer Center

Cleveland, Ohio, 44106, United States

Location

The Ohio State University

Columbus, Ohio, 43210, United States

Location

Dayton Physicians, LLC

Kettering, Ohio, 45409, United States

Location

Magee-Womens Hospital of UPMC

Pittsburgh, Pennsylvania, 15213, United States

Location

Tennessee Oncology- St Thomas Location

Nashville, Tennessee, 37205, United States

Location

Vanderbilt Breast Center at One Hundred Oaks

Nashville, Tennessee, 37232, United States

Location

UT Southwestern Medical Center

Dallas, Texas, 75390, United States

Location

Houston Methodist Hospital / Houston Methodist Cancer Center

Houston, Texas, 77030, United States

Location

MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Millennium Oncology

Houston, Texas, 77090, United States

Location

The University of Texas Health Science Center at Tyler

Tyler, Texas, 75708, United States

Location

MultiCare Health System Institute for Research and Innovation

Auburn, Washington, 98001, United States

Location

The Tweed Hospital

Tweed Heads, New South Wales, 2485, Australia

Location

Princess Alexandra Hospital

Woolloongabba, Queensland, 4102, Australia

Location

Box Hill Hospital

Box Hill, Victoria, 3128, Australia

Location

Peninsula and South Eastern Haematology & Oncology Group

Frankston, Victoria, 3199, Australia

Location

Peter MacCallum Cancer

Melbourne, Victoria, 3000, Australia

Location

St John of God Subiaco Hospital

Subiaco, Western Australia, 6008, Australia

Location

Institut Jules-Bordet

Brussels, 1000, Belgium

Location

Universitair Ziekenhuis Brussel

Brussels, 1090, Belgium

Location

Universitair Ziekenhuis Antwerpen

Edegem, 2650, Belgium

Location

AZ Sint-Lucas - Campus Sint-Lucas

Ghent, 9000, Belgium

Location

Universitaire Ziekenhuizen Leuven

Leuven, 3000, Belgium

Location

CHU UCL Namur site de Sainte Elisabeth

Namur, 5000, Belgium

Location

NOB - Nucleo de Oncologia da Bahia

Salvador, Estado de Bahia, 40170-110, Brazil

Location

Hospital Nossa Senhora da Conceição

Porto Alegre, Rio Grande do Sul, 91350-200, Brazil

Location

Catarina Pesquisa Clinica

Itajaí, Santa Catarina, 88301-220, Brazil

Location

CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia

Santo André, São Paulo, 09060-650, Brazil

Location

ICESP - Instituto do Cancer do Estado de São Paulo Octavio Frias de Oliveira

São Paulo, São Paulo, 01246-000, Brazil

Location

Clínica de Pesquisas e Centro de Estudos em Oncologia Ginecológica e Mamária Ltda.

São Paulo, São Paulo, 01317-001, Brazil

Location

Instituto Americas

Rio de Janeiro, 22793-080, Brazil

Location

A. C. Camargo Cancer Center

São Paulo, 01509-900, Brazil

Location

Tom Baker Cancer Centre

Calgary, Alberta, T2N 4N2, Canada

Location

Toronto Sunnybrook Hospital

Toronto, Ontario, M4N 3M5, Canada

Location

St. Mary's Hospital

Montreal, Quebec, H3T 1M5, Canada

Location

Cancer Hospital Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, 100021, China

Location

Beijing Hospital

Beijing, Beijing Municipality, 100730, China

Location

Sun Yat-sen University, Cancer Center

Guangzhou, Guangdong, 510060, China

Location

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, Guangdong, 510120, China

Location

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, 150081, China

Location

The First Hospital of Jilin University

Changchun, Jilin, 130021, China

Location

Liaoning Cancer Hospital & Institute

Shenyang, Liaoning, 110042, China

Location

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, 200032, China

Location

West China Hospital, Sichuan University

Chengdu, Sichuan, 610041, China

Location

Tianjin Medical University Cancer Institute & Hospital

Tianjin, Tianjin Municipality, 300060, China

Location

Sir Run Run Shaw Hospital Xiasha Branch, Zhejiang University, School of Medicine

Hangzhou, Zhejiang, 310000, China

Location

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, 310022, China

Location

Centre Paul Strauss

Strasbourg, Bas Rhin, 67000, France

Location

Hôpital Nord - CHU Marseille

Marseille, Bouches-du-Rhone, 13915, France

Location

Centre François Baclesse

Caen, Calvados, 14076, France

Location

Clinique Victor Hugo - Centre Jean Bernard

Le Mans, Cedex 02, Sarthe, 72015, France

Location

CARIO - Centre Armoricain de Radiothérapie, Imagerie médicale et Oncologie

Plérin, Cotes d'Armor, 22190, France

Location

Centre Georges François Leclerc

Dijon, Côte-d'Or, 21079, France

Location

CHRU Jean Minjoz

Besançon, Doubs, 25030, France

Location

Institut Bergonié

Bordeaux, Gironde, 33076, France

Location

Centre René Huguenin

Saint-Cloud, Hauts De Seine, 92110, France

Location

ICM Val d'Aurelle

Montpellier, Herault, 34298, France

Location

CRLCC Eugene Marquis

Rennes, Ille Et Vilaine, 35042, France

Location

ICO - Site René Gauducheau

Saint-Herblain, Loire Atlantique, 44805, France

Location

ICO - Site Paul Papin

Angers, Maine Et Loire, 49055, France

Location

Centre de cancerologie les Dentellieres

Valenciennes, Nord, 59300, France

Location

Centre Leon Berard

Lyon, Rhone, 69373, France

Location

Centre Hospitalier Lyon Sud

Pierre-Bénite, Rhone, 69495, France

Location

Institut Sainte Catherine

Avignon, Vaculuse, 84918, France

Location

Hôpital d'Instruction des Armees Begin

Saint-Mandé, Val De Marne, 94160, France

Location

Institut Gustave Roussy

Villejuif, Val De Marne, 94805, France

Location

Institut Curie - site de Paris

Paris, 75005, France

Location

Hôpital Saint-Louis

Paris, 75010, France

Location

Hopital Tenon

Paris, 75020, France

Location

Universitaetsklinikum Erlangen

Erlangen, Bavaria, 91-54, Germany

Location

Rotkreuzklinikum Muenchen gGmbH

Munich, Bavaria, 80637, Germany

Location

Klinikum rechts der Isar der TU Muenchen

Munich, Bavaria, 81675, Germany

Location

Universitaetsklinikum Duesseldorf AoeR

Düsseldorf, North Rhine-Westphalia, 40225, Germany

Location

Haematologisch-Onkologische Schwerpunktpraxis

Troisdorf, North Rhine-Westphalia, 53840, Germany

Location

Marienhospital Bottrop gGmbH

Bottrop, Rhineland-Palatinate, 46236, Germany

Location

Universitaetsklinikum Schleswig-Holstein - Campus Luebeck

Lübeck, Schleswig-Holstein, 23538, Germany

Location

The Chinese

Hong Kong, 00000, Hong Kong

Location

The University of Hong Kong

Shatin, 00000, Hong Kong

Location

Azienda Ospedaliera Universitaria Arcispedale Sant'Anna

Cona, Ferrara, 44124, Italy

Location

Azienda Socio Sanitaria Territoriale di Monza (Presidio San Gerardo), U.O Oncologia Medica

Monza, Milano, 20900, Italy

Location

Istituto Clinico Humanitas

Rozzano, Milano, 20089, Italy

Location

IRCCS Centro di Riferimento Oncologico

Aviano, Pordenone, 33081, Italy

Location

Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni XXIII)

Bergamo, 24127, Italy

Location

Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi

Bologna, 40138, Italy

Location

Istituto Nazionale per la Ricerca sul Cancro di Genova

Genova, 16132, Italy

Location

Azienda Ospealiera della Provincia di Lecco

Lecco, 23900, Italy

Location

Azienda Ospedaliera Ospedali Riuniti Papardo-Piemonte

Messina, 98158, Italy

Location

Ospedale San Raffaele

Milan, 20132, Italy

Location

IEO Istituto Europeo di Oncologia

Milan, 20141, Italy

Location

A.O.U. Policlinico di Modena

Modena, 41124, Italy

Location

Istituto Nazionale Tumori Fondazione G. Pascale

Napoli, 80131, Italy

Location

Azienda Ospedaliero Universitaria di Parma

Parma, 43100, Italy

Location

Fondazione IRCCS Policlinico San Matteo

Pavia, 27100, Italy

Location

Azienda Ospedaliera Città della Salute e della Scienza di Torino

Torino, 10126, Italy

Location

Center Hospital of the National Center for Global Health and Medicine

Shinjuku-Ku, Tokyo-To, 162-8655, Japan

Location

Aichi Cancer Center Hospital

Aichi, 464-8681, Japan

Location

NHO Shikoku Cancer Center

Ehime, 791-0280, Japan

Location

NHO Kyushu Cancer Center

Fukuoka, 811-1395, Japan

Location

Hiroshima City Hiroshima Citizens Hospital

Hiroshima, 730-8518, Japan

Location

NHO Hokkaido Cancer Center

Hokkaido, 003-0804, Japan

Location

Kanagawa Cancer Center

Kanagawa, 241-8515, Japan

Location

Kumamoto University Hospital

Kumamoto, 860-8556, Japan

Location

Niigata Cancer Center

Niigata, 951-8566, Japan

Location

Okayama University Hospital

Okayama, 700-8558, Japan

Location

NHO Osaka National Hospital

Osaka, 540-0006, Japan

Location

Osaka International Cancer Institute

Osaka, 541-8567, Japan

Location

Saitama Cancer Center

Saitama, 362-0806, Japan

Location

Shizuoka Cancer Center

Shizuoka, 411-8777, Japan

Location

National Cancer Center Hospital

Tokyo, 104-0045, Japan

Location

The Cancer Institute Hospital of JFCR

Tokyo, 135-8550, Japan

Location

Showa University Hospital

Tokyo, 142-8666, Japan

Location

Seoul National University Bundang Hospital

Seongnam-si, Gyeonggi-do, 13620, South Korea

Location

Seoul National University Hospital

Seoul, 03080, South Korea

Location

Severance Hospital, Yonsei University

Seoul, 03722, South Korea

Location

Asan Medical Center

Seoul, 05505, South Korea

Location

Samsung Medical Center

Seoul, 06351, South Korea

Location

ICO l'Hospitalet - Hospital Duran i Reynals

L'Hospitalet de Llobregat, Barcelona, 08908, Spain

Location

Complejo Hospitalario Universitario A Coruña

A Coruña, La Coruña, 15006, Spain

Location

Complejo Hospitalario Universitario de Santiago

Santiago de Compostela, La Coruña, 15706, Spain

Location

Hospital Universitario Puerta de Hierro Majadahonda

Majadahonda, Madrid, 28222, Spain

Location

Hospital Universitario Virgen Macarena

Seville, Sevill, 41009, Spain

Location

Hospital Universitario de Canarias

San Cristóbal de La Laguna, Tenerife, 38320, Spain

Location

Hospital Infanta Cristina

Badajoz, 6007, Spain

Location

Hospital Universitari Vall d'Hebron

Barcelona, 08035, Spain

Location

Hospital Clinic de Barcelona

Barcelona, 08036, Spain

Location

IOB-Institute of Oncology

Barcelona, 8023, Spain

Location

Hospital General Universitario Gregorio Maranon

Madrid, 28007, Spain

Location

MD Anderson Cancer Centre

Madrid, 28033, Spain

Location

Hospital Universitario Ramon y Cajal

Madrid, 28034, Spain

Location

Hospital Universitario Clinico San Carlos

Madrid, 28040, Spain

Location

Hospital Universitario 12 de Octubre

Madrid, 28041, Spain

Location

Hospital Clinico Universitario Virgen de la Victoria

Málaga, 29010, Spain

Location

Hospital Universitario Virgen del Rocio

Seville, 41013, Spain

Location

China Medical University Hospital

Taichung, 40447, Taiwan

Location

National Cheng Kung University Hospital

Tainan, 704, Taiwan

Location

National Taiwan University Hospital

Taipei, 100, Taiwan

Location

Taipei Veterans General Hospital

Taipei, 11217, Taiwan

Location

Koo Foundation, Sun Yat-Sen Cancer Center

Taipei, 112, Taiwan

Location

Royal Devon and Exeter Hospital (Wonford)

Exeter, Devon, EX2 5DW, United Kingdom

Location

Aberdeen Royal Infirmary

Aberdeen, Grampian Region, AB25 2ZB, United Kingdom

Location

Queen Mary University of London

London, Greater London, EC1M 6BQ, United Kingdom

Location

University College London Hospitals

London, Greater London, NW1 2PG, United Kingdom

Location

Guy's Hospital

London, Greater London, SE1 9RY, United Kingdom

Location

Sarah Cannon Research Institute UK

London, Greater London, W1G 6AD, United Kingdom

Location

The Christie Hospital

Manchester, Greater Manchester, M20 4BX, United Kingdom

Location

Western General Hospital

Edinburgh, Lothian Region, EH4 2XU, United Kingdom

Location

Nottingham University Hospitals City Campus

Nottingham, Nottinghamshire, NG5 1PB, United Kingdom

Location

Royal Surrey County Hospital

Guildford, Surrey, GU2 7XX, United Kingdom

Location

Related Publications (9)

  • Iwata H, Xu B, Kim SB, Chung WP, Park YH, Kim MH, Tseng LM, Chung CF, Huang CS, Kim JH, Chiu JWY, Yamashita T, Li W, Egorov A, Nishijima S, Nakatani S, Nishiyama Y, Sugihara M, Cortes J, Im SA. Trastuzumab deruxtecan versus trastuzumab emtansine in Asian patients with HER2-positive metastatic breast cancer. Cancer Sci. 2024 Sep;115(9):3079-3088. doi: 10.1111/cas.16234. Epub 2024 Jul 9.

  • Cortes J, Hurvitz SA, Im SA, Iwata H, Curigliano G, Kim SB, Chiu JWY, Pedrini JL, Li W, Yonemori K, Bianchini G, Loi S, Borges GS, Wang X, Bachelot T, Nakatani S, Ashfaque S, Liang Z, Egorov A, Hamilton E. Trastuzumab deruxtecan versus trastuzumab emtansine in HER2-positive metastatic breast cancer: long-term survival analysis of the DESTINY-Breast03 trial. Nat Med. 2024 Aug;30(8):2208-2215. doi: 10.1038/s41591-024-03021-7. Epub 2024 Jun 2.

  • Ma R, Shi Y, Yan R, Yin S, Bu H, Huang J. Efficacy and safety of trastuzumab deruxtecan in treating human epidermal growth factor receptor 2-low/positive advanced breast cancer:A meta-analysis of randomized controlled trials. Crit Rev Oncol Hematol. 2024 Apr;196:104305. doi: 10.1016/j.critrevonc.2024.104305. Epub 2024 Mar 3.

  • Cortes J. Trastuzumab Deruxtecan versus Trastuzumab Emtansine for Breast Cancer: a plain language summary of the DESTINY-Breast03 study. Future Oncol. 2024 Feb;20(4):167-178. doi: 10.2217/fon-2023-0422. Epub 2023 Dec 7.

  • Rugo HS, Crossno CL, Gesthalter YB, Kelley K, Moore HB, Rimawi MF, Westbrook KE, Buys SS. Real-World Perspectives and Practices for Pneumonitis/Interstitial Lung Disease Associated With Trastuzumab Deruxtecan Use in Human Epidermal Growth Factor Receptor 2-Expressing Metastatic Breast Cancer. JCO Oncol Pract. 2023 Aug;19(8):539-546. doi: 10.1200/OP.22.00480. Epub 2023 May 19.

  • Curigliano G, Dunton K, Rosenlund M, Janek M, Cathcart J, Liu Y, Fasching PA, Iwata H. Patient-reported outcomes and hospitalization data in patients with HER2-positive metastatic breast cancer receiving trastuzumab deruxtecan or trastuzumab emtansine in the phase III DESTINY-Breast03 study. Ann Oncol. 2023 Jul;34(7):569-577. doi: 10.1016/j.annonc.2023.04.516. Epub 2023 May 12.

  • Hurvitz SA, Hegg R, Chung WP, Im SA, Jacot W, Ganju V, Chiu JWY, Xu B, Hamilton E, Madhusudan S, Iwata H, Altintas S, Henning JW, Curigliano G, Perez-Garcia JM, Kim SB, Petry V, Huang CS, Li W, Frenel JS, Antolin S, Yeo W, Bianchini G, Loi S, Tsurutani J, Egorov A, Liu Y, Cathcart J, Ashfaque S, Cortes J. Trastuzumab deruxtecan versus trastuzumab emtansine in patients with HER2-positive metastatic breast cancer: updated results from DESTINY-Breast03, a randomised, open-label, phase 3 trial. Lancet. 2023 Jan 14;401(10371):105-117. doi: 10.1016/S0140-6736(22)02420-5. Epub 2022 Dec 7.

  • Rugo HS, Bianchini G, Cortes J, Henning JW, Untch M. Optimizing treatment management of trastuzumab deruxtecan in clinical practice of breast cancer. ESMO Open. 2022 Aug;7(4):100553. doi: 10.1016/j.esmoop.2022.100553. Epub 2022 Aug 11.

  • Cortes J, Kim SB, Chung WP, Im SA, Park YH, Hegg R, Kim MH, Tseng LM, Petry V, Chung CF, Iwata H, Hamilton E, Curigliano G, Xu B, Huang CS, Kim JH, Chiu JWY, Pedrini JL, Lee C, Liu Y, Cathcart J, Bako E, Verma S, Hurvitz SA; DESTINY-Breast03 Trial Investigators. Trastuzumab Deruxtecan versus Trastuzumab Emtansine for Breast Cancer. N Engl J Med. 2022 Mar 24;386(12):1143-1154. doi: 10.1056/NEJMoa2115022.

MeSH Terms

Conditions

Breast Neoplasms

Interventions

trastuzumab deruxtecanAdo-Trastuzumab Emtansine

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

MaytansineMacrolidesLactonesOrganic ChemicalsLactams, MacrocyclicMacrocyclic CompoundsPolycyclic CompoundsTrastuzumabAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
Contact for Clinical Trial Information
Organization
Daiichi Sankyo

Study Officials

  • Global Team Leader

    Daiichi Sankyo

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 13, 2018

First Posted

May 18, 2018

Study Start

August 9, 2018

Primary Completion

May 21, 2021

Study Completion

July 30, 2026

Last Updated

October 21, 2025

Results First Posted

April 29, 2022

Record last verified: 2025-10

Data Sharing

IPD Sharing
Will share

De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Studies for which the medicine and indication have received European Union (EU) and United States (US), and/or Japan (JP) marketing approval on or after 01 January 2014 or by the US or EU or JP Health Authorities when regulatory submissions in all regions are not planned and after the primary study results have been accepted for publication.
Access Criteria
Formal request from qualified scientific and medical researchers on IPD and clinical study documents from clinical trials supporting products submitted and licensed in the United States, the European Union and/or Japan from 01 January 2014 and beyond for the purpose of conducting legitimate research. This must be consistent with the principle of safeguarding study participants' privacy and consistent with provision of informed consent.
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