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DESTINY-Breast07: Conclusions (Results from Part 2/Modules 0 [T-DXd monotherapy] and 2 [T-DXd + pertuzumab] as of December 22, 2023 DCO) 

Conclusions

Conclusions11. André F, Hamilton EP, Loi S, et al. DESTINY-Breast07: dose-expansion and analysis of T-DXd monotherapy and T-DXd + pertuzumab in patients with previously untreated HER2+ mBC. Abstract 1009. Presented at American Society of Clinical Oncology (ASCO) Congress; May 31-June 4, 2024; Chicago, Illinois

  • This is the first dataset of T-DXd monotherapy and T-DXd + pertuzumab as first-line treatment for HER2+ mBC
  • T-DXd monotherapy (N=75) and T-DXd + pertuzumab (N=50) showed robust efficacy:
    • Confirmed ORR was 76.0% and 84.0% for T-DXd monotherapy and T-DXd + pertuzumab, respectively
    • Median DOR was not reached for T-DXd monotherapy or T-DXd + pertuzumab
    • PFS rate at 12 months was 80.8% and 89.4% for T-DXd monotherapy and T-DXd + pertuzumab, respectively; the number of PFS events is small and most patients were censored
  • There are 62.7% and 56.0% of patients receiving ongoing study treatment, with a median duration of follow up of 23.9 months and 25.3 months, in the T-DXd monotherapy and T-DXd + pertuzumab modules, respectively
  • Encouraging clinical activity was observed with T-DXd monotherapy and T-DXd + pertuzumab in first-line HER2+ mBC, irrespective of disease status and HR status
  • The safety profiles of T-DXd and pertuzumab were consistent with their individual known profiles
    • The incidence of ILD/pneumonitis events was 9.3% and 14.0% in the T-DXd monotherapy and T-DXd + pertuzumab modules, respectively; there were no ILD/pneumonitis-related deaths in either module
  • T-DXd monotherapy and T-DXd + pertuzumab are being evaluated versus THP, in patients with HER2+ mBC in the first-line setting, in the Phase 3 DESTINY-Breast09 clinical trial

Abbreviations

DOR = duration of response

;

HER2 = human epidermal growth factor receptor 2

;

HR = hormone receptor

;

ILD = interstitial lung disease

;

mBC = metastatic breast cancer

;

ORR = overall response rate

;

PFS = progression free survival

;

T-DXd = trastuzumab deruxtecan

;

THP = docetaxel, trastuzumab, and pertuzumab

References

1. André F, Hamilton EP, Loi S, et al. DESTINY-Breast07: dose-expansion and analysis of T-DXd monotherapy and T-DXd + pertuzumab in patients with previously untreated HER2+ mBC. Abstract 1009. Presented at American Society of Clinical Oncology (ASCO) Congress; May 31-June 4, 2024; Chicago, Illinois

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Document ID: 325e86bc-2a1f-401a-b8d6-fa304896a85b
Last updated: 14-February-2023