Evidence map›Paper›PMID 37286557›Full record

ArticleNature communications2023

Final results of DESTINY-CRC01 investigating trastuzumab deruxtecan in patients with HER2-expressing metastatic colorectal cancer.

Takayuki Yoshino, Maria Di Bartolomeo, Kanwal Raghav, Toshiki Masuishi, Fotios Loupakis, Hisato Kawakami, Kensei Yamaguchi, Tomohiro Nishina, Zev Wainberg, Elena Elez and 11 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03384940 (A Phase 2, Multicenter, Open-label Study of DS-8201a in Subjects With HER2-expressing Advanced Colorectal Cancer), which is not on this map. Cited by 103 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 4 pooled it
33.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03384940 phase2completednot on this map

A Phase 2, Multicenter, Open-label Study of DS-8201a in Subjects With HER2-expressing Advanced Colorectal Cancer

TypeinterventionalSponsorDaiichi Sankyo Co., Ltd.Ran2018 to 2020Enrolled86ConditionsColorectal NeoplasmArmsDS-8201a
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 4 syntheses or guidelines pooled it, 147 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. A modular framework for antibody-drug conjugate biomarkers.Nature reviews. Clinical oncology · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Repurposing HER2 IHC: Pan-HER2 and Low-HER2.Applied immunohistochemistry & molecular morphology : AIMM · 2026
    Review
  19. Article
  20. Review

43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 16 institutions in 4 countries.

Takayuki YoshinoNational Cancer Center Hospital East, Kashiwa, Japan.ORCID 0000-0002-0489-4756
Maria Di BartolomeoFondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Kanwal RaghavThe University of Texas MD Anderson Cancer Center, Houston, USA.ORCID 0000-0003-1311-4173
Toshiki MasuishiAichi Cancer Center Hospital, Nagoya, Japan.
Fotios LoupakisOncology Institute Veneto IOV-IRCCS, Padova, Italy.
Hisato KawakamiKindai University Hospital, Osaka, Japan.ORCID 0000-0002-3280-4850
Kensei YamaguchiThe Cancer Institute Hospital of JFCR, Tokyo, Japan.
Tomohiro NishinaNational Hospital Organization Shikoku Cancer Center, Matsuyama, Japan.
Zev WainbergUCLA Medical Center, Los Angeles, USA.
Elena ElezVall d'Hebron Barcelona Hospital Campus, Vall d'Hebron Institute of Oncology, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID 0000-0002-4653-6324
Javier RodriguezClinica Universidad de Navarra, Madrid, Spain.
Marwan FakihCity of Hope National Medical Center, Philadelphia, USA.
Fortunato CiardielloUniversità degli studi della Campania L. Vanvitelli, Naples, Italy.ORCID 0000-0002-4661-5540
Kapil SaxenaDaiichi Sankyo, Basking Ridge, USA.
Kojiro KobayashiDaiichi Sankyo, Basking Ridge, USA.
Emarjola BakoDaiichi Sankyo, Basking Ridge, USA.
Yasuyuki OkudaDaiichi Sankyo, Tokyo, Japan.
Gerold MeinhardtDaiichi Sankyo, Basking Ridge, USA.
Axel GrotheyWest Cancer Center, Germantown, USA.
Salvatore SienaUniversità degli Studi di Milano, Milan, Italy. salvatore.siena@unimi.it.ORCID 0000-0002-2681-2846
DESTINY-CRC01 investigators
Daiichi Sankyo (United States) · USFondazione IRCCS Istituto Nazionale dei Tumori · ITAichi Cancer Center · JPCity Of Hope National Medical Center · USClinica Universidad de Navarra · ESDaiichi-Sankyo (Japan) · JPIstituto Oncologico Veneto · ITKindai University Hospital · JPNational Cancer Center Hospital East · JPShikoku Cancer Center · JPThe Cancer Institute Hospital · JPThe University of Texas MD Anderson Cancer Center · USUCLA Medical Center · USUniversitat Autònoma de Barcelona · ESUniversity of Milan · ITWest Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

DESTINY-CRC01 (NCT03384940) was a multicenter, open-label, phase 2 trial assessing the efficacy and safety of trastuzumab deruxtecan (T-DXd) in patients with HER2-expressing metastatic colorectal cancer (mCRC) that progressed after ≥2 prior regimens; results of the primary analysis are published. Patients received T-DXd 6.4 mg/kg every 3 weeks and were assigned to either: cohort A (HER2-positive, immunohistochemistry [IHC] 3+ or IHC 2+/in situ hybridization [ISH]+), cohort B (IHC 2+/ISH-), or cohort C (IHC 1+). Primary endpoint was objective response rate (ORR) by independent central review in cohort A. Secondary endpoints included ORR (cohorts B and C), duration of response, disease control rate, progression-free survival, overall survival, pharmacokinetics, and safety of T-DXd. 86 patients were enrolled (53 in cohort A, 15 in cohort B, and 18 in cohort C). Results of the primary analysis are published, reporting an ORR of 45.3% in cohort A. Here, we report the final results. No responses occurred in cohorts B or C. Median progression-free survival, overall survival, and duration of response were 6.9, 15.5, and 7.0 months, respectively. Overall serum exposure (cycle 1) of T-DXd, total anti-HER2 antibody, and DXd were similar regardless of HER2 status. Most common grade ≥3 treatment-emergent adverse events were decreased neutrophil count and anemia. Adjudicated drug-related interstitial lung disease/pneumonitis occurred in 8 patients (9.3%). These findings support the continued exploration of T-DXd in HER2-positive mCRC.

Indexed as

Colonic NeoplasmsImmunoconjugatesRectal NeoplasmsAntibodies, Monoclonal, HumanizedCamptothecinErb-b2 Receptor Tyrosine KinasesFemaleHumansTrastuzumabAntibodies, Monoclonal, HumanizedCamptothecinErb-b2 Receptor Tyrosine KinasesImmunoconjugatesTrastuzumabtrastuzumab deruxtecan

Identifiers

PMID37286557
PMCPMC10247780
OpenAlexW4379740210

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.