Evidence map›Paper›PMID 37870536›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Efficacy and Safety of Trastuzumab Deruxtecan in Patients With HER2-Expressing Solid Tumors: Primary Results From the DESTINY-PanTumor02 Phase II Trial.

Funda Meric-Bernstam, Vicky Makker, Ana Oaknin, Do-Youn Oh, Susana Banerjee, Antonio González-Martín, Kyung Hae Jung, Iwona Ługowska, Luis Manso, Aránzazu Manzano and 8 more

Open access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 612 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
612citing papers in PubMed, 6 pooled it
185.7field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

612 citing papers in PubMed, 6 syntheses or guidelines pooled it, 809 citations in OpenAlex.

  1. Morphological and molecular characterization of epithelial ovarian cancer: SEOM-SEAP consensus guidelines for biomarker integration in clinical practice.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  13. A modular framework for antibody-drug conjugate biomarkers.Nature reviews. Clinical oncology · 2026
    Review
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552 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 16 institutions in 8 countries.

Funda Meric-BernstamDepartment of Investigational Cancer Therapeutics, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-6816-6072
Vicky MakkerGynecologic Medical Oncology Service, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-9793-7614
Ana OakninGynaecologic Cancer Programme, Vall d'Hebron Institute of Oncology (VHIO), Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-3592-7194
Do-Youn OhSeoul National University Hospital; Cancer Research Institute, Seoul National University College of Medicine; Integrated Major in Innovative Medical Science, Seoul National University Graduate School, Seoul, South Korea.ORCID 0000-0003-1663-9901
Susana BanerjeeGynaecology Unit, The Royal Marsden NHS Foundation Trust and Institute of Cancer Research, London, United Kingdom.ORCID 0000-0002-8840-7934
Antonio González-MartínMedical Oncology Department and Programme in Solid Tumours-CIMA, Cancer Center Clínica Universidad de Navarra, Madrid, Spain.ORCID 0000-0001-8376-9576
Kyung Hae JungDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.ORCID 0000-0002-1580-7224
Iwona ŁugowskaEarly Phase Clinical Trials Unit and Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Luis MansoDepartment of Medical Oncology, Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID 0000-0002-1683-550X
Aránzazu ManzanoExperimental Therapeutics in Cancer (UTEC), Department of Medical Oncology, Hospital Clínico San Carlos, Madrid, Spain.
Bohuslav MelicharDepartment of Oncology, Palacký University Medical School and University Hospital, Olomouc, Czech Republic.
Salvatore SienaNiguarda Cancer Center, Grande Ospedale Metropolitano Niguarda and the Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Piazza dell'Ospedale Maggiore, Milan, Italy.ORCID 0000-0002-2681-2846
Daniil StroyakovskiyHealthcare Department, Moscow City Oncology Hospital No. 62, Moscow, Russia.ORCID 0000-0003-1973-1092
Anitra FieldingOncology R&D, AstraZeneca, Gaithersburg, MD.
Yan MaOncology R&D, AstraZeneca, Cambridge, United Kingdom.
Soham PuvvadaOncology R&D, AstraZeneca, Gaithersburg, MD.
Norah ShireOncology R&D, AstraZeneca, Gaithersburg, MD.
Jung-Yun LeeDepartment of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0001-7948-1350
AstraZeneca (United States) · USAstraZeneca (United Kingdom) · GBClinica Universidad de Navarra · ESHospital Clínico San Carlos · ESHospital Universitario 12 De Octubre · ESMemorial Sloan Kettering Cancer Center · USMoscow City Oncology Hospital №62 · RURoyal Marsden NHS Foundation Trust · GBSeoul National University · KRThe Maria Sklodowska-Curie National Research Institute of Oncology · PLThe University of Texas MD Anderson Cancer Center · USUlsan College · KRUniversity Hospital Olomouc · CZUniversity of Milan · ITVall d'Hebron Hospital Universitari · ESYonsei University · KR

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeTrastuzumab deruxtecan (T-DXd) is a human epidermal growth factor 2 (HER2)-directed antibody-drug conjugate approved in HER2-expressing breast and gastric cancers and HER2-mutant non-small-cell lung cancer. Treatments are limited for other HER2-expressing solid tumors.

methodsThis open-label phase II study evaluated T-DXd (5.4 mg/kg once every 3 weeks) for HER2-expressing (immunohistochemistry [IHC] 3+/2+ by local or central testing) locally advanced or metastatic disease after ≥1 systemic treatment or without alternative treatments. The primary end point was investigator-assessed confirmed objective response rate (ORR). Secondary end points included safety, duration of response, progression-free survival (PFS), and overall survival (OS).

resultsAt primary analysis, 267 patients received treatment across seven tumor cohorts: endometrial, cervical, ovarian, bladder, biliary tract, pancreatic, and other. The median follow-up was 12.75 months. In all patients, the ORR was 37.1% (n = 99; [95% CI, 31.3 to 43.2]), with responses in all cohorts; the median DOR was 11.3 months (95% CI, 9.6 to 17.8); the median PFS was 6.9 months (95% CI, 5.6 to 8.0); and the median OS was 13.4 months (95% CI, 11.9 to 15.5). In patients with central HER2 IHC 3+ expression (n = 75), the ORR was 61.3% (95% CI, 49.4 to 72.4), the median DOR was 22.1 months (95% CI, 9.6 to not reached), the median PFS was 11.9 months (95% CI, 8.2 to 13.0), and the median OS was 21.1 months (95% CI, 15.3 to 29.6). Grade ≥3 drug-related adverse events were observed in 40.8% of patients; 10.5% experienced adjudicated drug-related interstitial lung disease (ILD), with three deaths.

conclusionOur study demonstrates durable clinical benefit, meaningful survival outcomes, and safety consistent with the known profile (including ILD) in pretreated patients with HER2-expressing tumors receiving T-DXd. Greatest benefit was observed for the IHC 3+ population. These data support the potential role of T-DXd as a tumor-agnostic therapy for patients with HER2-expressing solid tumors.

Indexed as

Breast NeoplasmsCarcinoma, Non-Small-Cell LungImmunoconjugatesLung Diseases, InterstitialLung NeoplasmsAntibodies, Monoclonal, HumanizedCamptothecinErb-b2 Receptor Tyrosine KinasesFemaleHumansTrastuzumabAntibodies, Monoclonal, HumanizedCamptothecinErb-b2 Receptor Tyrosine KinasesImmunoconjugatesTrastuzumabtrastuzumab deruxtecan

Identifiers

PMID37870536
PMCPMC10730032
OpenAlexW4387865238

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.