Evidence map›Paper›PMID 39261417›Full record

Trial reportAdvances in therapy2024

Efficacy of Trastuzumab Deruxtecan in HER2-Expressing Solid Tumors by Enrollment HER2 IHC Status: Post Hoc Analysis of DESTINY-PanTumor02.

Ana Oaknin, Jung-Yun Lee, Vicky Makker, Do-Youn Oh, Susana Banerjee, Antonio González-Martín, Kyung Hae Jung, Iwona Ługowska, Luis Manso, Aránzazu Manzano and 7 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Advances in therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04482309 (A Phase 2, Multicenter, Open-label Study to Evaluate the Efficacy and Safety of Trastuzumab Deruxtecan), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04482309 phase2active not recruitingnot on this map

A Phase 2, Multicenter, Open-label Study to Evaluate the Efficacy and Safety of Trastuzumab Deruxtecan (T-DXd, DS-8201a) for the Treatment of Selected HER2 Expressing Tumors (DESTINY-PanTumor02)

TypeinterventionalSponsorAstraZenecaRan2020 to 2027Enrolled477ConditionsPart 1: Bladder, Biliary Tract, Cervical, Endometrial, Ovarian, Pancreatic Cancer, Rare Tumors, Any Tumor Type Excluding Breast, Gastric, Colorectal Cancer, Part 2: HER2 Expressing/Amplified Solid Tumors Excluding Breast, Gastric, Colorectal CancerArmsTrastuzumab deruxtecan
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  9. Article
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  12. Predictive Biomarkers of Antibody-Drug Conjugate Efficacy for Solid Tumors: Current Challenges and the Potential Role of Quantitative Proteomics.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  13. Article
  14. Endometrial cancer therapy in 2026.Current opinion in obstetrics & gynecology · 2026
    Review
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  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Ana OakninMedical Oncology Service, Vall d'Hebron Institute of Oncology, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-3592-7194
Jung-Yun LeeDepartment of Obstetrics and Gynecology, Yonsei Cancer Center and Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0001-7948-1350
Vicky MakkerGynecologic Medical Oncology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0001-9793-7614
Do-Youn OhSeoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0003-1663-9901
Susana BanerjeeGynaecology Unit, The Royal Marsden NHS Foundation Trust, London, UK.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, Republic of Korea.ORCID 0000-0002-1580-7224
Iwona ŁugowskaEarly Phase Clinical Trials Unit, Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland.ORCID 0000-0001-9511-178X
Luis MansoDepartment of Medical Oncology, Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID 0000-0002-6182-1115
Aránzazu ManzanoExperimental Therapeutics in Cancer (UTEC), Department of Medical Oncology, Hospital Clínico San Carlos, Madrid, Spain.ORCID 0000-0001-5694-1801
Bohuslav MelicharDepartment of Oncology, Palacký University Medical School and University Hospital, Olomouc, Czech Republic.ORCID 0000-0002-5474-6866
Salvatore SienaDepartment of Oncology and Hemato-Oncology, Università degli Studi di Milano, 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, USA.
Soham PuvvadaOncology R&D, AstraZeneca, Gaithersburg, MD, USA.ORCID 0000-0001-9284-1824
Ann SmithOncology Biometrics, Oncology R&D, AstraZeneca, Cambridge, UK.
Funda Meric-BernstamDepartment of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA. fmeric@mdanderson.org.ORCID 0000-0001-6816-6072

Funding

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

Abstract

introductionDESTINY-PanTumor02 (NCT04482309) evaluated the efficacy and safety of trastuzumab deruxtecan (T-DXd) in pretreated patients with human epidermal growth factor receptor 2 (HER2)-expressing [immunohistochemistry (IHC) 3+/2+] solid tumors across seven cohorts: endometrial, cervical, ovarian, bladder, biliary tract, pancreatic, and other. Subgroup analyses by HER2 status were previously reported by central HER2 IHC testing, determined at enrollment or confirmed retrospectively. Reflecting the testing methods available in clinical practice, most patients (n = 202; 75.7%) were enrolled based on local HER2 IHC testing. Here, we report outcomes by HER2 IHC status as determined by the local or central test results used for study enrollment.

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

resultsIn total, 111 (41.6%) and 151 (56.6%) patients were enrolled with IHC 3+ and IHC 2+ tumors, respectively. In patients with IHC 3+ tumors, investigator-assessed confirmed ORR was 51.4% [95% confidence interval (CI) 41.7, 61.0], and median DOR was 14.2 months (95% CI 10.3, 23.6). In patients with IHC 2+ tumors, investigator-assessed ORR was 26.5% (95% CI 19.6, 34.3), and median DOR was 9.8 months (95% CI 4.5, 12.6). Safety was consistent with the known profile of T-DXd.

conclusionIn line with previously reported results, T-DXd demonstrated clinically meaningful benefit in patients with HER2-expressing tumors, with the greatest benefit in patients with IHC 3+ tumors. These data support the antitumor activity of T-DXd in HER2-expressing solid tumors, irrespective of whether patients are identified by local or central HER2 IHC testing.

Indexed as

Erb-b2 Receptor Tyrosine KinasesImmunohistochemistryNeoplasmsTrastuzumabAdultAgedAged, 80 and overAntineoplastic Agents, ImmunologicalCamptothecinFemaleHumansImmunoconjugatesMaleMiddle AgedAntineoplastic Agents, ImmunologicalCamptothecinERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesImmunoconjugatesTrastuzumabtrastuzumab deruxtecanAdvanced/metastatic solid tumorsHER2-expressingHER2 testingTrastuzumab deruxtecan

Identifiers

PMID39261417
PMCPMC11480158

What OpenQuestion holds

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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.