Evidence map›Paper›PMID 41691539›Full record

ArticleClinical and translational science2026

Optimal Dosage Justification for Datopotamab Deruxtecan in HR-Positive/HER2-Negative Breast Cancer Through Model-Informed Drug Development Approaches.

Zoey Tang, KyoungSoo Lim, Yu Jiang, David Dai, Manjunatha Munegowda, Sabrina Khan, Lu Xu, Lei Shi, Yuzhuo Pan, Ying Hong and 4 more

Abstract read
In one paragraph

Article in Clinical and translational science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Article
  2. Article
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

14 authors.

Zoey TangClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Gaithersburg, Maryland, USA.ORCID 0009-0008-0945-6510
KyoungSoo LimClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Gaithersburg, Maryland, USA.ORCID 0000-0002-3663-4043
Yu JiangClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Gaithersburg, Maryland, USA.
David DaiClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Gaithersburg, Maryland, USA.
Manjunatha MunegowdaClinical Development, Oncology R&D, Mississauga, Ontario, Canada.ORCID 0000-0001-7683-5731
Sabrina KhanClinical Development, Oncology R&D, Gaithersburg, Maryland, USA.ORCID 0000-0002-9196-5240
Lu XuStatistics, Oncology R&D, New York, New York, USA.
Lei ShiStatistics, Oncology R&D, Gaithersburg, Maryland, USA.
Yuzhuo PanQuantitative Clinical Pharmacology, Daiichi Sankyo Inc., Basking Ridge, New Jersey, USA.
Ying HongQuantitative Clinical Pharmacology, Daiichi Sankyo Inc., Basking Ridge, New Jersey, USA.
Song RenClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Gaithersburg, Maryland, USA.
Pavan VajjahClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Cambridge, UK.
Megan GibbsClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Waltham, Massachusetts, USA.
Diansong ZhouClinical Pharmacology and Quantitative Pharmacology, AstraZeneca, Waltham, Massachusetts, USA.ORCID 0000-0002-2673-1069

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Project Optimus has been reforming the dose selection and optimization paradigm in oncology. In this context, model-informed drug development (MIDD) approaches were utilized to validate the optimal dose selection of 6 mg/kg every 3 weeks (Q3W) for datopotamab deruxtecan (Dato-DXd) in patients with HR-positive/HER2-negative breast cancer (HR+/HER2- BC). A Tumor Growth Inhibition (TGI)-Progression-Free Survival (PFS) modeling framework was developed to assess the relationship between Dato-DXd PK exposure, tumor dynamics, and PFS, and support virtual trial simulations at different Dato-DXd dose levels. Simulations suggested that Dato-DXd at 6 mg/kg Q3W provide superior tumor control and improved PFS compared to a lower dose in patients with HR+/HER2- BC. This work underscores the importance of integrating advanced modeling techniques into the dose optimization paradigm.

Indexed as

Antibodies, Monoclonal, HumanizedBreast NeoplasmsDrug DevelopmentComputer SimulationDose-Response Relationship, DrugErb-b2 Receptor Tyrosine KinasesFemaleHumansModels, BiologicalProgression-Free SurvivalAntibodies, Monoclonal, HumanizedERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesADCDato‐DXdHR+/HER2− breast cancerTROP2

Identifiers

PMID41691539
PMCPMC12906696

What OpenQuestion holds

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Registered trials

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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.