Evidence map›Paper›PMID 41954657›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2026

Post Hoc Analysis of the Phase II DESTINY-PanTumor02 Study: Local and Central HER2 IHC Concordance and Trastuzumab Deruxtecan Efficacy by HER2 IHC Status in HER2-Expressing Solid Tumors.

Vicky Makker, Jung-Yun Lee, Do-Youn Oh, Ana Oaknin, Soham Puvvada, Lindsey Jung, Robert McEwen, Flavia Michelini, Funda Meric-Bernstam

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2026. 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 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.

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

2 citing papers in PubMed.

  1. Review
  2. Review
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

9 authors.

Vicky MakkerGynecologic Medical Oncology Service, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-9793-7614
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
Do-Youn OhDepartment of Internal Medicine, Seoul National University Hospital, Cancer Research Institute, Seoul National University College of Medicine, Integrated Major in Innovative Medical Science, Seoul National University Graduate School, Seoul, Republic of Korea.ORCID 0000-0003-1663-9901
Ana OakninMedical Oncology Service, Vall d'Hebron Institute of Oncology (VIHO), Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-3592-7194
Soham PuvvadaClinical Development, Late Oncology, Oncology R&D, AstraZeneca, Gaithersburg, Maryland.ORCID 0009-0001-8184-0559
Lindsey JungOncology Biometrics, Oncology R&D, AstraZeneca, Gaithersburg, Maryland.ORCID 0000-0002-7690-2620
Robert McEwenOncology Data Science, Research and Early Development, Oncology R&D, AstraZeneca, Cambridge, United Kingdom.ORCID 0009-0000-7155-5714
Flavia MicheliniTranslational Medicine, Oncology R&D, AstraZeneca, Barcelona, Spain.ORCID 0000-0002-3727-4887
Funda Meric-BernstamDepartment of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-6816-6072

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

purposeAccurate HER2 status assessment is crucial to identify patients with HER2-expressing tumors. In this post hoc analysis of DESTINY-PanTumor02 (NCT04482309), we report concordance between local and central HER2 immunohistochemistry (IHC) results. PATIENTS AND

methodsThis open-label, phase II study evaluated trastuzumab deruxtecan (T-DXd; 5.4 mg/kg once every 3 weeks) for HER2-expressing (IHC 3+/2+ by local or central testing) locally advanced, unresectable, or metastatic solid tumors after ≥1 systemic treatment or without alternative treatments.

resultsIn total, 267 patients received T-DXd; 75.7% were enrolled based on local test results. Concordance between local and central HER2 test results was 58.6% for IHC 3+, 54.5% for IHC 2+, and 73.4% for IHC 3+ and IHC 2+ tumors combined.

conclusionsThe moderate concordance observed between local and central IHC testing in DESTINY-PanTumor02 highlights the need for a validated diagnostic test and standardized algorithm for HER2 status assessment in solid tumors to ensure appropriate patient identification for HER2-directed therapies.

Indexed as

Biomarkers, TumorErb-b2 Receptor Tyrosine KinasesImmunoconjugatesNeoplasmsTrastuzumabAdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedCamptothecinFemaleHumansImmunohistochemistryMaleMiddle AgedTreatment OutcomeAntibodies, Monoclonal, HumanizedBiomarkers, TumorCamptothecinERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesImmunoconjugatesTrastuzumabtrastuzumab deruxtecan

Identifiers

PMID41954657
PMCPMC13320193

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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.