Trastuzumab Deruxtecan (T-DXd) Alone or in Sequence With THP, Versus Standard Treatment (ddAC-THP), in HER2-positive Early Breast Cancer

NCT ID: NCT05113251

Last Updated: 2025-11-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

927 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-25

Study Completion Date

2027-04-30

Brief Summary

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This study will look at the efficacy and safety of trastuzumab deruxtecan (T-DXd) in a neoadjuvant setting, in high-risk, HER2-positive early non-metastatic breast cancer.

Detailed Description

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The target population of interest in this study is participants with high-risk HER2-positive early-stage breast cancer. The purpose of this study is to determine the efficacy and safety of T-DXd neoadjuvant therapy.

Participants will be randomised to one of 3 arms: T-DXd monotherapy (Arm A), T-DXd followed by THP (Arm B), or ddAC-THP (Arm C).

Conditions

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Breast Neoplasms Breast Cancer HER2-positive Early Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants are assigned to one of three arms in parallel for the duration of the study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A

Trastuzumab deruxtecan

Group Type EXPERIMENTAL

Trastuzumab Deruxtecan

Intervention Type DRUG

administered by intravenous infusion

Arm B

T-DXd, followed by THP

Group Type EXPERIMENTAL

Trastuzumab Deruxtecan

Intervention Type DRUG

administered by intravenous infusion

Paclitaxel

Intervention Type DRUG

administered by intravenous infusion

Trastuzumab

Intervention Type DRUG

administered by intravenous infusion

Pertuzumab

Intervention Type DRUG

administered by intravenous infusion

Arm C

doxorubicin and cyclophosphamide, followed by THP

Group Type ACTIVE_COMPARATOR

Paclitaxel

Intervention Type DRUG

administered by intravenous infusion

Trastuzumab

Intervention Type DRUG

administered by intravenous infusion

Pertuzumab

Intervention Type DRUG

administered by intravenous infusion

Doxorubicin

Intervention Type DRUG

administered by intravenous infusion

cyclophosphamide

Intervention Type DRUG

administered by intravenous infusion

Interventions

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Trastuzumab Deruxtecan

administered by intravenous infusion

Intervention Type DRUG

Paclitaxel

administered by intravenous infusion

Intervention Type DRUG

Trastuzumab

administered by intravenous infusion

Intervention Type DRUG

Pertuzumab

administered by intravenous infusion

Intervention Type DRUG

Doxorubicin

administered by intravenous infusion

Intervention Type DRUG

cyclophosphamide

administered by intravenous infusion

Intervention Type DRUG

Other Intervention Names

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T-DXd Enhertu Taxol Onxol Herceptin Herzuma Perjeta Adriamycin Rubex Neosar Cytoxan

Eligibility Criteria

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Inclusion Criteria

* Patients must be at least 18 years of age.
* Histologically documented HER2-positive early breast cancer (EBC) participants, including clinical stage at presentation (based on mammogram or breast MRI assessment): T0-4 (inclusive of inflammatory breast cancer), N1-3, M0 or ≥ T3, N0, M0 as determined by the AJCC staging system, 8th edition
* ECOG performance status of 0 or 1 at randomization
* Adequate organ and bone marrow function
* LVEF ≥ 50% within 28 days before randomization
* FFPE tissue block (2 cores) or 20 freshly-cut, serial tumor slides for HER2 assessment by central lab. If blocks are incomplete or fewer than 20 slides are available, participants may be eligible following discussion with the AstraZeneca Study Physician

Exclusion Criteria

* prior history of invasive breast cancer
* stage IV breast cancer (determined by AJCC staging system)
* any primary malignancy within 3 years (except resected non-melanoma skin cancer, curatively treated in situ disease) Note: This includes a second current breast primary malignancy (ie, bilateral breast cancer)
* history of DCIS (except those treated with mastectomy \>5 years prior to current diagnosis)
* History of, or current, ILD/pneumonitis
* Prior systemic therapy for the treatment of breast cancer
* Previous treatment with anthracyclines, cyclophosphamide or taxanes for any malignancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Daiichi Sankyo

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Springdale, Arkansas, United States

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Beverly Hills, California, United States

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Glendale, California, United States

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Los Alamitos, California, United States

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Orange, California, United States

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New Haven, Connecticut, United States

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Fort Wayne, Indiana, United States

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Lexington, Kentucky, United States

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Louisville, Kentucky, United States

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Shreveport, Louisiana, United States

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Minneapolis, Minnesota, United States

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Las Vegas, Nevada, United States

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East Brunswick, New Jersey, United States

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Summit, New Jersey, United States

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Commack, New York, United States

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Durham, North Carolina, United States

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Greenville, South Carolina, United States

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Germantown, Tennessee, United States

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Nashville, Tennessee, United States

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Fort Worth, Texas, United States

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Ogden, Utah, United States

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Tacoma, Washington, United States

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Goiânia, , Brazil

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Ijuí, , Brazil

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Natal, , Brazil

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Porto Alegre, , Brazil

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Porto Alegre, , Brazil

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São Paulo, , Brazil

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São Paulo, , Brazil

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Panagyurishte, , Bulgaria

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Sofia, , Bulgaria

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Edmonton, Alberta, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Montreal, , Canada

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Beijing, , China

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Changsha, , China

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Changsha, , China

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Chongqing, , China

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Guangzhou, , China

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Guangzhou, , China

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Guangzhou, , China

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Kunming, , China

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Nanning, , China

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Qingdao, , China

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Shanghai, , China

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Shenyang, , China

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Tianjin, , China

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Wuhan, , China

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Wuhan, , China

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Zhengzhou, , China

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Augsburg, , Germany

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Berlin, , Germany

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Erlangen, , Germany

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Hamburg, , Germany

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Heidelberg, , Germany

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Kiel, , Germany

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Leipzig, , Germany

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Mönchengladbach, , Germany

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München, , Germany

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Münster, , Germany

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Paderborn, , Germany

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Tübingen, , Germany

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Gurgaon, , India

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Howrah, , India

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Nagpur, , India

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Nashik, , India

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New Delhi, , India

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New Delhi, , India

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Raipur, , India

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Rishikesh, , India

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Surat, , India

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Thiruvananthapuram, , India

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Bologna, , Italy

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Candiolo, , Italy

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Livorno, , Italy

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Milan, , Italy

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Naples, , Italy

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Napoli, , Italy

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Negrar, , Italy

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Padua, , Italy

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Roma, , Italy

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Rozzano, , Italy

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Chūōku, , Japan

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Chūōku, , Japan

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Hidaka-shi, , Japan

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Hiroshima, , Japan

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Kawasaki-shi, , Japan

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Kōtoku, , Japan

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Nagoya, , Japan

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Nagoya, , Japan

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Ota-shi, , Japan

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Shinjuku-ku, , Japan

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Lima, , Peru

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Lima, , Peru

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Lima, , Peru

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Lima, , Peru

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Bacolod, , Philippines

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Cebu City, , Philippines

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Davao City, , Philippines

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Iloilo City, , Philippines

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Quezon City, , Philippines

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San Juan City, , Philippines

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Bialystok, , Poland

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Biała Podlaska, , Poland

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Bydgoszcz, , Poland

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Koszalin, , Poland

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Lublin, , Poland

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Rzeszów, , Poland

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Warsaw, , Poland

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Moscow, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Dammam, , Saudi Arabia

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Jeddah, , Saudi Arabia

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Jeddah, , Saudi Arabia

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Riyadh, , Saudi Arabia

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Riyadh, , Saudi Arabia

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Goyang-si, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Barcelona, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Seville, , Spain

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Vigo, , Spain

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Kaohsiung City, , Taiwan

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Taichung, , Taiwan

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Tainan, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Taoyuan District, , Taiwan

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Bangkok, , Thailand

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Bangkok, , Thailand

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Bangkok, , Thailand

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Chiang Mai, , Thailand

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Hat Yai, , Thailand

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Khon Kaen, , Thailand

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Countries

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United States Brazil Bulgaria Canada China Germany India Italy Japan Peru Philippines Poland Russia Saudi Arabia South Korea Spain Taiwan Thailand

References

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Harbeck N, Modi S, Pusztai L, Ohno S, Wu J, Kim SB, Yoshida A, Fabi A, Cao X, Joseph R, Li R, Zurawski B, Escriva-de-Romani S, Meneguetti R, Supavavej A, Chen SC, Liu Z, Kelly C, Curigliano G, Symmans WF, Gufran M, Ke J, Konpa A, Herbolsheimer P, Boileau JF; DESTINY-Breast11 Trial Investigators. Neoadjuvant trastuzumab deruxtecan alone or followed by paclitaxel, trastuzumab, and pertuzumab for high-risk HER2-positive early breast cancer (DESTINY-Breast11): a randomised, open-label, multicentre, phase 3 trial. Ann Oncol. 2025 Oct 18:S0923-7534(25)04968-3. doi: 10.1016/j.annonc.2025.10.019. Online ahead of print.

Reference Type DERIVED
PMID: 41130363 (View on PubMed)

Other Identifiers

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2023-505210-18-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

2021-000603-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

D967RC00001

Identifier Type: -

Identifier Source: org_study_id

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