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
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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ACTIVE_NOT_RECRUITING
PHASE3
927 participants
INTERVENTIONAL
2021-10-25
2027-04-30
Brief Summary
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Arm A
Trastuzumab deruxtecan
Trastuzumab Deruxtecan
administered by intravenous infusion
Arm B
T-DXd, followed by THP
Trastuzumab Deruxtecan
administered by intravenous infusion
Paclitaxel
administered by intravenous infusion
Trastuzumab
administered by intravenous infusion
Pertuzumab
administered by intravenous infusion
Arm C
doxorubicin and cyclophosphamide, followed by THP
Paclitaxel
administered by intravenous infusion
Trastuzumab
administered by intravenous infusion
Pertuzumab
administered by intravenous infusion
Doxorubicin
administered by intravenous infusion
cyclophosphamide
administered by intravenous infusion
Interventions
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Trastuzumab Deruxtecan
administered by intravenous infusion
Paclitaxel
administered by intravenous infusion
Trastuzumab
administered by intravenous infusion
Pertuzumab
administered by intravenous infusion
Doxorubicin
administered by intravenous infusion
cyclophosphamide
administered by intravenous infusion
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* 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
* 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
18 Years
ALL
No
Sponsors
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Daiichi Sankyo
INDUSTRY
AstraZeneca
INDUSTRY
Responsible Party
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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
Research Site
Chiang Mai, , Thailand
Research Site
Hat Yai, , Thailand
Research Site
Khon Kaen, , Thailand
Countries
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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.
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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