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2

Indication details

Control Arm
Single arm study (Phase II)
Therapeutic Indication
HER2-positive breast cancer that is metastatic (has spread to other parts of the body) or cannot be removed by surgery. HER2-positive means that the cancer cells produce a protein called HER2 in large quantities on their surface, which makes the tumour cells grow more quickly. Used on its own in patients who have received one or more HER2-targeted treatments
Tumour Sub-type
Breast Cancer
Tumour Stage
Unresectable or metastatic
Tumour Sub-Group
HER2+
Trial Name
DESTINY-Breast01
NCT Number
NCT03248492
Trial Phase
Phase II

Approval details

FDA Approval
FDA approval December 2019
EMA Approval
EMA (CHMP) December 2020 EC decision January 2021

Primary Outcome(s)

Primary Outcome(s)
ORR
Evaluated Outcome
ORR
Form(s)
Form 3

Outcome Data

PFS Control
16.4 months
ORR
60.9%
DoR
14.8 months

Adjustments

Toxicity Comment
52.2% Grade 3+ toxicity 2% toxic fatalities

Final Score (after adjustments)

Preliminary non-curative score

3

Toxicity adjustment
1-
Final non-curative score

2

Comment
EMA (CHMP) December 2020 EC decision January 2021
FDA approval December 2019

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
164
Scorecard version
1
Issue date
20.04.2020
Last update
02.03.2023
Trastuzumab deruxtecan DESTINY-Breast01

PRELIMINARY SCORE

ORR

ADJUSTMENTS

More serious and disabling adverse events observed
Trastuzumab deruxtecan DESTINY-Breast01

FINAL SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
2
Overall Response Rate / Duration of Response
HER2-positive breast cancer that is metastatic (has spread to other parts of the body) or cannot be removed by surgery. HER2-positive means that the cancer cells produce a protein called HER2 in large quantities on their surface, which makes the tumour cells grow more quickly. Used on its own in patients who have received one or more HER2-targeted treatments
Trastuzumab deruxtecan
Single arm study (Phase II)

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    Legend

    Information about symbols, abbrevations and color codes

    Red = negative
    Green = positive
    Grey = neutral
    ? Grey + ? = neutral with pending data
    DFS
    Disease-Free Survival
    DoR
    Duration of Response
    EFS
    Event-Free Survival
    HR
    Hazard Ratio
    NEB
    No evaluable benefit
    NI
    Non-inferiority Study
    ORR
    Overall Response Rate
    OS
    Overall Surival
    pCR
    Pathological Complete Response/Remission
    PFS
    Progression-Free Survival
    QoL
    Quality of Life
    RFS
    Relapse-Free Survival
    RR
    Response Rate

    QoL adjustments

    Other adjustments*

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    QoL adjustments

    Red = negative / deterioration

    Green = positive / improvement

    Other adjustments*

    Red = negative / deterioration

    Green = positive / improvement

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    * Other adjustments include:

    - Long-term plateau in the survival curve
    - Long-term plateau in the PFS curve
    - Early stopping or crossover
    - Only improved PFS mature data shows no OS advantage and no improved Qol.

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