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DRUG CLASS:

Topoisomerase I inhibitor

Related drugs:
1d
Genomic alterations in circulating tumor DNA (ctDNA) and response to ABBV-400 treatment in patients with advanced solid tumors (AIOM 2024)
The ADC ABBV-400 comprises the c-Met–targeting antibody telisotuzumab conjugated to a potent topoisomerase 1 inhibitor payload. ABBV-400 showed promising preliminary efficacy, with molecular and radiographic responses in pts with advanced solid tumors with heterogeneous genomic profiles, including pts with high TMB and KRAS mutations.
Clinical • Tumor mutational burden • Circulating tumor DNA • Metastases
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KRAS (KRAS proto-oncogene GTPase) • TP53 (Tumor protein P53) • TMB (Tumor Mutational Burden) • MET (MET proto-oncogene, receptor tyrosine kinase) • MSI (Microsatellite instability) • LRP1B (LDL Receptor Related Protein 1B) • PTPRT (Protein tyrosine phosphatase receptor type T)
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KRAS mutation • TMB-H • MET overexpression • PTPRT mutation
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GuardantINFINITY™
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telisotuzumab adizutecan (ABBV-400) • telisotuzumab (h224G11)
1d
Homologous recombination (HR) and DNA damage repair (DDR) somatic alterations in metastatic colorectal cancer (mCRC): results from the comprehensive genomic profiling (CGP) trial FPG500 (AIOM 2024)
Background : Treatment (tx) of MSS/MMRp mCRC relies mainly on oxaliplatin (oxa)- or irinotecan-based doublet chemotherapy regimens, with no biomarker reported so far, allowing the selection of one tx over the other. HR-DDRa is associated with MSI-H or TMB-H. Pts with MSS HR-DDRa tumors benefit from oxa-based first line treatment. Longer FU, allowing mature OS data, and wider cohorts are warranted.
Tumor mutational burden • BRCA Biomarker • MSi-H Biomarker • Metastases
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TMB (Tumor Mutational Burden) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • MSI (Microsatellite instability) • BAP1 (BRCA1 Associated Protein 1) • PALB2 (Partner and localizer of BRCA2) • ATRX (ATRX Chromatin Remodeler) • CHEK2 (Checkpoint kinase 2) • FANCA (FA Complementation Group A) • BRIP1 (BRCA1 Interacting Protein C-terminal Helicase 1) • RAD50 (RAD50 Double Strand Break Repair Protein) • CHEK1 (Checkpoint kinase 1) • BARD1 (BRCA1 Associated RING Domain 1) • MRE11A (MRE11 homolog, double strand break repair nuclease) • NBN (Nibrin Nijmegen Breakage Syndrome 1 (Nibrin)) • FANCL (FA Complementation Group L) • FANCD2 (FA Complementation Group D2) • FANCE (FA Complementation Group E) • FANCC (FA Complementation Group C)
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TMB-H • MSI-H/dMMR
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TruSight Oncology 500 Assay
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oxaliplatin • irinotecan
2d
Multi-omics analysis revealed significant metabolic changes in brain cancer cells treated with paclitaxel and/or topotecan. (PubMed, Heliyon)
Overall, this study underscores the effectiveness of multi-omics approaches in revealing the molecular mechanisms driving chemotherapy responses in cancer cells. Additionally, this work generates a comprehensive list of molecular alterations that can serve as a foundation for further investigations and inform personalized healthcare strategies to enhance patient outcomes.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • RACK1 (Receptor For Activated C Kinase 1) • RPA3 (Replication Protein A3)
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paclitaxel • topotecan
3d
Identification of basement membrane-related prognostic model associated with the immune microenvironment and synthetic therapy response in pancreatic cancer: integrated bioinformatics analysis and clinical validation. (PubMed, J Cancer)
PCs with a low BM-related score had a better outcome and were more likely to benefit from oxaliplatin, irinotecan, and KRAS(G12C) inhibitor-12, and immunotherapy. Molecular docking indicated that epigallocatechin gallate had a strong binding activity with DSG3, MET, and PLAU and may be used as a potential therapeutic agent for PC. In conclusion, this study developed a BM-related model associated with PC prognosis, immune infiltration, and treatment, which provided new insights into PC stratification and drug intervention.
Journal
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KRAS (KRAS proto-oncogene GTPase) • CD8 (cluster of differentiation 8) • PLAU (Plasminogen Activator)
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oxaliplatin • irinotecan
3d
Sacituzumab Govitecan in Triple Negative Breast Cancer: A Systematic Review of Clinical Trials. (PubMed, Cancers (Basel))
The efficacy results showed a significantly greater clinical benefit with sacituzumab govitecan compared to standard chemotherapy in patients with triple-negative breast cancer. This drug will become a treatment of substantial impact in future treatment guidelines for this type of cancer.
Clinical • Review • Journal
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HER-2 (Human epidermal growth factor receptor 2)
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irinotecan • Trodelvy (sacituzumab govitecan-hziy)
3d
A Phase 2 Study to Evaluate the Efficacy, Safety and Pharmacokinetics of YL202 in Patients With BC (clinicaltrials.gov)
P2, N=180, Recruiting, MediLink Therapeutics (Suzhou) Co., Ltd. | Active, not recruiting --> Recruiting
Enrollment open • Metastases
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BNT326
3d
Phase 1 Dose Escalation Study for VIP236 in Patients With Advanced Cancer (clinicaltrials.gov)
P1, N=29, Completed, Vincerx Pharma, Inc. | Recruiting --> Completed | Trial primary completion date: Mar 2024 --> Oct 2024
Trial completion • Trial primary completion date • Metastases
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VIP236
3d
YL201-INT-101-01: A Study of YL201 in Patients With Advanced Solid Tumors (clinicaltrials.gov)
P1, N=196, Recruiting, MediLink Therapeutics (Suzhou) Co., Ltd. | Trial completion date: Jul 2025 --> Oct 2027 | Trial primary completion date: Jul 2024 --> Apr 2027
Trial completion date • Trial primary completion date • Metastases
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YL201
3d
Efficacy and safety of sacituzumab govitecan Trop-2-targeted antibody-drug conjugate in solid tumors and UGT1A1*28 polymorphism: a systematic review and meta-analysis. (PubMed, BJC Rep)
Our systematic review and meta-analysis confirmed that SG confers good clinical activity in certain solid tumor types and was tolerable with minimal adverse events. The potential utility of UGT1A1*28 genotyping in predicting clinical response and outcomes could not be determined due to the limited number of studies with available UGT1A1 genotype data.
Retrospective data • Review • Journal
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UGT1A1 (UDP glucuronosyltransferase family 1 member A1)
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UGT1A1*28 • UGT1A1*1*1
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Trodelvy (sacituzumab govitecan-hziy)
3d
New trial • Metastases
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albumin-bound paclitaxel • irinotecan
3d
A Study of YL202 in Selected Patients with Advanced Solid Tumors (clinicaltrials.gov)
P2, N=200, Recruiting, MediLink Therapeutics (Suzhou) Co., Ltd. | Active, not recruiting --> Recruiting
Enrollment open • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 positive
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BNT326
4d
Cost-Effectiveness of Trastuzumab Deruxtecan in Patients with Unresectable or Metastatic HER2-Low Breast Cancer Who Have Received Prior Chemotherapy. (PubMed, Adv Ther)
Our study demonstrates that T-DXd is a cost-effective treatment for patients with HER2-low unresectable or metastatic breast cancer who have received prior chemotherapy in Denmark.
Journal • HEOR • Cost-effectiveness • Cost effectiveness • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
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Enhertu (fam-trastuzumab deruxtecan-nxki)
4d
Strategies for the treatment of hormone receptor-positive HER2-low breast cancer based on clinical practice: a round table discussion. (PubMed, Transl Breast Cancer Res)
Several clinical trials have validated the efficacy and safety of trastuzumab deruxtecan (T-Dxd) in HER2-low breast cancer at different treatment settings...The discussion mainly focused on the precise diagnosis of HER2-low breast cancer, treatment design at different disease status, regimens selection according to drug response, strategies consideration for overcoming drug resistance and the management of adverse events in long-term survival. These opinions would provide critical insights to improve HER2-low breast cancer treatment and offer valuable suggestions for clinical practice.
Review • Journal
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 positive • HR positive
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Enhertu (fam-trastuzumab deruxtecan-nxki)
4d
Rollover Study in Participants With Metastatic Solid Tumors Benefiting From Therapy With Sacituzumab Govitecan-hziy (clinicaltrials.gov)
P4, N=25, Completed, Gilead Sciences | Enrolling by invitation --> Completed | N=200 --> 25
Trial completion • Enrollment change
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Trodelvy (sacituzumab govitecan-hziy)
5d
Advancing HER2 Stratification: Evaluating the APIS Breast Cancer Subtyping Kit against IHC/ISH for Precise HER2 Quantification (AMP 2024)
The APIS kit accurately measures HER2/ERBB2 expression. The findings indicate that relying solely on IHC stratification may not be sufficient to predict responses to novel anti-HER2 treatments, like T-Dxd. By leveraging the dynamic range of RNA expression, a ΔCt semi-quantitative scale using additional cut-offs has been developed to enhance the stratification of ERBB2 mRNA expression.
HER-2 (Human epidermal growth factor receptor 2) • KEAP1 (Kelch Like ECH Associated Protein 1)
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HER-2 amplification • HER-2 expression • HER-2 underexpression
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APIS Breast Cancer Subtyping Kit
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Enhertu (fam-trastuzumab deruxtecan-nxki)
5d
IDeate-Pantumor 01: Study of Ifinatamab Deruxtecan (DS-7300a, I-DXd) in Participants With Advanced Solid Malignant Tumors (clinicaltrials.gov)
P1/2, N=250, Recruiting, Daiichi Sankyo | Trial primary completion date: Dec 2024 --> Dec 2025
Trial primary completion date
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ifinatamab deruxtecan (DS-7300)
5d
New P1/2 trial
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Perjeta (pertuzumab) • Tukysa (tucatinib) • patritumab deruxtecan (U3-1402) • Herzuma (trastuzumab-pkrb) • Trazimera (trastuzumab-qyyp)
5d
Enrollment open
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HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor)
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HER-2 negative • PGR negative
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Keytruda (pembrolizumab) • Trodelvy (sacituzumab govitecan-hziy)
5d
Enrollment open
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HER-2 (Human epidermal growth factor receptor 2)
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carboplatin • docetaxel • Perjeta (pertuzumab) • Enhertu (fam-trastuzumab deruxtecan-nxki)
6d
New P2 trial
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Opdivo (nivolumab) • Trodelvy (sacituzumab govitecan-hziy)
6d
Trial completion date • Trial primary completion date
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temozolomide • doxorubicin hydrochloride • cyclophosphamide • ifosfamide • etoposide IV • irinotecan • vincristine • mesna • dexrazoxane
6d
CIBI354A101: A First-in-human Study of IBI354 in Subjects With Locally Advanced Unresectable or Metastatic Solid Tumors (clinicaltrials.gov)
P1/2, N=368, Recruiting, Innovent Biologics (Suzhou) Co. Ltd. | Not yet recruiting --> Recruiting | Trial completion date: Jul 2025 --> Oct 2025 | Trial primary completion date: Oct 2024 --> Apr 2025
Enrollment open • Trial completion date • Trial primary completion date • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 expression
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IBI-354
6d
A Study of BL-M02D1 in Patients With Locally Advanced or Metastatic Gastrointestinal Tumors or Other Solid Tumors (clinicaltrials.gov)
P1, N=26, Recruiting, Sichuan Baili Pharmaceutical Co., Ltd. | Trial completion date: Oct 2024 --> Jun 2025 | Trial primary completion date: Oct 2024 --> Jun 2025
Trial completion date • Trial primary completion date • Metastases
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TACSTD2 (Tumor Associated Calcium Signal Transducer 2)
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BL-M02D1
6d
Phase II Study to Evaluate Modified Folfirinox and Stereotactic Body Radiation Therapy in Non-metastatic Unresectable Pancreatic Adenocarcinoma (clinicaltrials.gov)
P2, N=28, Recruiting, Yale University | Trial completion date: Feb 2025 --> Feb 2027 | Trial primary completion date: Aug 2024 --> Aug 2026
Trial completion date • Trial primary completion date • Metastases
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oxaliplatin • irinotecan
6d
Study Evaluating Treatment of Sacituzumab-govitecan for Patients With Metastatic Esophagogastric Adenocarcinoma (clinicaltrials.gov)
P1/2, N=56, Active, not recruiting, Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest | Recruiting --> Active, not recruiting
Enrollment closed • Metastases
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MSI (Microsatellite instability)
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MSI-H/dMMR
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Trodelvy (sacituzumab govitecan-hziy)
8d
New P2 trial • Metastases
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5-fluorouracil • capecitabine • oxaliplatin • leucovorin calcium • Teysuno (gimeracil/oteracil/tegafur) • Onivyde (nanoliposomal irinotecan)
8d
New P2 trial • Metastases
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5-fluorouracil • oxaliplatin • leucovorin calcium • Onivyde (nanoliposomal irinotecan) • Ariely (adebrelimab)
8d
A Phase 1/2 Study to Evaluate the Safety and Efficacy of MK-2870 Monotherapy or in Combination With Other Anticancer Agents in Gastrointestinal Cancers (ChiCTR2400089007)
P2, N=130, Not yet recruiting, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology; Union Hospital, Tongji Medical College, Huazhong University of
New P2 trial • Combination therapy
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MSI (Microsatellite instability) • MLH1 (MutL homolog 1) • MSH6 (MutS homolog 6) • MSH2 (MutS Homolog 2) • BRCA (Breast cancer early onset) • CD4 (CD4 Molecule)
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MSI-H/dMMR • BRCA mutation • MSH6 expression
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FoundationOne® CDx
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5-fluorouracil • sacituzumab tirumotecan (MK-2870)
8d
New P2 trial • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
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HR positive • HER-2 negative • HER-2 expression • HER-2 underexpression • PGR expression • HER-2 negative + HR negative
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BNT326
10d
New P2 trial • Circulating tumor DNA • Metastases
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Enhertu (fam-trastuzumab deruxtecan-nxki)
10d
ICARUS-LUNG01: Datopotamab Deruxtecan (Dato-DXd, DS-1062a) in Advanced and/or Unresectable Non-Small Cell Lung Cancer (clinicaltrials.gov)
P2, N=100, Active, not recruiting, Gustave Roussy, Cancer Campus, Grand Paris | Recruiting --> Active, not recruiting | Trial completion date: Nov 2025 --> Mar 2028 | Trial primary completion date: Nov 2022 --> Mar 2025
Enrollment closed • Trial completion date • Trial primary completion date • Metastases
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EGFR (Epidermal growth factor receptor) • BRAF (B-raf proto-oncogene) • ALK (Anaplastic lymphoma kinase) • MET (MET proto-oncogene, receptor tyrosine kinase) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS) • NTRK (Neurotrophic receptor tyrosine kinase)
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EGFR mutation • BRAF mutation • RET mutation • MET mutation • NTRK fusion
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datopotamab deruxtecan (DS-1062a)
10d
ICARUS-BREAST01: Patritumab Deruxtecan (U3-1402) in Unresectable Locally Advanced or Metastatic Breast Cancer (clinicaltrials.gov)
P2, N=99, Active, not recruiting, Gustave Roussy, Cancer Campus, Grand Paris | Recruiting --> Active, not recruiting | N=170 --> 99 | Trial completion date: Jun 2026 --> Apr 2028 | Trial primary completion date: Jan 2024 --> Apr 2025
Enrollment closed • Enrollment change • Trial completion date • Trial primary completion date • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
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HR positive • HER-2 negative
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patritumab deruxtecan (U3-1402)
11d
Differentiating HER2-low and HER2-zero tumors with 21-gene multigene assay in 2,295 h + HER2- breast cancer: a retrospective analysis. (PubMed, Breast Cancer Res)
Within HR + HER2- breast cancer, HER2-low tumors are associated with high RS, especially for histologically invasive ductal carcinoma. A prognostic influence of HER2-low expression among HR + HER2- breast cancer remains as an area that requires further study.
Retrospective data • Journal
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 positive • HER-2 negative • HER-2 expression • HER-2 underexpression • HER-2 amplification + HR-positive
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Oncotype DX Breast Recurrence Score®Test
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Enhertu (fam-trastuzumab deruxtecan-nxki)
11d
Enrollment change • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
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Enhertu (fam-trastuzumab deruxtecan-nxki)
11d
Retinoblastoma Phase II Expanded Access Clinical Trial (clinicaltrials.gov)
P2, N=30, Not yet recruiting, Targeted Therapy Technologies, LLC
New P2 trial
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topotecan • topotecan episcleral
11d
Trial suspension • Combination therapy
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HER-2 (Human epidermal growth factor receptor 2) • CD4 (CD4 Molecule) • CASP3 (Caspase 3)
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HER-2 positive • HER-2 overexpression • HER-2 amplification • HER-2 mutation • HER-2 L755S • HER-2 A775_G776insYVMA • HER-2 S310F • HER-2 V777L • HER-2 G778_P780dup • HER-2 D769Y • HER-2 L869R • HER-2 V842I • HER-2 H878Y • HER-2 L866M • HER-2 A775 • HER-2 G309A • HER-2 P780-Y781insGSP • HER-2 R678Q • HER-2 R896C • HER-2 T862A • HER-2 YVMA
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Nerlynx (neratinib) • Enhertu (fam-trastuzumab deruxtecan-nxki)
12d
Enrollment open • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
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Gilotrif (afatinib) • Enhertu (fam-trastuzumab deruxtecan-nxki)
12d
New P2 trial
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datopotamab deruxtecan (DS-1062a)
12d
Unveiling the future of breast cancer therapy: Cutting-edge antibody-drug conjugate strategies and clinical outcomes. (PubMed, Breast)
For the treatment of breast cancer, there are three ADCs approved for breast cancer treatment: Trastuzumab emtansine (T-DM1), Trastuzumab Deruxtecan (T-Dxd) targeting HER-2, and Sacituzumab Govitecan (SG) targeting Trop-2. This review summarizes the efficacy and adverse effects of ADC therapies that have completed or are currently undergoing phase I-III clinical trials. Additionally, it analyzes potential combination strategies to overcome ADC resistance, aiming to provide clinicians with a comprehensive clinical guide to the use of ADCs in breast cancer treatment.
Clinical data • Review • Journal
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 positive • HR positive • HER-2 expression • HER-2 underexpression
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Kadcyla (ado-trastuzumab emtansine) • Enhertu (fam-trastuzumab deruxtecan-nxki) • Trodelvy (sacituzumab govitecan-hziy)
13d
DS-8201a in Pre-treated HER2 Breast Cancer That Cannot be Surgically Removed or Has Spread [DESTINY-Breast02] (clinicaltrials.gov)
P3, N=608, Active, not recruiting, Daiichi Sankyo | Trial completion date: May 2025 --> Jul 2025
Trial completion date • Metastases
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HER-2 (Human epidermal growth factor receptor 2)
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HER-2 positive • HER-2 expression
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lapatinib • Kadcyla (ado-trastuzumab emtansine) • Enhertu (fam-trastuzumab deruxtecan-nxki) • capecitabine
13d
ACR246-101: An Open-label, Multi-center, Dose-escalation and Cohort Expansion Phase I/IIa Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetic Profile and Efficacy of ACR246 in Patients with Advanced Solid Tumors (clinicaltrials.gov)
P1, N=77, Recruiting, Hangzhou Adcoris Biopharmacy Co., Ltd | Not yet recruiting --> Recruiting | Initiation date: Mar 2024 --> Oct 2024 | Trial primary completion date: Jan 2025 --> Jun 2025
Enrollment open • Trial initiation date • Trial primary completion date • Metastases