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NCT04494425 · OUTCOME

Progression-Free Survival Assessed by Blinded Independent Central Review in the Intent-to-Treat, Human Epidermal Growth Factor Receptor 2 Immunohistochemistry (IHC) >0 <1+ and Human Epidermal Growth Factor Receptor 2-low Population

Study of Trastuzumab Deruxtecan (T-DXd) vs Investigator's Choice Chemotherapy in HER2-low, Hormone Receptor Positive, Metastatic Breast Cancer · Source last updated 2026-03-04

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEDIAN
Unit
months
Interval / dispersion
95% Confidence Interval
Time frame
Response evaluations performed at screening, q6w ± 1 week from randomization for 48 weeks, and then q9w ± 1 week, starting at Week 48 until PD, up to PCD of 18 March 2024 (maximum of approximately 43.85 months)

What was measured

PFS per RECIST 1.1 assessed by BICR was defined as the time from the date of randomization until the date of PD, as defined or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anticancer therapy prior to progression. PD was defined as at least a 20% increase in the sum of diameters of TLs, taking as reference the smallest previous sum of diameters (nadir), this included the baseline sum if that was the smallest on study. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 mm from nadir. Median PFS was calculated using Kaplan-Meier method and its CI using Brookmeyer-Crowley method.

Analysis population: ITT population: all randomized participants. HER2 IHC \>0 \<1+ population: subset of participants included in ITT population with HER2 IHC \>0 \<1+ as determined by central laboratory testing and who have had at least 24 weeks of follow-up at time of interim futility PCD. HER2-low population: subset of participants in ITT population with HER2 IHC 2+/ISH- and IHC 1+ as determined per IRT data for HER2 IHC expression. Only participants with data collected in specified categories are reported.

Groups in this outcome

T-DXd

Participants received T-DXd 5.4 mg/kg via IV infusion every 3 weeks until PD, unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation was met.

Chemotherapy

Participants received Investigator's choice single-agent chemotherapy (capecitabine 1000 or 1250 mg/m\^2 orally twice daily for 2 weeks followed by a 1-week rest period in 3-week cycles, paclitaxel 80 mg/m\^2 via IV infusion qw in 3-week cycles or nab-paclitaxel 100 mg/m\^2 via IV infusion qw for 3 weeks followed by 1-week rest period in 4-week cycles) until PD, unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation was met.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
T-DXd436
Chemotherapy430

Reported measurements

ITT Population

Analysis denominator · Participants

GroupSource count
T-DXd436
Chemotherapy430
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
T-DXd13.2Not reported12.015.2Not reported
Chemotherapy8.1Not reported7.09.0Not reported
HER2 IHC >0 <1+ Population

Analysis denominator · Participants

GroupSource count
T-DXd76
Chemotherapy76
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
T-DXd13.2Not reported9.817.3Not reported
Chemotherapy8.3Not reported5.815.2Not reported
HER2-low Population

Analysis denominator · Participants

GroupSource count
T-DXd359
Chemotherapy354
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
T-DXd12.8Not reported11.113.2Not reported
Chemotherapy7.0Not reported6.47.5Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        12.0
        upper Limit
        15.2
        value
        13.2
      2. group Id
        OG001
        lower Limit
        7.0
        upper Limit
        9.0
        value
        8.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        436
      2. group Id
        OG001
        value
        430
      units
      Participants
    title
    ITT Population
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        9.8
        upper Limit
        17.3
        value
        13.2
      2. group Id
        OG001
        lower Limit
        5.8
        upper Limit
        15.2
        value
        8.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        76
      2. group Id
        OG001
        value
        76
      units
      Participants
    title
    HER2 IHC >0 <1+ Population
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        11.1
        upper Limit
        13.2
        value
        12.8
      2. group Id
        OG001
        lower Limit
        6.4
        upper Limit
        7.5
        value
        7.0
    denoms
    1. counts
      1. group Id
        OG000
        value
        359
      2. group Id
        OG001
        value
        354
      units
      Participants
    title
    HER2-low Population
denoms
  1. counts
    1. group Id
      OG000
      value
      436
    2. group Id
      OG001
      value
      430
    units
    Participants
description
PFS per RECIST 1.1 assessed by BICR was defined as the time from the date of randomization until the date of PD, as defined or death (by any cause in the absence of progression) regardless of whether the participant withdrew from randomized therapy or received another anticancer therapy prior to progression. PD was defined as at least a 20% increase in the sum of diameters of TLs, taking as reference the smallest previous sum of diameters (nadir), this included the baseline sum if that was the smallest on study. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 mm from nadir. Median PFS was calculated using Kaplan-Meier method and its CI using Brookmeyer-Crowley method.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received T-DXd 5.4 mg/kg via IV infusion every 3 weeks until PD, unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation was met.
    id
    OG000
    title
    T-DXd
  2. description
    Participants received Investigator's choice single-agent chemotherapy (capecitabine 1000 or 1250 mg/m\^2 orally twice daily for 2 weeks followed by a 1-week rest period in 3-week cycles, paclitaxel 80 mg/m\^2 via IV infusion qw in 3-week cycles or nab-paclitaxel 100 mg/m\^2 via IV infusion qw for 3 weeks followed by 1-week rest period in 4-week cycles) until PD, unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation was met.
    id
    OG001
    title
    Chemotherapy
param Type
MEDIAN
population Description
ITT population: all randomized participants. HER2 IHC \>0 \<1+ population: subset of participants included in ITT population with HER2 IHC \>0 \<1+ as determined by central laboratory testing and who have had at least 24 weeks of follow-up at time of interim futility PCD. HER2-low population: subset of participants in ITT population with HER2 IHC 2+/ISH- and IHC 1+ as determined per IRT data for HER2 IHC expression. Only participants with data collected in specified categories are reported.
reporting Status
POSTED
time Frame
Response evaluations performed at screening, q6w ± 1 week from randomization for 48 weeks, and then q9w ± 1 week, starting at Week 48 until PD, up to PCD of 18 March 2024 (maximum of approximately 43.85 months)
title
Progression-Free Survival Assessed by Blinded Independent Central Review in the Intent-to-Treat, Human Epidermal Growth Factor Receptor 2 Immunohistochemistry (IHC) >0 <1+ and Human Epidermal Growth Factor Receptor 2-low Population
type
SECONDARY
unit Of Measure
months

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Preserved source evidence · Not medical advice