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NCT04494425 · FLOW

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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.

groups
  1. description
    Participants received T-DXd 5.4 milligram per kilogram (mg/kg) via intravenous (IV) infusion every 3 weeks until disease progression (PD), unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation was met.
    id
    FG000
    title
    T-DXd
  2. description
    Participants received Investigator's choice single-agent chemotherapy (capecitabine 1000 or 1250 mg per meter square \[m\^2\] 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 every week \[qw\] 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
    FG001
    title
    Chemotherapy
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        160
      2. group Id
        FG001
        num Subjects
        166
      type
      Death
    2. reasons
      1. group Id
        FG000
        num Subjects
        10
      2. group Id
        FG001
        num Subjects
        40
      type
      Withdrawal by Subject
    3. reasons
      1. group Id
        FG000
        num Subjects
        1
      2. group Id
        FG001
        num Subjects
        1
      type
      Other
    4. reasons
      1. group Id
        FG000
        num Subjects
        265
      2. group Id
        FG001
        num Subjects
        223
      type
      Ongoing at the time of PCD
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        436
      2. group Id
        FG001
        num Subjects
        430
      comment
      Randomized
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        434
      2. group Id
        FG001
        num Subjects
        417
      type
      Randomized and Received Treatment
    3. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      type
      COMPLETED
    4. achievements
      1. group Id
        FG000
        num Subjects
        436
      2. group Id
        FG001
        num Subjects
        430
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
866 participants were randomized in a 1:1 ratio to receive trastuzumab deruxtecan (T-DXd) or standard of care: Investigator's choice single agent chemotherapy (capecitabine, paclitaxel or nab-paclitaxel). As pre-specified in the protocol and statistical analysis plan (SAP), results are presented by treatment group.
recruitment Details
This Phase III, multi-center, open-label study was conducted in participants with human epidermal growth factor receptor 2 (HER2)-low, hormone receptor-positive (HR+) breast cancer at 273 sites in 28 countries. Results are presented based on primary completion date (PCD) of up to 18 March 2024.
Complete source fields
groups
  1. description
    Participants received T-DXd 5.4 milligram per kilogram (mg/kg) via intravenous (IV) infusion every 3 weeks until disease progression (PD), unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation was met.
    id
    FG000
    title
    T-DXd
  2. description
    Participants received Investigator's choice single-agent chemotherapy (capecitabine 1000 or 1250 mg per meter square \[m\^2\] 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 every week \[qw\] 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
    FG001
    title
    Chemotherapy
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        160
      2. group Id
        FG001
        num Subjects
        166
      type
      Death
    2. reasons
      1. group Id
        FG000
        num Subjects
        10
      2. group Id
        FG001
        num Subjects
        40
      type
      Withdrawal by Subject
    3. reasons
      1. group Id
        FG000
        num Subjects
        1
      2. group Id
        FG001
        num Subjects
        1
      type
      Other
    4. reasons
      1. group Id
        FG000
        num Subjects
        265
      2. group Id
        FG001
        num Subjects
        223
      type
      Ongoing at the time of PCD
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        436
      2. group Id
        FG001
        num Subjects
        430
      comment
      Randomized
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        434
      2. group Id
        FG001
        num Subjects
        417
      type
      Randomized and Received Treatment
    3. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      type
      COMPLETED
    4. achievements
      1. group Id
        FG000
        num Subjects
        436
      2. group Id
        FG001
        num Subjects
        430
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
866 participants were randomized in a 1:1 ratio to receive trastuzumab deruxtecan (T-DXd) or standard of care: Investigator's choice single agent chemotherapy (capecitabine, paclitaxel or nab-paclitaxel). As pre-specified in the protocol and statistical analysis plan (SAP), results are presented by treatment group.
recruitment Details
This Phase III, multi-center, open-label study was conducted in participants with human epidermal growth factor receptor 2 (HER2)-low, hormone receptor-positive (HR+) breast cancer at 273 sites in 28 countries. Results are presented based on primary completion date (PCD) of up to 18 March 2024.

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Preserved source evidence · Not medical advice