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NCT05113251 · OUTCOME

Rate of Pathologic Complete Response (pCR).

Trastuzumab Deruxtecan (T-DXd) Alone or in Sequence With THP, Versus Standard Treatment (ddAC-THP), in HER2-positive Early Breast Cancer · Source last updated 2026-08-11

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

Measure
NUMBER
Unit
Percentage of participants
Interval / dispersion
Not reported
Time frame
Through to definitive surgery or discontinuation/withdrawal from study, up to a maximum of approximately 40 months from randomization to primary pCR DCO (12MAR2025)

What was measured

Proportion of participants who have no evidence by Hematoxylin \& Eosin (H\&E) staining of residual invasive disease in the complete resected breast specimen and all sampled regional lymph nodes (ypT0/Tis ypN0) by central evaluation following completion of neoadjuvant therapy.

Analysis population: Full analysis set

Groups in this outcome

Arm A

Trastuzumab deruxtecan (5.4 mg/kg Q3W for 8 cycles)

Arm B

Trastuzumab deruxtecan (5.4 mg/kg Q3W) for 4 cycles, followed by Paclitaxel (80 mg/m2 QW on Days 1, 8, and 15) + trastuzumab (6 mg/kg Q3W on Day 1) + pertuzumab (840 mg loading dose followed by 420 mg Q3W on Day 1) for 4 cycles

Arm C

Doxorubicin (60 mg/m2 Q2W) and cyclophosphamide (600 mg/m2 Q2W) for 4 cycles, followed by Paclitaxel (80 mg/m2 QW on Days 1, 8, and 15) + trastuzumab (8 mg/kg loading dose followed by 6 mg/kg Q3W on Day 1) + pertuzumab (840 mg loading dose followed by 420 mg Q3W on Day 1) for 4 cycles

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

Analysis denominator · Participants

GroupSource count
Arm A286
Arm B321
Arm C320

Reported measurements

Source class 1
Values in Percentage of participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Arm A43.01Not reportedNot reportedNot reportedNot reported
Arm B67.29Not reportedNot reportedNot reportedNot reported
Arm C56.25Not reportedNot reportedNot reportedNot reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    -20.84
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    -5.41
    estimate Comment
    A difference in rates \> 0 favours T-DXd to be associated with a higher rate of pCR than ddAC-THP.
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.001
    param Type
    M&N estimate of difference in rates
    param Value
    -13.18
    statistical Comment
    Stratified by HR status and HER2 status, with strata weighting by sample size (i.e. Mantel-Haenszel weights).
    statistical Method
    Miettinen and Nurminen's (M&N) method
  2. ci Lower Limit
    3.95
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    18.28
    estimate Comment
    A difference in rates \> 0 favours T-DXd-THP to be associated with a higher rate of pCR than ddAC-THP.
    group Ids
    1. OG001
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.003
    param Type
    M&N estimate of difference in rates
    param Value
    11.17
    statistical Comment
    Stratified by HR status and HER2 status, with strata weighting by sample size (i.e. Mantel-Haenszel weights).
    statistical Method
    Miettinen and Nurminen's (M&N) method
Complete source fields
analyses
  1. ci Lower Limit
    -20.84
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    -5.41
    estimate Comment
    A difference in rates \> 0 favours T-DXd to be associated with a higher rate of pCR than ddAC-THP.
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.001
    param Type
    M&N estimate of difference in rates
    param Value
    -13.18
    statistical Comment
    Stratified by HR status and HER2 status, with strata weighting by sample size (i.e. Mantel-Haenszel weights).
    statistical Method
    Miettinen and Nurminen's (M&N) method
  2. ci Lower Limit
    3.95
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    18.28
    estimate Comment
    A difference in rates \> 0 favours T-DXd-THP to be associated with a higher rate of pCR than ddAC-THP.
    group Ids
    1. OG001
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.003
    param Type
    M&N estimate of difference in rates
    param Value
    11.17
    statistical Comment
    Stratified by HR status and HER2 status, with strata weighting by sample size (i.e. Mantel-Haenszel weights).
    statistical Method
    Miettinen and Nurminen's (M&N) method
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        43.01
      2. group Id
        OG001
        value
        67.29
      3. group Id
        OG002
        value
        56.25
denoms
  1. counts
    1. group Id
      OG000
      value
      286
    2. group Id
      OG001
      value
      321
    3. group Id
      OG002
      value
      320
    units
    Participants
description
Proportion of participants who have no evidence by Hematoxylin \& Eosin (H\&E) staining of residual invasive disease in the complete resected breast specimen and all sampled regional lymph nodes (ypT0/Tis ypN0) by central evaluation following completion of neoadjuvant therapy.
groups
  1. description
    Trastuzumab deruxtecan (5.4 mg/kg Q3W for 8 cycles)
    id
    OG000
    title
    Arm A
  2. description
    Trastuzumab deruxtecan (5.4 mg/kg Q3W) for 4 cycles, followed by Paclitaxel (80 mg/m2 QW on Days 1, 8, and 15) + trastuzumab (6 mg/kg Q3W on Day 1) + pertuzumab (840 mg loading dose followed by 420 mg Q3W on Day 1) for 4 cycles
    id
    OG001
    title
    Arm B
  3. description
    Doxorubicin (60 mg/m2 Q2W) and cyclophosphamide (600 mg/m2 Q2W) for 4 cycles, followed by Paclitaxel (80 mg/m2 QW on Days 1, 8, and 15) + trastuzumab (8 mg/kg loading dose followed by 6 mg/kg Q3W on Day 1) + pertuzumab (840 mg loading dose followed by 420 mg Q3W on Day 1) for 4 cycles
    id
    OG002
    title
    Arm C
param Type
NUMBER
population Description
Full analysis set
reporting Status
POSTED
time Frame
Through to definitive surgery or discontinuation/withdrawal from study, up to a maximum of approximately 40 months from randomization to primary pCR DCO (12MAR2025)
title
Rate of Pathologic Complete Response (pCR).
type
PRIMARY
unit Of Measure
Percentage of participants

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Preserved source evidence · Not medical advice