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NCT05113251 · FLOW

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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.

groups
  1. description
    Trastuzumab deruxtecan (5.4 mg/kg Q3W for 8 cycles)
    id
    FG000
    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
    FG001
    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
    FG002
    title
    Arm C
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        8
      2. group Id
        FG001
        num Subjects
        3
      3. group Id
        FG002
        num Subjects
        9
      type
      Death
    2. reasons
      1. group Id
        FG000
        num Subjects
        11
      2. group Id
        FG001
        num Subjects
        4
      3. group Id
        FG002
        num Subjects
        21
      type
      Withdrawal by Subject
    3. reasons
      1. group Id
        FG000
        num Subjects
        1
      2. group Id
        FG001
        num Subjects
        1
      3. group Id
        FG002
        num Subjects
        2
      type
      As recorded on the Case Report Form (CRF).
    4. reasons
      1. group Id
        FG000
        num Subjects
        266
      2. group Id
        FG001
        num Subjects
        313
      3. group Id
        FG002
        num Subjects
        288
      type
      Ongoing at the time of primary analysis for pCR
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        286
      2. group Id
        FG001
        num Subjects
        321
      3. group Id
        FG002
        num Subjects
        320
      comment
      927
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      3. group Id
        FG002
        num Subjects
        0
      comment
      0
      type
      COMPLETED
    3. achievements
      1. group Id
        FG000
        num Subjects
        286
      2. group Id
        FG001
        num Subjects
        321
      3. group Id
        FG002
        num Subjects
        320
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
Eligible patients had histologically documented human epidermal growth factor receptor 2 (HER2) - positive early stage breast cancer. Eligible patients were randomized in a 1:1:1 ratio using an interactive response technology (IRT) to receive either Arm A: Trastuzumab deruxtecan (T-DXd), Arm B: Trastuzumab deruxtecan followed by Paclitaxel + trastuzumab + pertuzumab (T-DXd-THP) or Arm C: Doxorubicin + cyclophosphamide followed by Paclitaxel + trastuzumab + pertuzumab (ddAC-THP).
recruitment Details
The study is active, not recruiting and conducted in 18 countries worldwide across 147 centres, with 927 patients who were randomized up until 24th April 2024. Results are reported for the study at the data cut-off for the primary analysis for pathologic complete response (pCR) on 12th March 2025.
Complete source fields
groups
  1. description
    Trastuzumab deruxtecan (5.4 mg/kg Q3W for 8 cycles)
    id
    FG000
    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
    FG001
    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
    FG002
    title
    Arm C
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        8
      2. group Id
        FG001
        num Subjects
        3
      3. group Id
        FG002
        num Subjects
        9
      type
      Death
    2. reasons
      1. group Id
        FG000
        num Subjects
        11
      2. group Id
        FG001
        num Subjects
        4
      3. group Id
        FG002
        num Subjects
        21
      type
      Withdrawal by Subject
    3. reasons
      1. group Id
        FG000
        num Subjects
        1
      2. group Id
        FG001
        num Subjects
        1
      3. group Id
        FG002
        num Subjects
        2
      type
      As recorded on the Case Report Form (CRF).
    4. reasons
      1. group Id
        FG000
        num Subjects
        266
      2. group Id
        FG001
        num Subjects
        313
      3. group Id
        FG002
        num Subjects
        288
      type
      Ongoing at the time of primary analysis for pCR
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        286
      2. group Id
        FG001
        num Subjects
        321
      3. group Id
        FG002
        num Subjects
        320
      comment
      927
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      3. group Id
        FG002
        num Subjects
        0
      comment
      0
      type
      COMPLETED
    3. achievements
      1. group Id
        FG000
        num Subjects
        286
      2. group Id
        FG001
        num Subjects
        321
      3. group Id
        FG002
        num Subjects
        320
      type
      NOT COMPLETED
    title
    Overall Study
pre Assignment Details
Eligible patients had histologically documented human epidermal growth factor receptor 2 (HER2) - positive early stage breast cancer. Eligible patients were randomized in a 1:1:1 ratio using an interactive response technology (IRT) to receive either Arm A: Trastuzumab deruxtecan (T-DXd), Arm B: Trastuzumab deruxtecan followed by Paclitaxel + trastuzumab + pertuzumab (T-DXd-THP) or Arm C: Doxorubicin + cyclophosphamide followed by Paclitaxel + trastuzumab + pertuzumab (ddAC-THP).
recruitment Details
The study is active, not recruiting and conducted in 18 countries worldwide across 147 centres, with 927 patients who were randomized up until 24th April 2024. Results are reported for the study at the data cut-off for the primary analysis for pathologic complete response (pCR) on 12th March 2025.

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Preserved source evidence · Not medical advice