| Added by | standudu |
|---|---|
| Group name | EquipeCTCS |
| Item Type | Journal Article |
| Title | Trastuzumab deruxtecan versus trastuzumab emtansine in patients with HER2-positive metastatic breast cancer: updated results from DESTINY-Breast03, a randomised, open-label, phase 3 trial |
| Creator | Hurvitz et al. |
| Author | Sara A. Hurvitz |
| Author | Roberto Hegg |
| Author | Wei-Pang Chung |
| Author | Seock-Ah Im |
| Author | William Jacot |
| Author | Vinod Ganju |
| Author | Joanne Wing Yan Chiu |
| Author | Binghe Xu |
| Author | Erika Hamilton |
| Author | Srinivasan Madhusudan |
| Author | Hiroji Iwata |
| Author | Sevilay Altintas |
| Author | Jan-Willem Henning |
| Author | Giuseppe Curigliano |
| Author | José Manuel Perez-Garcia |
| Author | Sung-Bae Kim |
| Author | Vanessa Petry |
| Author | Chiun-Sheng Huang |
| Author | Wei Li |
| Author | Silvia Antolin |
| Author | Winnie Yeo |
| Author | Giampaolo Bianchini |
| Author | Sherene Loi |
| Author | Junji Tsurutani |
| Author | Anton Egorov |
| Author | Yali Liu |
| Author | Jillian Cathcart |
| Author | Shahid Ashfaque |
| Author | Javier Cortés |
| Abstract | BACKGROUND: An improvement in progression-free survival was shown with trastuzumab deruxtecan versus trastuzumab emtansine in patients with HER2-positive metastatic breast cancer in the progression-free survival interim analysis of the DESTINY-Breast03 trial. The aim of DESTINY-Breast03 was to compare the efficacy and safety of trastuzumab deruxtecan versus trastuzumab emtansine. METHODS: This open-label, randomised, multicentre, phase 3 trial was done in 169 study centres in North America, Asia, Europe, Australia, and South America. Eligible patients were aged 18 or older, had HER2-positive unresectable or metastatic breast cancer previously treated with trastuzumab and a taxane, had an Eastern Cooperative Oncology Group performance status 0-1, and at least one measurable lesion per Response Evaluation Criteria in Solid Tumours version 1.1. Patients were randomly assigned (1:1) to receive trastuzumab deruxtecan 5ˇ4 mg/kg or trastuzumab emtansine 3ˇ6 mg/kg, both administered by intravenous infusion every 3 weeks. Randomisation was stratified by hormone receptor status, previous treatment with pertuzumab, and history of visceral disease, and was managed through an interactive web-based system. Within each stratum, balanced block randomisation was used with a block size of four. Patients and investigators were not masked to the treatment received. The primary endpoint was progression-free survival by blinded independent central review. The key secondary endpoint was overall survival and this prespecified second overall survival interim analysis reports updated overall survival, efficacy, and safety results. Efficacy analyses were performed using the full analysis set. Safety analyses included all randomly assigned patients who received at least one dose of study treatment. This study is registered with ClinicalTrials.gov, NCT03529110. FINDINGS: Between July 20, 2018, and June 23, 2020, 699 patients were screened for eligibility, 524 of whom were enrolled and randomly assigned to receive trastuzumab deruxtecan (n=261) or trastuzumab emtansine (n=263). Median duration of study follow-up was 28ˇ4 months (IQR 22ˇ1-32ˇ9) with trastuzumab deruxtecan and 26ˇ5 months (14ˇ5-31ˇ3) with trastuzumab emtansine. Median progression-free survival by blinded independent central review was 28ˇ8 months (95% CI 22ˇ4-37ˇ9) with trastuzumab deruxtecan and 6ˇ8 months (5ˇ6-8ˇ2) with trastuzumab emtansine (hazard ratio [HR] 0ˇ33 [95% CI 0ˇ26-0ˇ43]; nominal p<0ˇ0001). Median overall survival was not reached (95% CI 40ˇ5 months-not estimable), with 72 (28%) overall survival events, in the trastuzumab deruxtecan group and was not reached (34ˇ0 months-not estimable), with 97 (37%) overall survival events, in the trastuzumab emtansine group (HR 0ˇ64; 95% CI 0ˇ47-0ˇ87]; p=0ˇ0037). The number of grade 3 or worse treatment-emergent adverse events was similar in patients who received trastuzumab deruxtecan versus trastuzumab emtansine (145 [56%] patients versus 135 [52%] patients). Adjudicated drug-related interstitial lung disease or pneumonitis occurred in 39 (15%) patients treated with trastuzumab deruxtecan and eight (3%) patients treated with trastuzumab emtansine, with no grade 4 or 5 events in either group. INTERPRETATION: Trastuzumab deruxtecan showed a significant improvement in overall survival versus trastuzumab emtansine in patients with HER2-positive metastatic breast cancer, as well as the longest reported median progression-free survival, reaffirming trastuzumab deruxtecan as the standard of care in the second-line setting. A manageable safety profile of trastuzumab deruxtecan was confirmed with longer treatment duration. FUNDING: Daiichi Sankyo and AstraZeneca. |
| Publication | Lancet (London, England) |
| Volume | 401 |
| Issue | 10371 |
| Pages | 105-117 |
| Date | 2023-01-14 |
| Journal Abbr | Lancet |
| Language | eng |
| DOI | 10.1016/S0140-6736(22)02420-5 |
| ISSN | 1474-547X |
| Short Title | Trastuzumab deruxtecan versus trastuzumab emtansine in patients with HER2-positive metastatic breast cancer |
| Library Catalog | PubMed |
| Extra | PMID: 36495879 |
| Tags | Antineoplastic Combined Chemotherapy Protocols, Breast Neoplasms, clinic, Female, Humans, Receptor, ErbB-2, Trastuzumab |
| Date Added | 2023/10/16 - 15:31:08 |
| Date Modified | 2023/10/16 - 17:35:45 |
| Notes and Attachments | PubMed entry (Attachment) Texte intégral (Attachment) |
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