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ADC-Pertuzumab Promising as New Standard in HER2-Positive Metastatic Breast Cancer

  • Data from the phase 3 DESTINY-Breast09 study, shared at the 2025 ASCO Annual Meeting, demonstrated that combining trastuzumab deruxtecan with pertuzumab significantly improved outcomes in patients with HER2-positive metastatic breast cancer.
  • This trial enrolled patients without prior chemotherapy or HER2 therapy for advanced disease, stratified by disease status, hormone receptor, and PIK3CA mutation, with data cutoff on February 26, 2025.
  • The open-label, multicenter study randomized 1157 patients into three arms, comparing trastuzumab deruxtecan plus pertuzumab against a taxane-based standard, assessing progression-free survival and safety.
  • The median duration of progression-free survival was notably longer at 40.7 months for patients treated with trastuzumab deruxtecan combined with pertuzumab, compared to 26.9 months for those receiving the standard regimen of taxane, trastuzumab, and pertuzumab . Additionally, the progression-free survival rates at 6 months were 93% versus 87.8% for the two groups, respectively.
  • These results suggest this combination may become a new first-line standard for metastatic HER2-positive breast cancer, although data remain immature and biomarker guidance is needed for patient selection.
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Hastings Tribune broke the news in on Monday, June 2, 2025.
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