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Pembrolizumab

Phase 3

Locally Advanced or Metastatic Non-Small Cell Lung Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Apr 3, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment454
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05048797A Study to Investigate the Efficacy and Safety of Trastuzumab Deruxtecan as the First Treatment Option for Unresectable, Locally Advanced/Metastatic Non-Small Cell Lung Cancer With HER2 MutationsPHASE3 ACTIVE NOT_RECRUITING 454Oct 28, 2021Jul 30, 2027Apr 3, 2026130 United States, Austria +18
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Study Endpoints
Primary Endpoints
Progression Free Survival (PFS) by Blinded Independent Central Review (BICR)
Until progression or death, assessed up to approximately 12 months

Defined as time from randomization until progression per RECIST 1.1 as assessed by Blinded Independent Central Review (BICR), or death due to any cause.

Secondary Endpoints
Overall Survival (OS)
Until death, assessed up to approximately 28 months.
Progression Free Survival (PFS) by investigator assessment
Until progression, assessed up to approximately 12 months
Objective Response Rate (ORR)
Until progression, assessed up to approximately 12 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm 1EXPERIMENTALTrastuzumab Deruxtecan (T-DXd)
Arm 2ACTIVE_COMPARATORStandard of Care Treatment (platinum, pemetrexed and pembrolizumab)
Interventions
NameTypeDescription
Trastuzumab DeruxtecanDRUGTrastuzumab Deruxtecan administered by intravenous infusion
CisplatinDRUGInvestigator's choice of platinum chemotherapy (cisplatin) administered by intravenous infusion
CarboplatinDRUGInvestigator's choice of platinum chemotherapy (carboplatin) administered by intravenous infusion
PembrolizumabDRUGPembrolizumab administered by intravenous infusion
PemetrexedDRUGPemetrexed administered by intravenous infusion
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Eligibility Criteria
Age Range18 Years — 123 Years
SexALL
Healthy VolunteersNo
Study Sites130

Inclusion Criteria: * Participants at least 18 years of age * Locally advanced and unresectable NSCLC, not amenable to curative therapy, or metastatic disease * Histologically documented non-squamous NSCLC with HER2 mutation in exons 19 or 20 by tissue NGS or ctDNA * Treatment-naïve for palliative ...

Countries:United StatesAustriaBelgiumBrazilCanadaChinaDenmarkFranceGermanyHong KongIndiaItalyJapanMexicoNetherlandsPolandSouth KoreaSpainTaiwanTurkey (Türkiye)
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05048797primaryCompletionDate: changed
LOWMay 24, 2026NCT05048797studyFirstPostDate: changed