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Taxane

Phase 3

Breast Cancer; HER2-positive; Metastatic | Small molecule | Oncology |AstraZeneca PLC|Last Updated: May 22, 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 Enrollment1,157
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04784715Trastuzumab Deruxtecan (T-DXd) With or Without Pertuzumab Versus Taxane, Trastuzumab and Pertuzumab in HER2-positive Metastatic Breast Cancer (DESTINY-Breast09)PHASE3 ACTIVE NOT_RECRUITING 1,157Apr 26, 2021Dec 30, 2029May 22, 2026283 United States, Argentina +25
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Study Endpoints
Primary Endpoints
Progression Free Survival (PFS) by Blinded Independent Central Review (BICR) assessment
Until progression or death, assessed up to approximately 60 months

Defined as time from date of randomisation until the date of objective radiological disease progression according to Blinded Independent Central Review (BICR) using RECIST 1.1 or death by any cause.

Secondary Endpoints
Progression Free Survival (PFS) by Investigator assessment
Until progression or death, assessed up to approximately 60 months
Overall Survival (OS)
Until death, assessed up to approximately 104 months
Objective Response Rate (ORR) by BICR and Investigator assessment
Until progression or death (in the absence of progression), assessed up to approximately 60 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm AEXPERIMENTALTrastuzumab deruxtecan (T-DXd) plus pertuzumab-matching placebo
Arm BEXPERIMENTALTrastuzumab deruxtecan (T-DXd) plus pertuzumab
Arm CACTIVE_COMPARATORStandard of care (Taxane (paclitaxel or docetaxel), trastuzumab, and pertuzumab)
Interventions
NameTypeDescription
Trastuzumab deruxtecanDRUGAdministered by intravenous infusion
PlaceboDRUGAdministered by intravenous infusion
TaxaneDRUGInvestigator's choice of docetaxel or paclitaxel administered by intravenous infusion
PertuzumabDRUGAdministered by intravenous infusion
TrastuzumabDRUGAdministered by intravenous infusion
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Eligibility Criteria
Age Range18 Years — 130 Years
SexALL
Healthy VolunteersNo
Study Sites283

Key Inclusion Criteria: * Patients must be ≥18 years of age * Pathologically documented breast cancer that: 1. is advanced or metastatic 2. is locally assessed and prospectively centrally confirmed as HER2-positive (IHC3+ or ISH+) 3. is documented by local testing as hormone receptor (HR)-po...

Countries:United StatesArgentinaBelgiumBrazilCanadaChinaDenmarkFranceGermanyHungaryIndiaIsraelItalyJapanMexicoPeruPhilippinesRomaniaRussiaSaudi ArabiaSouth AfricaSouth KoreaSpainSwedenTaiwanTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04784715primaryCompletionDate: changed
LOWMay 24, 2026NCT04784715studyFirstPostDate: changed