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Phesgo

Phase 3

Locally Advanced or Metastatic Breast Cancer | Small molecule | Oncology |Roche Holding AG|Last Updated: Jul 16, 2026

Target and mechanism

ModalitySmall molecule

Also known as Phesgo 1, 30,000 UNT Per

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment922

FDA Designations

No designations recorded

Clinical trial landscape

Phesgo · 1 trial · 1 indication

Phase 3 1
NCT05296798A Study to Evaluate the Efficacy and Safety of Giredestrant in Combination With Phesgo (Pertuzumab, Trastuzumab, and Hyaluronidase-zzxf) Versus Phesgo in Participants With Locally Advanced or Metastatic Breast Cancer (heredERA Breast Cancer)Locally Advanced or Metastatic Breast Cancer
ACTIVE NOT_RECRUITING922 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Evaluate the Efficacy and Safety of Giredestrant in Combination With Phesgo (Pertuzumab, Trastuzumab, and Hyaluronidase-zzxf) Versus Phesgo in Participants With Locally Advanced or Metastatic Breast Cancer (heredERA Breast Cancer)
Locally Advanced or Metastatic Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-Free Survival, as Determined by the Investigator According to RECIST v1.1
From randomization for maintenance therapy to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 53 months)

Secondary Endpoints

Overall Survival
From randomization for maintenance therapy to death from any cause (up to 98 months)
Objective Response Rate, as Determined by the Investigator According to RECIST v1.1
From randomization for maintenance therapy to disease progression or death (up to 53 months)
Duration of Response, as Determined by the Investigator According to RECIST v1.1
From first occurrence of documented objective response after randomization for maintenance therapy to disease progression or death from any cause, whichever occurs first (up to 53 months)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Induction Therapy: Phesgo plus Taxane-Based ChemotherapyOTHER -
Arm A, Maintenance Therapy: PhesgoACTIVE_COMPARATOR -
Arm B, Maintenance Therapy: Giredestrant plus PhesgoEXPERIMENTAL -

Interventions

NameTypeDescription
PhesgoDRUGPhesgo will be administered subcutaneously (SC) at a fixed non-weight-based dose. In the induction therapy phase, a loading dose (1200 milligram (mg) pertuzumab, 600 mg trastuzumab, and 30,000 units of recombinant human PH20 hyaluronidase \[rHuPH20\]) will be administered in the first cycle (1 cycle is 21 days). In subsequent cycles, maintenance doses (600 mg pertuzumab, 600 mg trastuzumab, and 20,000 units rHuPH20) will be administered once every 3 weeks (Q3W).
GiredestrantDRUGA 30 milligram (mg) capsule of giredestrant will be taken orally once a day on Days 1 to 21 of each 21-day cycle.
DocetaxelDRUGDuring the induction therapy phase, the investigator's choice of taxane-based chemotherapy (i.e., docetaxel or paclitaxel) will be administered after Phesgo. Docetaxel will be administered at 75 milligrams per metre squared of body surface area (mg/m2) intravenously over 60 (±10) minutes on Day 1 of each cycle for 4 to 8 cycles (a cycle is 21 days); this dose may be escalated to 100 mg/m2 if the initial dose was well tolerated.
PaclitaxelDRUGDuring the induction therapy phase, the investigator's choice of taxane-based chemotherapy (i.e., docetaxel or paclitaxel) will be administered after Phesgo. Paclitaxel will be administered at 80 milligrams per metre squared of body surface area (mg/m2) intravenously over a minimum of 1 hour on Days 1, 8, and 15 of each cycle for 4 to 8 cycles (a cycle is 21 days); this weekly regimen is considered as one complete cycle whenever 3 weekly doses are given.
LHRH AgonistDRUGA luteinizing hormone-releasing hormone (LHRH) agonist will be administered every 28 days to pre- and peri-menopausal women and all male participants while receiving giredestrant in Arm B. An LHRH agonist may be administered to male participants and pre- and peri-menopausal female participants receiving tamoxifen in Arm A, and should be administered to those receiving an aromatase inhibitor in Arm A. The investigator will determine and supply the appropriate LHRH agonist locally approved for use in breast cancer. The LHRH agonist will be administered according to local prescribing information.
Optional Endocrine Therapy of Investigator's ChoiceDRUGFor participants in Arm A, optional endocrine therapy of investigator's choice is allowed based on the standard of care, and it can include an aromatase inhibitor or tamoxifen with or without an LHRH agonist, or gonadal ablation. The decision to include or exclude this option must be made prior to randomization.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites202

Inclusion Criteria: * Histologically or cytologically confirmed and documented human epidermal growth factor receptor 2 (HER2)-positive/estrogen receptor (ER)-positive adenocarcinoma of the breast with metastatic or locally-advanced disease not amenable to curative resection * At least one measurab...

Countries:United StatesArgentinaBelgiumBrazilChinaColombiaEgyptFranceGermanyHungaryIndiaItalyJordanKenyaLebanonMexicoOmanPolandPortugalSaudi ArabiaSouth AfricaSouth KoreaSpainTaiwanThailandTurkey (Türkiye)UgandaUnited Arab EmiratesUnited Kingdom
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Frequently asked questions about Phesgo

What is Phesgo used for in locally advanced or metastatic breast cancer?

Phesgo is an investigational combination therapy being studied for the treatment of locally advanced or metastatic breast cancer. It is being evaluated in a Phase 3 clinical trial in combination with giredestrant versus Phesgo alone in participants with this condition.

What does Phesgo target?

Phesgo contains pertuzumab, trastuzumab, and hyaluronidase-zzxf. Pertuzumab and trastuzumab are monoclonal antibodies that target the HER2 receptor, while hyaluronidase-zzxf is an enzyme that helps with subcutaneous delivery of the medication.

Who makes Phesgo?

Phesgo is being developed by Roche Holding AG, which trades under the ticker RHHBY. The company is conducting a Phase 3 clinical trial to evaluate the efficacy and safety of Phesgo in combination with giredestrant for locally advanced or metastatic breast cancer.

What phase is Phesgo in?

Phesgo is currently in Phase 3 clinical development. It is being studied in an active, not recruiting trial with an enrollment of 922 participants, evaluating its use in locally advanced or metastatic breast cancer.

What clinical trials is Phesgo in?

Phesgo is being studied in the Phase 3 clinical trial NCT05296798, titled 'A Study to Evaluate the Efficacy and Safety of Giredestrant in Combination With Phesgo (Pertuzumab, Trastuzumab, and Hyaluronidase-zzxf) Versus Phesgo in Participants With Locally Advanced or Metastatic Breast Cancer (heredERA Breast Cancer).'

Is Phesgo the same as Phesgo 1,200 MG / 600 MG / 30,000 UNT Per 15 ML Injection?

Yes, Phesgo is also known as Phesgo 1,200 MG / 600 MG / 30,000 UNT Per 15 ML Injection and Phesgo 1, 30,000 UNT Per. These names refer to the same drug product being developed by Roche.