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FDA approves Enhertu for early HER2+ breast cancer post-neoadjuvant therapy, showing improved survival.
The FDA has granted Breakthrough Therapy Designation to Enhertu (trastuzumab deruxtecan) for post-neoadjuvant treatment of HER2-positive early breast cancer patients with residual disease after neoadjuvant therapy, based on Phase 3 DESTINY-Breast05 trial results showing significantly improved invasive disease-free survival compared to Kadcyla.
At three years, iDFS was 91.8% with Enhertu versus 83.2% with Kadcyla in HER2 IHC 3+ patients, and 96.2% versus 86.5% in HER2 ISH+ patients.
Benefits were consistent across chemotherapy types.
Interstitial lung disease occurred in 9.6% of Enhertu patients, requiring careful monitoring.
The drug, already approved in over 90 countries, has generated $3.75 billion in global sales in 2024 and is now in a Phase 3 trial for endometrial cancer.
La FDA aprueba Enhertu para el tratamiento precoz del cáncer de mama HER2+ después de la terapia neoadyuvante, mostrando una mejoría en la supervivencia.