Breast Cancer AZ development updates
Trastuzumab deruxtecan: 2L+ HR+/HER2-low/-ultralow mBC with prior ET progression but no prior chemo – P3 DESTINY-Breast06 (NCT04494425)
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- Readout continues to be expected in H2 2023 with regulatory submission in 2024
Trastuzumab deruxtecan + durvalumab (anti-PD-L1) / capivasertib (ATKi) / anastrozole (AI) / fulvestrant / chemo (paclitaxel, capecitabine): HER2-low mBC – P1b DESTINY-Breast08 (NCT04556773)
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- Readout is expected in H2 2023
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Datopotamab deruxtecan (Dato-DXd; TROP2 ADC): 2L+ HR+/HER2- mBC with 1L or 2L chemo – P3 TROPION-Breast01 (NCT05104866)
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- Readout is expected in H2 2023 (previously 2024+); regulatory submission expected in H2 2023/2024 (previously 2024+)
- This is an acceleration of 4Q+ based on this update, TB-01 can now potentially gain US approval as early as Q3 2024,
- acceleration of recruitment by 6 months was the main reason for the updated readout expectations
Datopotamab deruxtecan: 1L TNBC not candidates for anti-PD-(L)1 – P3 TROPION-Breast02 (NCT05374512)
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- Readout continues to be expected in 2024 with regulatory submission in 2024+
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Capivasertib + fulvestrant: 2L HR+/HER2- mBC after AI – P3 CAPItello-291 (NCT04305496)
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- Regulatory submission continues to be expected in H1 2023
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Capivasertib + paclitaxel: 1L mTNBC – P3 CAPItello-290 (NCT03997123)
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- Data readout continues to be expected in H2 2023
- Regulatory submission now expected in 2024 (previously H2 2023)
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Camizestrant (oral SERD) + CDK4/6i: 1L ESR1mut, HR+/HER2- mBC – P3 SERENA-6 (NCT04964934)
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- Data readout and regulatory submission are now expected in 2024+ (previously 2024)
- Adjuvant camizestrant: ER+/HER2- eBC after 2yrs of standard adjuvant ET – P3 CAMBRIA-1 (NCT05774951)
- Potential readout and regulatory submission are noted to be 2024+
- the trial design for CAMBRIA-1 (2-5yrs of adjuvant therapy +/- CDK4/6i) is in-line with the any potential standard of care change in the adjuvant setting caused data being presented at ASCO (i.e., the NATALEE trial)
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Camizestrant: newly diagnosed ER+/HER2- primary BC – P2 SERENA-3 (NCT04588298)
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- Data is anticipated in H1 2023
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Camizestrant ± everolimus (mTOR inhibitor) / capivasertib / anastrozole / CDK4/6i (palbociclib, ribociclib, abemaciclib): 2L+ HR+/HER2- mBC – P1 SERENA-1 (NCT03616587)
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- Data is expected in 2024
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Durvalumab + trastuzumab deruxtecan / datopotamab deruxtecan / paclitaxel ± capivasertib / oleclumab: 1L mTNBC – P2 BEGONIA (NCT03742102)
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- Data is expected in H1 2023
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