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3

Indication details

Control Arm
Single arm
Therapeutic Indication
For adult patients with advanced non-small cell lung cancer whose tumours have an activating human epidermal growth factor receptor 2 HER2 (ERBB2) mutation and who require systemic therapy following platinum-based chemotherapy with or without immunotherapy.
Tumour Type
Thoracic Malignancies
Tumour Sub-type
Non-small-cell Lung Cancer
Tumour Stage
Advanced
Tumour Sub-Group
HER2-mutant
Trial Name
DESTINY-Lung02
NCT Number
NCT04644237
Trial Phase
Phase II

Approval details

FDA Approval
FDA approval August 2022
EMA Approval
EMA (CHMP) September 2023. EC decision October 2023

Primary Outcome(s)

Primary Outcome(s)
ORR DOR (5.4 mg/kg)
Evaluated Outcome
ORR
Form(s)
Form 3

Outcome Data

PFS Control
9.9 months
ORR
49%
DoR
16.8 months

Adjustments

QoL Comment
QoL data pending

Score (after adjustments)

Preliminary non-curative score

3

Non-curative score

3

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
399
Scorecard version
1
Issue date
31.10.2023
Trastuzumab deruxtecan DESTINY-Lung02

PRELIMINARY SCORE

ORR

ADJUSTMENTS

?
QoL data pending
Trastuzumab deruxtecan DESTINY-Lung02

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
3
Overall Response Rate / Duration of Response
Thoracic Malignancies
For adult patients with advanced non-small cell lung cancer whose tumours have an activating human epidermal growth factor receptor 2 HER2 (ERBB2) mutation and who require systemic therapy following platinum-based chemotherapy with or without immunotherapy.
Trastuzumab deruxtecan
Single arm

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    Legend

    Information about symbols, abbrevations and color codes

    Red = negative
    Green = positive
    Grey = neutral
    ? Grey + ? = neutral with pending data
    DFS
    Disease-Free Survival
    DoR
    Duration of Response
    EFS
    Event-Free Survival
    HR
    Hazard Ratio
    NEB
    No evaluable benefit
    NI
    Non-inferiority Study
    ORR
    Overall Response Rate
    OS
    Overall Surival
    pCR
    Pathological Complete Response/Remission
    PFS
    Progression-Free Survival
    QoL
    Quality of Life
    RFS
    Relapse-Free Survival
    RR
    Response Rate

    QoL adjustments

    Other adjustments*

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    QoL adjustments

    Red = negative / deterioration

    Green = positive / improvement

    Other adjustments*

    Red = negative / deterioration

    Green = positive / improvement

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    * Other adjustments include:

    - Long-term plateau in the survival curve
    - Long-term plateau in the PFS curve
    - Early stopping or crossover
    - Only improved PFS mature data shows no OS advantage and no improved Qol.

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