AstraZeneca and Daiichi push Enhertu into earlier breast cancer use

7 May 2025

UK-based pharma major AstraZeneca (LSE: AZN) and its Japanese partner Daiichi Sankyo (TYO: 4568) are moving to expand the reach of their blockbuster antibody-drug conjugate Enhertu (trastuzumab deruxtecan) into early-stage breast cancer, building on momentum from a recent Phase III trial in the metastatic setting.

In new results announced Wednesday, the companies said Enhertu followed by a standard chemo mix - known as THP  - delivered a “statistically-significant and clinically-meaningful” improvement in pathologic complete response in patients with high-risk HER2-positive early-stage breast cancer.

The trial, dubbed Destiny-Breast11, marks the first time Enhertu has shown a benefit in early-stage disease, potentially setting the stage for use in patients who may still be cured. The current standard in this setting is a more intensive combination involving anthracyclines, a class of chemotherapy drugs often linked to heart damage.

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