Last update 07 May 2026

Fam-trastuzumab deruxtecan-NXKI

Overview

Basic Info

Drug Type
Antibody drug conjugate (ADC)
Synonyms
Fam-trastuzumab deruxtecan, T-DXd, Trastuzumab deruxtecan
+ [15]
Action
antagonists, inhibitors
Mechanism
HER2 antagonists(Receptor tyrosine-protein kinase erbB-2 antagonists), TOP1 inhibitors(DNA topoisomerase I inhibitors), ADCC(Antibody-dependent cell-mediated cytotoxicity (ADCC) effects)
Originator Organization
Inactive Organization-
Drug Highest PhaseApproved
First Approval Date
United States (20 Dec 2019),
RegulationPriority Review (United States), Breakthrough Therapy (United States), Accelerated Approval (United States), Orphan Drug (United States), Priority Review (China), Breakthrough Therapy (China), Conditional marketing approval (China), Orphan Drug (Japan), Orphan Drug (Australia), Priority Review (Australia), SAKIGAKE (Japan), Fast Track (United States)
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Structure/Sequence

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External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Stomach Cancer
India
07 Oct 2025
HER2 Positive Solid Tumors
United Kingdom
09 Apr 2025
HR-positive/HER2-low Breast Carcinoma
United States
28 Jan 2025
Hormone receptor positive HER2 positive breast cancer
South Korea
19 Sep 2022
HER2 mutant non-small cell lung cancer
United States
11 Aug 2022
HER2 Positive Stomach Adenocarcinoma
Australia
08 Oct 2021
HER2-Low Breast Carcinoma
Australia
08 Oct 2021
Metastatic breast cancer
Canada
15 Apr 2021
HER2 positive Gastroesophageal Junction Adenocarcinoma
United States
15 Jan 2021
HER2-positive gastric cancer
Japan
25 Sep 2020
HER2 Positive Breast Cancer
United States
20 Dec 2019
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Solid tumorPhase 3
United States
23 Dec 2025
Solid tumorPhase 3
China
23 Dec 2025
Solid tumorPhase 3
Japan
23 Dec 2025
Solid tumorPhase 3
Australia
23 Dec 2025
Solid tumorPhase 3
Brazil
23 Dec 2025
Solid tumorPhase 3
France
23 Dec 2025
Solid tumorPhase 3
Israel
23 Dec 2025
Solid tumorPhase 3
Italy
23 Dec 2025
Solid tumorPhase 3
South Korea
23 Dec 2025
Solid tumorPhase 3
Spain
23 Dec 2025
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 1/2
30
trastuzumab deruxtecan + rilvegostomig + fluoropyrimidine
(HER2-positive gastric cancer, gastroesophageal junction adenocarcinoma, or esophageal adenocarcinoma)
spwsuqbkay(yjrtgojakk) = iyagprxyck eevpryefxf (magcdlbviy )
Positive
21 Apr 2026
Phase 2
260
Alternating sacituzumab-govitecan and trastuzumab-deruxtecan
dqgkgcoiai(wdowbrmvfc) = olhbmcoeti bsynikxbjh (dhdhntmifj )
Positive
21 Apr 2026
dqgkgcoiai(wdowbrmvfc) = puygpiriks bsynikxbjh (dhdhntmifj )
Not Applicable
33
sxytpuotlc(zeaojfevvs) = olhseqvdqy prbzbqtsiv (vgymvzsnrj )
Positive
20 Apr 2026
(Ovarian cancer)
sxytpuotlc(zeaojfevvs) = iykbpztqsj prbzbqtsiv (vgymvzsnrj )
Not Applicable
Metastatic Colorectal Carcinoma
Second line
HER2-amplified | MSS
3,734
rcrmwxgjmk(uipqrxnhyu): HR = 1.14 (95.0% CI, 1.05 - 1.24), P-Value = 0.0024
Positive
19 Apr 2026
Standard Chemotherapy
Not Applicable
5
dezujauvjs(drhpxvfhuk) = No ILD/pneumonitis nxhjlstlmt (zxpxgtwlys )
Positive
25 Mar 2026
Not Applicable
HER2-positive | ERBB2-mutated
61
(ERBB2 mutations)
xpzswfcdtn(qvftdcimjm) = eagxcyrmhp psbooghbhd (gqutvowdvv )
Positive
16 Mar 2026
xpzswfcdtn(qvftdcimjm) = jrwltmzqst psbooghbhd (gqutvowdvv )
Phase 2
2
yzvaodkeyf = mfypdpmwud bfbrfkgjbc (zsygphmnjz, lschpmoghn - vwpcxzlfpu)
-
12 Mar 2026
Not Applicable
9
aacebbbaps(ajgfetknlr) = cljbjacpng xjyjdytwkm (nxdixkukqu )
Positive
09 Mar 2026
Phase 3
Recurrent Endometrial Cancer
First line
HER2-expressing | mismatch repair-proficient (pMMR)
600
svvpfvomdb(qfeqifoels) = sxwovxhzru hqvdipbkxy (byrtftzbfs, 24.9 - NR)
Positive
28 Feb 2026
ttzotzgvqn(hzgaxkndba) = qethzcrvik jrmcukinfz (rkaypxuzlh, 8.3 - 16.5)
Phase 2
Bladder Cancer
HER2-expressing
41
vdkyuwtbzx(vontoifgwn) = ibomlhawkz slyhdwhlpc (cuohtyomra, 26.3 - 57.9)
Positive
26 Feb 2026
vdkyuwtbzx(vontoifgwn) = jueizimddi slyhdwhlpc (cuohtyomra, 29.9 - 80.2)
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Translational Medicine

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Deal

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Core Patent

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Clinical Trial

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Approval

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Biosimilar

Competitive landscape of biosimilars in different countries/locations. Phase 1/2 is incorporated into phase 2, and phase 2/3 is incorporated into phase 3.
Competitive landscape of biosimilars in different countries/locations. Phase 1/2 is incorporated into phase 2, and phase 2/3 is incorporated into phase 3.

Regulation

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