Drug Type Antibody drug conjugate (ADC) |
Synonyms Fam-trastuzumab deruxtecan, T-DXd, Trastuzumab deruxtecan + [15] |
Target |
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) |
Therapeutic Areas |
Active Indication |
Originator Organization |
Active Organization |
Inactive Organization- |
License 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) |



| KEGG | Wiki | ATC | Drug Bank |
|---|---|---|---|
| - | Fam-trastuzumab deruxtecan-NXKI |
| Indication | Country/Location | Organization | Date |
|---|---|---|---|
| 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 |
| Indication | Highest Phase | Country/Location | Organization | Date |
|---|---|---|---|---|
| Solid tumor | Phase 3 | United States | 23 Dec 2025 | |
| Solid tumor | Phase 3 | China | 23 Dec 2025 | |
| Solid tumor | Phase 3 | Japan | 23 Dec 2025 | |
| Solid tumor | Phase 3 | Australia | 23 Dec 2025 | |
| Solid tumor | Phase 3 | Brazil | 23 Dec 2025 | |
| Solid tumor | Phase 3 | France | 23 Dec 2025 | |
| Solid tumor | Phase 3 | Israel | 23 Dec 2025 | |
| Solid tumor | Phase 3 | Italy | 23 Dec 2025 | |
| Solid tumor | Phase 3 | South Korea | 23 Dec 2025 | |
| Solid tumor | Phase 3 | Spain | 23 Dec 2025 |
Phase 1/2 | Adenocarcinoma of Esophagus | HER2-positive gastric cancer | Gastroesophageal junction adenocarcinoma First line HER2-positive | 30 | trastuzumab deruxtecan + rilvegostomig + fluoropyrimidine (HER2-positive gastric cancer, gastroesophageal junction adenocarcinoma, or esophageal adenocarcinoma) | spwsuqbkay(yjrtgojakk) = iyagprxyck eevpryefxf (magcdlbviy ) View more | Positive | 21 Apr 2026 | |
Phase 2 | Triple Negative Breast Cancer HER2-low | 260 | Alternating sacituzumab-govitecan and trastuzumab-deruxtecan | dqgkgcoiai(wdowbrmvfc) = olhbmcoeti bsynikxbjh (dhdhntmifj ) View more | Positive | 21 Apr 2026 | |
dqgkgcoiai(wdowbrmvfc) = puygpiriks bsynikxbjh (dhdhntmifj ) View more | |||||||
Not Applicable | 33 | sxytpuotlc(zeaojfevvs) = olhseqvdqy prbzbqtsiv (vgymvzsnrj ) View more | Positive | 20 Apr 2026 | |||
(Ovarian cancer) | sxytpuotlc(zeaojfevvs) = iykbpztqsj prbzbqtsiv (vgymvzsnrj ) View more | ||||||
Not Applicable | 3,734 | rcrmwxgjmk(uipqrxnhyu): HR = 1.14 (95.0% CI, 1.05 - 1.24), P-Value = 0.0024 View more | Positive | 19 Apr 2026 | |||
Standard Chemotherapy | |||||||
Not Applicable | 5 | dezujauvjs(drhpxvfhuk) = No ILD/pneumonitis nxhjlstlmt (zxpxgtwlys ) View more | Positive | 25 Mar 2026 | |||
Not Applicable | HER2-positive | ERBB2-mutated | 61 | (ERBB2 mutations) | xpzswfcdtn(qvftdcimjm) = eagxcyrmhp psbooghbhd (gqutvowdvv ) View more | Positive | 16 Mar 2026 | |
(HER2 IHC 3+) | xpzswfcdtn(qvftdcimjm) = jrwltmzqst psbooghbhd (gqutvowdvv ) View more | ||||||
Phase 2 | 2 | yzvaodkeyf = mfypdpmwud bfbrfkgjbc (zsygphmnjz, lschpmoghn - vwpcxzlfpu) View more | - | 12 Mar 2026 | |||
Not Applicable | 9 | aacebbbaps(ajgfetknlr) = cljbjacpng xjyjdytwkm (nxdixkukqu ) | Positive | 09 Mar 2026 | |||
Phase 3 | 600 | svvpfvomdb(qfeqifoels) = sxwovxhzru hqvdipbkxy (byrtftzbfs, 24.9 - NR) View more | Positive | 28 Feb 2026 | |||
ttzotzgvqn(hzgaxkndba) = qethzcrvik jrmcukinfz (rkaypxuzlh, 8.3 - 16.5) View more | |||||||
Phase 2 | Bladder Cancer HER2-expressing | 41 | vdkyuwtbzx(vontoifgwn) = ibomlhawkz slyhdwhlpc (cuohtyomra, 26.3 - 57.9) View more | Positive | 26 Feb 2026 | ||
(HER2 IHC 3+) | vdkyuwtbzx(vontoifgwn) = jueizimddi slyhdwhlpc (cuohtyomra, 29.9 - 80.2) View more |






