Asset profile

Trastuzumab Deruxtecan

Antibody–drug conjugate

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Approvedregulatory verdict

Evidence outlook

Approved: HR+/HER2- Metastatic Breast Cancer (label: HER2-low and HER2-ultralow metastatic breast cancer, HR-positive or HR-negative, after prior...), Non-Small Cell Lung Cancer

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

track record: Partial signal

How the evidence outlook works ↗

Competitive landscape

129 competitors in this universe: 13 direct rivals (same mechanism and indication), 0 same-class, 116 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Trastuzumab Deruxtecan: this drugApprovedAntibody–drug conjugateHER2
ZanidatamabApprovedMultispecific antibodyHER2
ZongertinibApprovedSmall moleculeHER2, HER2 Mutant-selective
BL-M07D1Phase 3Antibody–drug conjugateHER2
DB-1303Phase 3Monoclonal antibodyHER2
Disitamab VedotinPhase 3Antibody–drug conjugateHER2
Trastuzumab RezetecanPhase 3Antibody–drug conjugateHER2
TucatinibPhase 3Small moleculeHER2
HRS-4508Phase 2Small moleculeHER2
177Lu-DWJ155Phase 1RadiopharmaceuticalHER2
BL-M17D1Phase 1Antibody–drug conjugateHER2
KJ015Phase 1Monoclonal antibodyHER2
MT-304Phase 1Cell therapyHER2
NVL-330Phase 1Small moleculeHER2
Abemaciclib (Verzenio)ApprovedSmall moleculeCDK4 and CDK6
Afatinib (Gilotrif)ApprovedSmall moleculeEGFR/HER1, HER2, HER4

…and 114 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(103 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (9)
October 2026 (1)
Phase 4HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2026-10-31 · NCT06429761 · CT.gov ↗
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November 2026 (3)
Phase 2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2026-11 · NCT06048718 · CT.gov ↗
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Phase 2Nausea and Vomiting Caused by Trastuzumab DeruxtecanRecruiting
Est. primary completion 2026-11 · NCT07537673 · CT.gov ↗
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Phase 3Breast Cancer; HER2-positive; MetastaticActive not recruiting
Est. primary completion 2026-11-11 · NCT04784715 · CT.gov ↗
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December 2026 (5)
Phase 2Non-Small Cell Lung CancerEnrolling by invitation
Est. primary completion 2026-12 · NCT06250777 · CT.gov ↗
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Phase 3Nausea and Vomiting Caused by Trastuzumab DeruxtecanRecruiting
Est. primary completion 2026-12-06 · NCT07716189 · CT.gov ↗
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Phase 1HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2026-12-31 · NCT06331169 · CT.gov ↗
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Phase 1Metastatic Malignant Solid Neoplasm, Platinum-Resistant Ovarian High Grade Serous Adenocarcinoma, Unresectable Malignant Solid NeoplasmRecruiting
Est. primary completion 2026-12-31 · NCT04585958 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2026-12-31 · NCT04553770 · CT.gov ↗
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2027 (42)
January 2027 (2)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-01 · NCT06486883 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2027-01-15 · NCT06797622 · CT.gov ↗
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February 2027 (2)
Phase 2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2027-02-10 · NCT06271837 · CT.gov ↗
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Phase 2Non-Small Cell Lung CancerRecruiting
Est. primary completion 2027-02-13 · NCT07428044 · CT.gov ↗
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March 2027 (3)
Phase 2Gastric Cancer, HER2-positive Gastric CancerRecruiting
Est. primary completion 2027-03-01 · NCT06253650 · CT.gov ↗
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Phase 2Part 1: Bladder, Biliary Tract, Cervical, Endometrial, Ovarian, Pancreatic Cancer, Rare Tumors, Any Tumor Type Excluding Breast, Gastric …Active not recruiting
Est. primary completion 2027-03-23 · NCT04482309 · CT.gov ↗
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Phase 1Advanced Breast Carcinoma, Advanced Colon Carcinoma, Advanced Colorectal Carcinoma, Advanced Endometrial Carcinoma …Active not recruiting
Est. primary completion 2027-03-31 · NCT04704661 · CT.gov ↗
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April 2027 (4)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-04 · NCT06409390 · CT.gov ↗
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Phase 2HER2-positive Breast CancerActive not recruiting
Est. primary completion 2027-04 · NCT06172127 · CT.gov ↗
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Phase 4HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-04-27 · NCT05376878 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-04-30 · NCT05900206 · CT.gov ↗
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May 2027 (3)
Phase 2Colorectal Cancer, Resectable Colorectal CarcinomaRecruiting
Est. primary completion 2027-05 · NCT05845450 · CT.gov ↗
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Phase 2Gastric CancerActive not recruiting
Est. primary completion 2027-05-04 · NCT04379596 · CT.gov ↗
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Phase 1/2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2027-05-28 · NCT04644068 · CT.gov ↗
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June 2027 (6)
Phase 1Urinary Bladder Neoplasms, Neoplasm Metastasis, Ureteral NeoplasmsRecruiting
Est. primary completion 2027-06 · NCT05614739 · CT.gov ↗
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Phase 1Gastric Cancer, Gastrointestinal Cancer, HER2 Gene MutationRecruiting
Est. primary completion 2027-06 · NCT05274048 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2027-06-01 · NCT07368543 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-06-01 · NCT06832202 · CT.gov ↗
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Phase 1/2Locally Advanced Lung Non-Small Cell Carcinoma, Metastatic Lung Non-Small Cell Carcinoma, Stage III Lung Cancer AJCC v8 …Recruiting
Est. primary completion 2027-06-14 · NCT07012031 · CT.gov ↗
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Phase 1Non-Small Cell Lung CancerRecruiting
Est. primary completion 2027-06-30 · NCT04686305 · CT.gov ↗
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July 2027 (1)
Phase 1Clinical Stage III Gastric Cancer AJCC v8, Clinical Stage III Gastroesophageal Junction Adenocarcinoma AJCC v8 …Recruiting
Est. primary completion 2027-07-08 · NCT06364410 · CT.gov ↗
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August 2027 (2)
Phase 1Solid Tumor, Advanced Solid Tumor, Metastatic Solid TumorRecruiting
Est. primary completion 2027-08-07 · NCT07086768 · CT.gov ↗
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Phase 1/2Advanced Solid Tumors, HER2-positive Breast CancerActive not recruiting
Est. primary completion 2027-08-31 · NCT05593094 · CT.gov ↗
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September 2027 (5)
Phase 1/2Advanced Solid Tumor, Homologous Recombination Deficiency, HRR DeficiencyRecruiting
Est. primary completion 2027-09 · NCT06525298 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-09 · NCT07150208 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2027-09-01 · NCT07825753 · CT.gov ↗
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Phase 2Brain Cancer, Glioblastoma, Metastatic Cancer, Leptomeningeal Metastasis, Recurrent GlioblastomaRecruiting
Est. primary completion 2027-09-22 · NCT06058988 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-09-30 · NCT07393425 · CT.gov ↗
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October 2027 (4)
Phase 2Prostate Cancer Metastatic, Prostate Cancer, CRPCRecruiting
Est. primary completion 2027-10 · NCT06610825 · CT.gov ↗
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Phase 2HER2-positive Breast CancerRecruiting
Est. primary completion 2027-10-01 · NCT05982678 · CT.gov ↗
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Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-10-01 · NCT05950945 · CT.gov ↗
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Phase 2Colorectal Cancer, Colorectal Adenocarcinoma, Rectal Adenocarcinoma, Rectal Cancer, Adenocarcinoma, Rectal Cancer, Metastatic …Recruiting
Est. primary completion 2027-10-20 · NCT07407465 · CT.gov ↗
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November 2027 (3)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-11 · NCT07203378 · CT.gov ↗
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Phase 2Gastroesophageal AdenocarcinomaRecruiting
Est. primary completion 2027-11-09 · NCT07069712 · CT.gov ↗
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Phase 1Dynamic Tumor Resistance, Metastatic Colorectal CancerNot yet recruiting
Est. primary completion 2027-11-14 · NCT07318389 · CT.gov ↗
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December 2027 (7)
Phase 2Invasive Breast Cancer, Inflammatory Breast Cancer Stage III, HER2-positive Breast Cancer, HER2 Low Breast Adenocarcinoma, Breast CancerRecruiting
Est. primary completion 2027-12-01 · NCT05795101 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-12-30 · NCT07647016 · CT.gov ↗
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Phase 1/2Esophagogastric AdenocarcinomaActive not recruiting
Est. primary completion 2027-12-31 · NCT06731803 · CT.gov ↗
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Phase 2Non-Small Cell Lung CancerNot yet recruiting
Est. primary completion 2027-12-31 · NCT07662473 · CT.gov ↗
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Phase 2Lymphoma, Non-Hodgkin, Multiple Myeloma, Advanced Solid TumorsRecruiting
Est. primary completion 2027-12-31 · NCT02693535 · CT.gov ↗
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Phase 2Desmoplastic Small Round Cell Tumor, Osteosarcoma, Recurrent Desmoplastic Small Round Cell Tumor, Recurrent Kidney Wilms Tumor …Recruiting
Est. primary completion 2027-12-31 · NCT04616560 · CT.gov ↗
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Phase 4HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2027-12-31 · NCT07162259 · CT.gov ↗
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2028 (26)
January 2028 (4)
Phase 1/2Solid CancerActive not recruiting
Est. primary completion 2028-01-01 · NCT06771622 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2028-01-01 · NCT06733233 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-01-01 · NCT06533826 · CT.gov ↗
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Phase 1HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-01-10 · NCT07137416 · CT.gov ↗
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February 2028 (1)
Phase 1/2Advanced Solid MalignanciesRecruiting
Est. primary completion 2028-02-07 · NCT05417594 · CT.gov ↗
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March 2028 (2)
Phase 2Gastric Adenocarcinoma, Gastroesophageal Junction AdenocarcinomaActive not recruiting
Est. primary completion 2028-03-31 · NCT05034887 · CT.gov ↗
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Phase 2Advanced Malignant Solid Neoplasm, Metastatic Malignant Solid NeoplasmRecruiting
Est. primary completion 2028-03-31 · NCT06311214 · CT.gov ↗
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June 2028 (5)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-06 · NCT07497386 · CT.gov ↗
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Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-06-01 · NCT07198724 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-06-01 · NCT04986579 · CT.gov ↗
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Phase 3Gastric Cancer, Gastroesophageal Junction CancerRecruiting
Est. primary completion 2028-06-01 · NCT06731478 · CT.gov ↗
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Phase 3Biliary Tract CancerRecruiting
Est. primary completion 2028-06-12 · NCT06467357 · CT.gov ↗
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July 2028 (3)
Phase 2Salivary Gland Carcinoma, Precision TherapyRecruiting
Est. primary completion 2028-07-10 · NCT06145308 · CT.gov ↗
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Phase 1Metastatic Malignant Solid Neoplasm, Metastatic Pancreatic Adenocarcinoma, Stage III Pancreatic Cancer AJCC v8 …Recruiting
Est. primary completion 2028-07-17 · NCT05372614 · CT.gov ↗
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Phase 2Metastatic Salivary Gland Carcinoma, Recurrent Salivary Gland Carcinoma, Stage III Major Salivary Gland Cancer AJCC v8 …Recruiting
Est. primary completion 2028-07-31 · NCT05408845 · CT.gov ↗
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August 2028 (1)
Phase 1/2Advanced Solid TumorNot yet recruiting
Est. primary completion 2028-08-12 · NCT07157956 · CT.gov ↗
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September 2028 (1)
Phase 1/2Advanced Pancreatic Ductal Adenocarcinoma, Metastatic Pancreatic Ductal Adenocarcinoma, Stage III Pancreatic Cancer AJCC v8 …Recruiting
Est. primary completion 2028-09-08 · NCT07619521 · CT.gov ↗
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October 2028 (2)
Phase 2Stomach NeoplasmsRecruiting
Est. primary completion 2028-10-30 · NCT06630130 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2028-10-30 · NCT07836257 · CT.gov ↗
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November 2028 (3)
Phase 1Advanced Solid TumorActive not recruiting
Est. primary completion 2028-11-01 · NCT06244485 · CT.gov ↗
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Phase 2HER2 Positive Newly Diagnosed Metastatic Esophageal, Gastric, GEJ Cancer Patients With an ECOG Performance Status of 2Not yet recruiting
Est. primary completion 2028-11-01 · NCT07126561 · CT.gov ↗
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Phase 3Ovarian CancerRecruiting
Est. primary completion 2028-11-01 · NCT06819007 · CT.gov ↗
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December 2028 (4)
Phase 1/2T-dxd Resistant HER2-Positive, HER2 Low Metastatic Breast CancerNot yet recruiting
Est. primary completion 2028-12 · NCT07785856 · CT.gov ↗
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Early phase / not applicableHR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2028-12 · NCT07130344 · CT.gov ↗
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Phase 1Recurrent or Metastatic Solid TumorsRecruiting
Est. primary completion 2028-12-31 · NCT07015697 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-12-31 · NCT06750484 · CT.gov ↗
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2029 (11)
January 2029 (2)
Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-01-08 · NCT06324357 · CT.gov ↗
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Phase 3Endometrial CancerRecruiting
Est. primary completion 2029-01-19 · NCT06989112 · CT.gov ↗
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February 2029 (1)
Phase 1Breast Cancer, HER2-positive Breast Cancer, Brain Metastases, Cancer, Cancer MetastaticNot yet recruiting
Est. primary completion 2029-02 · NCT07454668 · CT.gov ↗
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April 2029 (2)
Phase 3Advanced/Metastatic Breast Cancer, HER2+, Low, or Ultralow Advanced/Metastatic Breast CancerRecruiting
Est. primary completion 2029-04-01 · NCT07543536 · CT.gov ↗
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Phase 3HER2-positive Gastric Cancer, Gastroesophageal Junction AdenocarcinomaRecruiting
Est. primary completion 2029-04-27 · NCT06764875 · CT.gov ↗
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June 2029 (1)
Phase 2Colorectal Cancer, Adenocarcinoma of the Colon, Adenocarcinoma of the RectumNot yet recruiting
Est. primary completion 2029-06 · NCT07691489 · CT.gov ↗
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July 2029 (1)
Early phase / not applicableHR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2029-07 · NCT07782086 · CT.gov ↗
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August 2029 (2)
Phase 2Breast Cancer With Brain Metastasis, HER2-positive Breast CancerRecruiting
Est. primary completion 2029-08 · NCT07152782 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-08-01 · NCT07371585 · CT.gov ↗
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October 2029 (2)
Phase 2Triple Negative Breast Neoplasms, Neoplasm Metastasis, HER 2 Low-expressing Breast CancerNot yet recruiting
Est. primary completion 2029-10 · NCT07151586 · CT.gov ↗
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Phase 4HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-10 · NCT07195344 · CT.gov ↗
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2030 (11)
March 2030 (2)
Phase 2Breast Cancer, HER2-positive Breast Cancer, Breast Cancer Stage IVRecruiting
Est. primary completion 2030-03-04 · NCT07459673 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2030-03-30 · NCT06439693 · CT.gov ↗
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April 2030 (1)
Phase 3Non-Small Cell Lung CancerRecruiting
Est. primary completion 2030-04-24 · NCT06899126 · CT.gov ↗
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May 2030 (1)
Phase 1Advanced Solid TumorRecruiting
Est. primary completion 2030-05-15 · NCT05765851 · CT.gov ↗
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June 2030 (1)
Phase 2HER2-positive Early Breast CancerRecruiting
Est. primary completion 2030-06 · NCT05704829 · CT.gov ↗
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July 2030 (1)
Phase 3HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2030-07-04 · NCT07683754 · CT.gov ↗
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September 2030 (1)
Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2030-09-30 · NCT03424005 · CT.gov ↗
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October 2030 (1)
Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2030-10-31 · NCT07619365 · CT.gov ↗
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December 2030 (3)
Phase 3HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2030-12-20 · NCT07828054 · CT.gov ↗
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Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2030-12-30 · NCT05868226 · CT.gov ↗
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Phase 1HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2030-12-31 · NCT05633979 · CT.gov ↗
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2031 (1)
January 2031 (1)
Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2031-01-01 · NCT07701941 · CT.gov ↗
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2032 (2)
March 2032 (1)
Phase 3Endometrial CancerRecruiting
Est. primary completion 2032-03-23 · NCT07022483 · CT.gov ↗
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May 2032 (1)
Phase 3Anatomic Stage IV Breast Cancer AJCC v8, Metastatic HER2-Positive Breast Carcinoma, Oligometastatic Breast CarcinomaNot yet recruiting
Est. primary completion 2032-05-31 · NCT07578116 · CT.gov ↗
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2036 (1)
March 2036 (1)
Phase 1HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2036-03-30 · NCT07553390 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (25)
Phase 2 (71)
Phase 1/2 (24)
Phase 1 (22)
Phase 4 (5)
Early phase / not applicable (6)
Used as active comparator (7)
Appears in other studies (9)