Overview
- The approval is supported by DESTINY-Breast09, where Enhertu plus pertuzumab achieved median PFS of 40.7 months versus 26.9 months with THP (HR 0.56; P<0.0001).
- Overall survival remains immature at the time of the PFS analysis, with deaths reported in 16% of patients across both arms.
- Interstitial lung disease and pneumonitis were reported in 46 patients on the Enhertu combination, including two deaths, compared with four cases on THP.
- The FDA acted well before its Jan. 23 decision date after granting Priority Review and Breakthrough Therapy designation.
- The clearance is expected to influence frontline practice and triggers a $150 million milestone payment from AstraZeneca to Daiichi Sankyo.