Last update 19 Mar 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
HER2 Positive Endometrial CarcinomaPhase 3
United States
12 Mar 2026
HER2 Positive Endometrial CarcinomaPhase 3
China
12 Mar 2026
HER2 Positive Endometrial CarcinomaPhase 3
Japan
12 Mar 2026
HER2 Positive Endometrial CarcinomaPhase 3
Argentina
12 Mar 2026
HER2 Positive Endometrial CarcinomaPhase 3
Brazil
12 Mar 2026
HER2 Positive Endometrial CarcinomaPhase 3
Canada
12 Mar 2026
HER2 Positive Endometrial CarcinomaPhase 3
Chile
12 Mar 2026
HER2 Positive Endometrial CarcinomaPhase 3
France
12 Mar 2026
HER2 Positive Endometrial CarcinomaPhase 3
Germany
12 Mar 2026
HER2 Positive Endometrial CarcinomaPhase 3
Greece
12 Mar 2026
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
33
omoyfrqltq(mxbpmuzbgh) = gwcyavwfwy qdontwssek (hgeungghhj )
Positive
20 Apr 2026
(Ovarian cancer)
omoyfrqltq(mxbpmuzbgh) = pvmsrkfcnr qdontwssek (hgeungghhj )
Not Applicable
Metastatic Colorectal Carcinoma
Second line
HER2-amplified | MSS
3,734
kdauifqryk(dedhabzrfs): HR = 1.14 (95.0% CI, 1.05 - 1.24), P-Value = 0.0024
Positive
19 Apr 2026
Standard Chemotherapy
Not Applicable
HER2-positive | ERBB2-mutated
61
(ERBB2 mutations)
tlbozvahhj(tvbjwjhbof) = ribbqcmrug egwghjnghn (caeggrdlxh )
Positive
16 Mar 2026
tlbozvahhj(tvbjwjhbof) = jkuoyemdng egwghjnghn (caeggrdlxh )
Phase 2
2
dklvbftwre = rqdelsgrsz jaecfrvzpz (suxezxsqiz, fwqevuydsq - jiiylugiwn)
-
12 Mar 2026
Not Applicable
9
dmszqukjwq(qrgjdlhhgx) = istvhfczko vjjbiqkgel (miumfvitou )
Positive
09 Mar 2026
Phase 3
Recurrent Endometrial Cancer
First line
HER2-expressing | mismatch repair-proficient (pMMR)
600
nznfjozikn(ngjlumsctw) = jxhjjxwfbt tipylqhldq (gmxeajodeo, 24.9 - NR)
Positive
28 Feb 2026
vsolzujqse(jejrjqdgnh) = egafshsnnh acjfinqnoc (knvbcsnxng, 8.3 - 16.5)
Phase 2
Bladder Cancer
HER2-expressing
41
ldmtqugmxd(giyxddknys) = buembybjnq iwwkrbagrf (mtvoztirrp, 26.3 - 57.9)
Positive
26 Feb 2026
ldmtqugmxd(giyxddknys) = snnrmdchex iwwkrbagrf (mtvoztirrp, 29.9 - 80.2)
Phase 3
HER2 Positive Breast Cancer
Neoadjuvant
HER2-positive
1,635
kdmigawwmq(oyczbjfcar) = fwmklitfib vuwpfiorzo (ycqzirlykh )
Positive
26 Feb 2026
kdmigawwmq(oyczbjfcar) = dwwkkkedfa vuwpfiorzo (ycqzirlykh )
Phase 2
Metastatic castration-resistant prostate cancer
HER2-positive (IHC 1+, 2+, or 3+)
5
bwxulrogpp(pqpczfogih) = fjgklahzko vppsollocb (edgsjnxyyc )
Positive
26 Feb 2026
Phase 1/2
30
ljafaohfqs(snhhdaxcra) = aiisaiphbj haujueufik (awxrimdlef, 8.1 - NE)
Positive
08 Jan 2026
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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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