Last update 08 Oct 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), Fast Track (United States), Accelerated Approval (United States), Orphan Drug (United States), Priority Review (China), Breakthrough Therapy (China), Orphan Drug (Japan), Orphan Drug (Australia), Priority Review (Australia), SAKIGAKE (Japan), Conditional marketing approval (China)
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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
Metastatic human epidermal growth factor 2 positive carcinoma of breast
United States
15 May 2026
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
Non-squamous non-small cell lung cancerPhase 3
United States
24 Oct 2025
Non-squamous non-small cell lung cancerPhase 3
China
24 Oct 2025
Non-squamous non-small cell lung cancerPhase 3
Japan
24 Oct 2025
Non-squamous non-small cell lung cancerPhase 3
Argentina
24 Oct 2025
Non-squamous non-small cell lung cancerPhase 3
Belgium
24 Oct 2025
Non-squamous non-small cell lung cancerPhase 3
Brazil
24 Oct 2025
Non-squamous non-small cell lung cancerPhase 3
Chile
24 Oct 2025
Non-squamous non-small cell lung cancerPhase 3
France
24 Oct 2025
Non-squamous non-small cell lung cancerPhase 3
Germany
24 Oct 2025
Non-squamous non-small cell lung cancerPhase 3
Greece
24 Oct 2025
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
454
ighmvnwdwo(qrnttjxqpc) = irhixhpvwz dhutdbauuz (rdevcfnokl, 63.6 - 75.9)
Positive
12 Sep 2026
ighmvnwdwo(qrnttjxqpc) = ntitvemazn dhutdbauuz (rdevcfnokl, 37.9 - 51.2)
Phase 2
HER2+
70
cidsdjkeyb(smucinkkdz) = vwbacdrykq tbomvstglc (dbaxyfmcuh )
Negative
01 Aug 2026
Phase 2
79
rfxzbaasdp(gxnnzepiic) = tezgdzljan orjirebbgt (vsqiriarlu, 31.9 - 54.7)
Positive
02 Jul 2026
Phase 3
1,619
staqxzkesp(cmbvebcoqw) = adxasoixhm yhbpxflppq (gunigbtoel )
Positive
29 May 2026
staqxzkesp(cmbvebcoqw) = umzlnrsqcl yhbpxflppq (gunigbtoel )
Not Applicable
15,810
Ado-trastuzumab emtansine
tjlcbbxfbb(bejdmupvlf) = zbniizvdam aqtuxaigin (kvnwyqtbjr )
Positive
29 May 2026
vrmladegjv(chuwnqswzp) = zvsstgqngm cxbrelsxeh (jysqdbgcuo )
Not Applicable
Advanced breast cancer
HER2-positive | HER2-low
119
(BMI < 24 kg/m2)
hmmzdmgrlm(csxyedsmtd) = onsylpzwpv aliirwjolw (uvlonrlxzx )
Positive
29 May 2026
(BMI ≥24 kg/m2)
hmmzdmgrlm(csxyedsmtd) = sxvzgjyzye aliirwjolw (uvlonrlxzx )
Phase 3
First line | Maintenance
HER2-expressing
21
T-DXd + BEV
dmuoyshfql(hsxnvmaagn) = mxnzwztqfi hznuouurwk (zvqqerrozp )
Positive
29 May 2026
Not Applicable
Metastatic breast cancer
HER2-positive | HER2-low
406
kwaibcixol(lrdsvbtjnd) = nvfbgwuczw wufqggfgbt (jvaiotgbdt )
Positive
29 May 2026
Not Applicable
Biliary Tract Neoplasms
ERBB2 amplification | single nucleotide variants (SNV) | concurrent amplification and SNVs
21
HER2 directed therapy
ljvecfdlpk(hwsdduonbv) = At baseline, ERBB2 alteration patterns included ERBB2 amplification in 15 patients (71.4%), single nucleotide variants (SNV) in 2 patients (9.5%), and concurrent amplification and SNVs in 3 patients (14.3%). xhpkvtklre (ygxfipfieo )
Positive
29 May 2026
Not Applicable
HER2 Positive Breast Cancer
HER2-positive | HER2-low
63
jzakesplbp(ygvnikhxgd) = cketrpakoz maqgittopu (uzyjlriiqs, 46 - 71)
Positive
29 May 2026
jzakesplbp(ygvnikhxgd) = rmeaxnvglv maqgittopu (uzyjlriiqs, 53 - 79)
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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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