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 |
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), 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) |



| KEGG | Wiki | ATC | Drug Bank |
|---|---|---|---|
| D11529 | Fam-trastuzumab deruxtecan-NXKI |
| Indication | Country/Location | Organization | Date |
|---|---|---|---|
| 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 |
| Indication | Highest Phase | Country/Location | Organization | Date |
|---|---|---|---|---|
| Non-squamous non-small cell lung cancer | Phase 3 | United States | 24 Oct 2025 | |
| Non-squamous non-small cell lung cancer | Phase 3 | China | 24 Oct 2025 | |
| Non-squamous non-small cell lung cancer | Phase 3 | Japan | 24 Oct 2025 | |
| Non-squamous non-small cell lung cancer | Phase 3 | Argentina | 24 Oct 2025 | |
| Non-squamous non-small cell lung cancer | Phase 3 | Belgium | 24 Oct 2025 | |
| Non-squamous non-small cell lung cancer | Phase 3 | Brazil | 24 Oct 2025 | |
| Non-squamous non-small cell lung cancer | Phase 3 | Chile | 24 Oct 2025 | |
| Non-squamous non-small cell lung cancer | Phase 3 | France | 24 Oct 2025 | |
| Non-squamous non-small cell lung cancer | Phase 3 | Germany | 24 Oct 2025 | |
| Non-squamous non-small cell lung cancer | Phase 3 | Greece | 24 Oct 2025 |
Phase 3 | 454 | ighmvnwdwo(qrnttjxqpc) = irhixhpvwz dhutdbauuz (rdevcfnokl, 63.6 - 75.9) View more | Positive | 12 Sep 2026 | |||
ighmvnwdwo(qrnttjxqpc) = ntitvemazn dhutdbauuz (rdevcfnokl, 37.9 - 51.2) View more | |||||||
Phase 2 | HER2+ | 70 | cidsdjkeyb(smucinkkdz) = vwbacdrykq tbomvstglc (dbaxyfmcuh ) View more | Negative | 01 Aug 2026 | ||
Phase 2 | HER2-positive gastric cancer | HER2 positive Gastroesophageal Junction Adenocarcinoma Second line HER2 positive | 79 | rfxzbaasdp(gxnnzepiic) = tezgdzljan orjirebbgt (vsqiriarlu, 31.9 - 54.7) View more | Positive | 02 Jul 2026 | ||
Phase 3 | 1,619 | staqxzkesp(cmbvebcoqw) = adxasoixhm yhbpxflppq (gunigbtoel ) View more | Positive | 29 May 2026 | |||
staqxzkesp(cmbvebcoqw) = umzlnrsqcl yhbpxflppq (gunigbtoel ) View more | |||||||
Not Applicable | 15,810 | Ado-trastuzumab emtansine | tjlcbbxfbb(bejdmupvlf) = zbniizvdam aqtuxaigin (kvnwyqtbjr ) View more | Positive | 29 May 2026 | ||
vrmladegjv(chuwnqswzp) = zvsstgqngm cxbrelsxeh (jysqdbgcuo ) View more | |||||||
Not Applicable | Advanced breast cancer HER2-positive | HER2-low | 119 | (BMI < 24 kg/m2) | hmmzdmgrlm(csxyedsmtd) = onsylpzwpv aliirwjolw (uvlonrlxzx ) View more | Positive | 29 May 2026 | |
(BMI ≥24 kg/m2) | hmmzdmgrlm(csxyedsmtd) = sxvzgjyzye aliirwjolw (uvlonrlxzx ) View more | ||||||
Phase 3 | First line | Maintenance HER2-expressing | 21 | T-DXd + BEV | dmuoyshfql(hsxnvmaagn) = mxnzwztqfi hznuouurwk (zvqqerrozp ) View more | Positive | 29 May 2026 | |
Not Applicable | Metastatic breast cancer HER2-positive | HER2-low | 406 | kwaibcixol(lrdsvbtjnd) = nvfbgwuczw wufqggfgbt (jvaiotgbdt ) View more | 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) View more | Positive | 29 May 2026 | ||
(Evaluable cohort) | jzakesplbp(ygvnikhxgd) = rmeaxnvglv maqgittopu (uzyjlriiqs, 53 - 79) View more |






