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. 2023 Feb 17;15(4):1286. doi: 10.3390/cancers15041286

Table 1.

Clinical trials evaluating antibody–drug conjugates in patients with NSCLC harboring HER2 aberrations. NSCLC, non-small cell lung cancer; HER2, human epidermal growth factor receptor 2; DAR, drug-to-antibody ratio; ORR, objective response rate; PFS, progression-free survival; CI, confidence intervals; OS, overall survival; TRAE, treatment-related adverse event; IHC, immunohistochemistry; FISH, fluorescence in situ hybridization; NE, not evaluable; NA, not available; NR, not reached.

Agent Antibody; Chemotherapeutic Study Phase n Prior
Systemic Therapy
HER2
Positivity Definition
ORR
n (%)
PFS in Months
Median (95% CI)
OS in Months
Median (95% CI)
Most
Common Grade 3 or Higher TRAE
(%)
T-DM1 Trastuzumab; emtansine Hotta et al. [20]. 2 15 Yes IHC 3+, 2+/FISH+, or exon 20 mutation 1 (6.7) 2.0 (1.4–4.0) 10.9 (4.4–12.0) Thrombocytopenia (40.0)
T-DM1 Trastuzumab; emtansine Peters et al. [22]. 2 29; 20 Yes IHC 2+; IHC 3+ 0 (0); 4 (20) 2.6 (1.4–2.8); 2.7 (1.4–8.3) 12.2 (3.8–23.3); 15.3 (4.1-NE) NA
T-DM1 Trastuzumab; emtansine Li et al. [10] 2 49 Yes Activating mutation or amplification 25 (51.0) 5.0 (3.5–5.9) NA Thrombocytopenia (6.0),
Anemia (6.0)
T-DM1 Trastuzumab; emtansine Iwama et al. [32] 2 22 Yes Exon 20 insertion mutation 8 (38.1) 2.8 (1.4–4.4) 8.1 (3.5–13.2) Thrombocytopenia (18.2)
T-DXd Trastuzumab; deruxtecan Tsurutani et al. [23] 1 18 Yes IHC 1+, 2+, 3+ or amplification 10 (55.6) 11.3 (5.5–14.1) NR (17.3-NE) NA
T-DXd Trastuzumab; deruxtecan Li et al. [12]. 1 91 Yes Mutation 50 (54.9) 8.2 (6.0–11.9) 17.8 (13.8–22.1) Neutropenia (19.0)
T-DXd Trastuzumab; deruxtecan Nakagawa et al. [11] 1 49 Yes IHC 2+, 3+ 12 (24.5) 5.4 (2.8–7.0) NA Neutropenia (20.4)
T-DXd Trastuzumab; deruxtecan Goto et al. [1] 2 52 (5.4 mg/kg); 28 (6.4 mg/kg) Yes Mutation 28 (53.8); 12 (42.9) NA NA NA