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 |