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BREAST: ADJUVANT: TNBC: POST-NEOADJUVANT: TROPION-Breast03

A Phase 3 Open-label, Randomised Study of Datopotamab Deruxtecan (DatoDXd) With or Without Durvalumab Versus Investigator's Choice of Therapy in Patients With Stage I-III Triple-negative Breast Cancer Who Have Residual Invasive Disease in the Breast and/or Axillary Lymph Nodes at Surgical Resection Following Neoadjuvant Systemic Therapy (TROPION-Breast03)

Title
AstraZeneca D926XC00001 (TROPION Breast-03, TNBC adjuvant)
Study Title

A Phase 3 Open-label, Randomised Study of Datopotamab Deruxtecan (DatoDXd) With or Without Durvalumab Versus Investigator's Choice of Therapy in Patients With Stage I-III Triple-negative Breast Cancer Who Have Residual Invasive Disease in the Breast and/or Axillary Lymph Nodes at Surgical Resection Following Neoadjuvant Systemic Therapy (TROPION-Breast03)

Site Link
Malignancy
Breast, Triple negative breast cancer, TNBC
Stage
Disease Setting
Adjuvant/Post-surgical
Line Of Therapy
Adjuvant
Investigational Agent
datopotamab deruxtecan (Dato-DXd)
Drug Class
ADC, Trop2 with Topo1 inhibitor payload
PI
Greg Vidal, MD, PhD
Sponsor
AstraZeneca
Phase
Status
Key Eligibility Criteria
Key Eligibility Criteria Details
  • Histologically confirmed TNBC, Stage I-III
  • Residual invasive disease in the breasat and/or axillary lymph node(s) at surgical resection following neoadjuvant therapy
  • Completed at least 6 cycles of neoadjuvant therapy containing an anthracycline and/or a taxane with or without carboplatin, with or without pembrolizumab
  • No evidence of locoregional or distant relapse
  • Surgical removal of all clinically evident disease
  • ECOG PS 0-1
  • No adjuvant systemic therapy
  • LVEF > 50%
  • No known germline BRCA mutation
  • No Stage IV disease
  • No history of prior invasive breast cancer
  • No persistent toxicities from prior anticancer therapies
  • No prior autoimmune or inflammatory disorders
  • No known HIV
Objective
  • Primary
    • Invasive DFS for Dato-DXd+durva compared to control therapy
  • Seconday
    • Distant DFS for each comparison
    • OS for each comparison
    • Time to deterioration
    • Fatigue
    • Safety
Assessment Frequency
_
Assessment Frequency 2
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Assessment Frequency Link
Path
Triple negative, ER negative, PR negative, HER2 negative
Dosing Frequency
Control Agents
Study Protocol
Randomized
Yes
X