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November 26, 2025
Patritumab deruxtecan (HER3-DXd) in patients with active brain metastases of breast cancer (TUXEDO-3): a multicentre, single-arm, phase 2 trial
Rupert Bartsch, Maximilian Marhold, Javier Garde-Noguera, María Gion, Manuel Ruiz-Borrego, Richard Greil, María Valero, Antonio Llombart-Cussac, Juan José García-Mosquera, Miriam Arumi, Javier Cortés, Marta Campolier, José Antonio Guerrero, Felipe Slebe, Elena Martínez-García, Carlos Jiménez-Cortegana, Marta Vaz-Batista, Felicitas Oberndorfer, Julia Furtner, Thorsten Fuereder, Anna Sophie Berghoff, Matthias Preusser
The TUXEDO-3 study tested a new treatment, HER3-DXd, in people with active brain metastases from breast cancer. In this small phase 2 trial, about 5 (24%) of 21 patients had an overall response, even though most participants had already received many prior treatments. Importantly, responses were seen across all breast cancer subtypes, including HER2- positive, HER2-low, and HER2- negative disease.
Patients' quality of life and neurological function stayed stable during treatment, which is especially important for people living with brain metastasis. Common side effects included neutropenia, fatigue, nausea, hair loss and diarrhea.
Although this was an early small study and more research is needed, the results are encouraging. HER3-DXd may become a future treatment option for people with brain metastases from breast cancer.
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