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AstraZeneca, Daiichi's breast cancer drug gets FDA nod as first-line treatment

ENHERTU with pertuzumab reduces disease progression risk by 44% and extends median progression-free survival beyond three years, based on DESTINY-Breast09 trial data.

  • Following late‑breaking ASCO25 data, the FDA approved AstraZeneca and Daiichi Sankyo's ENHERTU with pertuzumab as first-line treatment for unresectable or metastatic HER2-positive breast cancer, using expedited review pathways.
  • Trial investigators reported DESTINY-Breast09 showed a 44% risk reduction versus first-line therapy, with median PFS of 40.7 months and an 87% objective response rate among 1,157 patients.
  • Safety data show ENHERTU 5.4 mg/kg with pertuzumab carries boxed warnings for interstitial lung disease /pneumonitis and embryo-fetal toxicity, with ILD in 12% of patients and fatal outcomes in 0.5%.
  • Clinicians could adopt the regimen as a new first-line standard, while AstraZeneca will pay Daiichi Sankyo a $150 million milestone and both commit to supporting U.S. patients prescribed ENHERTU.
  • Project Orbis is coordinating concurrent reviews of ENHERTU in Switzerland and Japan, with continued approval contingent on confirmatory trial requirements, amid the Daiichi Sankyo and AstraZeneca collaboration.
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cancernetwork.com broke the news in on Monday, December 15, 2025.
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