MedPath

Trastuzumab emtansine

Generic Name
Trastuzumab emtansine
Brand Names
Kadcyla
Drug Type
Biotech
CAS Number
1018448-65-1
Unique Ingredient Identifier
SE2KH7T06F
Background

Trastuzumab emtansine, formerly called Trastuzumab-DM1 (T-DM1) is a first-in-class HER2 antibody drug conjugate (ADC) comprised of Genentech's trastuzumab antibody linked to ImmunoGen's cell-killing agent, DM1. T-DM1 combines two strategies-- anti-HER2 activity and targeted intracellular delivery of the potent anti-microtubule agent, DM1 (a maytansine derivative)--to produce cell cycle arrest and apoptosis. Trastuzumab emtansine is marketed under the brand name Kadcyla and is indicated for use in HER2-positive, metastatic breast cancer patients who have already used taxane and/or trastuzumab for metastatic disease or had their cancer recur within 6 months of adjuvant treatment. The FDA label has two precautions. First that trastuzumab emtansine and trastuzumab cannot be interchanged. Second that there is a black box warning of serious side effects such as hepatotoxicity, embryo-fetal toxicity, and cardiac toxicity.

Indication

Used in HER2-positive, metastatic breast cancer patients who have already used taxane and/or trastuzumab for metastatic disease or had their cancer recur within 6 months of adjuvant treatment.

Associated Conditions
HER2-Positive Early Stage Breast Cancer, HER2-positive, Metastatic Breast Cancer

A Study to Compare DB-1303/BNT323 Versus T-DM1 in Breast Cancer

Phase 3
Recruiting
Conditions
HER2-positive Breast Cancer
Interventions
Drug: DB-1303/BNT323
First Posted Date
2024-02-20
Last Posted Date
2024-12-12
Lead Sponsor
DualityBio Inc.
Target Recruit Count
224
Registration Number
NCT06265428
Locations
🇨🇳

015, Bengbu, Anhui, China

🇨🇳

029, Hefei, Anhui, China

🇨🇳

001, Beijing, Beijing, China

and more 45 locations

A Phase III, Active-Controlled Study of SHR-A1811 Versus Trastuzumab Emtansine (T-DM1) in HER2-Positive Primary Breast Cancer Participants With Residual Invasive Disease Following Neoadjuvant Therapy

Phase 3
Recruiting
Conditions
HER2-Positive Primary Breast Cancer Participants With Residual Invasive Disease Following Neoadjuvant Therapy
Interventions
First Posted Date
2023-11-13
Last Posted Date
2025-05-02
Lead Sponsor
Jiangsu HengRui Medicine Co., Ltd.
Target Recruit Count
1600
Registration Number
NCT06126640
Locations
🇨🇳

Fudan University Shanghai Cancer Center, Shanghai, Shanghai, China

🇨🇳

Tianjin Medical University Cancer Institute & Hospital, Tianjin, Tianjin, China

A Study to Evaluate the Safety and Effectiveness of Trastuzumab Emtansine (T-DM1) as Therapy in Chinese Participants With HER2 Positive Advanced Breast Cancer

Active, not recruiting
Conditions
Breast Cancer
Interventions
First Posted Date
2023-07-14
Last Posted Date
2025-04-11
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
178
Registration Number
NCT05945927
Locations
🇨🇳

Union Hospital of Tongji Medical College, Dept. of Cancer Center, Wuhan, China

🇨🇳

Beijing Hospital, Beijing, China

🇨🇳

Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou City, China

and more 27 locations

Observational Study of Effectiveness and Safety of Trastuzumab Emtansine (T-DM1) in HER2-positive Breast Cancer Patients With Residual Invasive Disease Following Neoadjuvant Chemotherapy and Anti-HER2 Target Therapy

Recruiting
Conditions
Breast Cancer
First Posted Date
2023-03-03
Last Posted Date
2023-03-03
Lead Sponsor
Consorzio Oncotech
Target Recruit Count
300
Registration Number
NCT05754502
Locations
🇮🇹

Nuovo ospedale di Prato - S. Stefano, Prato, Firenze, Italy

🇮🇹

IRCCS Istituto Tumori "Giovanni Paolo II", Bari, Italy

🇮🇹

A.O.U. Ospedali Riuniti Umberto I, Ancona, Italy

and more 25 locations

A Phase II Study of Tucatinib and Ado-trastuzumab Emtansine (T-DM1) in Patients With HER2-positive Metastatic Solid Tumors and Metastases to Brain (TUCATEMEB)

Phase 2
Recruiting
Conditions
Brain Metastases
Metastatic Solid Tumor
Interventions
First Posted Date
2023-01-06
Last Posted Date
2025-04-06
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
30
Registration Number
NCT05673928
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

ELVN-002 in HER2 Mutant Non-Small Cell Lung Cancer

Phase 1
Recruiting
Conditions
HER2 Mutant Non-small Cell Lung Cancer
HER2-positive Metastatic Breast Cancer
HER2 Gene Mutation
HER2 Amplification
Interventions
First Posted Date
2022-12-14
Last Posted Date
2025-01-09
Lead Sponsor
Enliven Therapeutics
Target Recruit Count
198
Registration Number
NCT05650879
Locations
🇺🇸

University of Colorado - Anschutz Medical Campus - PPDS, Aurora, Colorado, United States

🇺🇸

Advent Health Orlando, Orlando, Florida, United States

🇺🇸

BRCR Medical Center Inc, Plantation, Florida, United States

and more 36 locations

KPMNG Study of MOlecular Profiling Guided Therapy Based on Genomic Alterations in Advanced Solid Tumors II

First Posted Date
2022-09-02
Last Posted Date
2025-04-27
Lead Sponsor
Seoul National University Bundang Hospital
Target Recruit Count
1000
Registration Number
NCT05525858
Locations
🇰🇷

Soonchunhyang University Hospital Bucheon, Bucheon, Korea, Republic of

🇰🇷

Chungbuk National University Hospital, Chungju, Korea, Republic of

🇰🇷

Keimyung University Dongsan Hospital, Daegu, Korea, Republic of

and more 29 locations

Precise Therapy for Refractory HER2 Positive Advanced Breast Cancer

Phase 3
Conditions
HER2+ Breast Cancer
Interventions
First Posted Date
2022-06-23
Last Posted Date
2022-06-23
Lead Sponsor
First Affiliated Hospital Xi'an Jiaotong University
Target Recruit Count
120
Registration Number
NCT05429684
Locations
🇨🇳

The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China

🇨🇳

Jin Yang, Xi'an, Shaanxi, China

A Study to Evaluate Patient Preference for Home Administration of Fixed-Dose Combination of Pertuzumab and Trastuzumab for Subcutaneous Administration in Participants With Early or Locally Advanced/Inflammatory HER2-Positive Breast Cancer

Phase 3
Active, not recruiting
Conditions
Early Breast Cancer
Locally Advanced Breast Cancer
Inflammatory Breast Cancer
Interventions
First Posted Date
2022-06-13
Last Posted Date
2025-05-18
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
347
Registration Number
NCT05415215
Locations
🇦🇷

Centro Oncologico Korben, Ciudad Autonoma Buenos Aires, Argentina

🇧🇦

Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina

🇧🇷

Hospital Araujo Jorge, Goiania, Goiás, Brazil

and more 87 locations

Testing the Use of Ado-Trastuzumab Emtansine Compared to the Usual Treatment (Chemotherapy With Docetaxel Plus Trastuzumab) or Trastuzumab Deruxtecan for Recurrent, Metastatic, or Unresectable HER2-Expressing Salivary Gland Cancers

Phase 2
Recruiting
Conditions
Unresectable Salivary Gland Carcinoma
Recurrent Salivary Gland Carcinoma
Stage IV Major Salivary Gland Cancer AJCC v8
Stage III Major Salivary Gland Cancer AJCC v8
Metastatic Salivary Gland Carcinoma
Interventions
Procedure: Biopsy Procedure
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Procedure: Echocardiography Test
Procedure: Magnetic Resonance Imaging
Other: Questionnaire Administration
Procedure: Multigated Acquisition Scan
First Posted Date
2022-06-07
Last Posted Date
2025-05-09
Lead Sponsor
NRG Oncology
Target Recruit Count
146
Registration Number
NCT05408845
Locations
🇺🇸

Kaiser Permanente-Roseville, Roseville, California, United States

🇺🇸

University of Alabama at Birmingham Cancer Center, Birmingham, Alabama, United States

🇺🇸

City of Hope Comprehensive Cancer Center, Duarte, California, United States

and more 117 locations
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