Monoclonal antibodyFDA-approvedFirst-line

Trastuzumab

How it works

Binds the HER2 receptor on cancer cells, blocking growth signals and flagging the cells for immune destruction.

Cancer types

Breast Cancer— HER2-positive

Efficacy

In clinical trials, around 50% of HER2-positive patients achieved an objective response, with median progression-free survival of approximately 11 months.

Side effects

Mild

Most people tolerate this treatment well. Side effects are generally manageable and do not require stopping treatment.

Evidence from research

StudyCancer typeStageEfficacy
Evaluating Megestrol Acetate for Fatigue Management in Breast Cancer PatientsBreast Cancerphase-3—Source →
Study of Trastuzumab Deruxtecan in Metastatic Breast Cancer PatientsBreast Cancerpreclinical—Source →
Testing New Anti-cancer Drugs for HER2 Gene ChangesPancreatic Cancerphase-1—Source →
Pertuzumab and Trastuzumab as Neoadjuvant Treatment for HER2-Positive Breast CancerBreast Cancerphase-2—Source →
Asciminib and Trastuzumab for HER2+ Breast Cancer Brain MetastasesBreast Cancerphase-1—Source →
Real-world Study of Trastuzumab Deruxtecan in HER2-low Breast CancerBreast Cancerpreclinical—Source →
Studying Trastuzumab Deruxtecan in HER2-positive Breast Cancer PatientsBreast Cancerpreclinical—Source →
Testing a New Treatment for Advanced Solid TumorsBreast Cancerphase-1—Source →
New Study Confirms Effectiveness of Trastuzumab Deruxtecan in Chinese Patients with HER2-Mutant Lung CancerLung Cancerphase-2Confirmed objective response rate was 56.9% (95% confidence interval [CI] 44.7-68.6).Source →
Monitoring Heart Health in Breast Cancer Patients on TrastuzumabBreast Cancerpreclinical—Source →
Comparing Treatments for HER2+ Early Breast CancerBreast Cancerphase-2—Source →
Testing Evorpacept in Combination with Trastuzumab and Chemotherapy for Metastatic HER2-Positive Breast CancerBreast Cancerphase-2—Source →
Trastuzumab Deruxtecan Shows Promise in Advanced Lung CancerLung Cancerphase-2T-DXd led to a progression-free survival of up to 41 months from the start of T-DXd therapy.Source →
Testing Pyrotinib Plus Trastuzumab and Chemotherapy for HER2-Positive Early Breast CancerBreast Cancerphase-2—Source →
Evaluating a Combination Treatment for Older Adults with HER2 Positive Breast CancerBreast Cancerphase-2—Source →
HER2-Positive Breast Cancer Brain Metastasis Treated with Trastuzumab DeruxtecanBreast Cancerobservational—Source →
Testing Pyrotinib and Trastuzumab in Advanced HER2-Positive Breast CancerBreast Cancerphase-3—Source →
New Cancer Treatment Shows Promise for Some Lung Cancer PatientsLung Cancerlab-study—Source →
Sequential HER2-Targeting Therapy in Lung Cancer PatientsLung CancerobservationalThe median overall survival was 9.2 months in the T-DM1 post-T-DXd cohort and 25.0 months in the T-DXd post-T-DM1 cohort.Source →
Trastuzumab Deruxtecan Shows Promise in Rare Lung CancerLung Cancerpreclinical—Source →
Evaluating Trastuzumab Deruxtecan in Metastatic Breast CancerBreast Cancerphase-3—Source →
Testing Trastuzumab Deruxtecan and Bevacizumab for Ovarian CancerOvarian Cancerphase-3—Source →
Testing Radiation Therapy with Trastuzumab/Pertuzumab for HER2+ Breast Leptomeningeal DiseaseBreast Cancerphase-1—Source →
Trastuzumab and Pertuzumab Transfer into Breast MilkBreast Cancerobservational—Source →
Rare Lung Cancer Case Responds to New TreatmentLung Cancerobservational—Source →
Combining Two Treatments May Help Fight Aggressive Breast CancerBreast Cancerlab-study—Source →
Study of Trastuzumab Deruxtecan in Early Breast CancerBreast Cancerphase-3—Source →
Testing a New Treatment for Advanced Breast CancerBreast Cancerphase-2—Source →
12 Months vs. 6 Months of HER2-targeted Medications for HER2+ Breast CancerBreast Cancerphase-3—Source →
Testing a Combination Treatment for HER2 Positive Breast CancerBreast Cancerphase-1—Source →
Monitoring Heart Health in Breast Cancer Patients on Trastuzumab TherapyBreast Cancerpreclinical—Source →
Study of Trastuzumab Deruxtecan in Various CancersLung Cancerphase-1/2—Source →
Combining two treatments shows promise for lung cancerLung CancerpreclinicalThe sotorasib-T-DXd combination induced deeper and more durable tumor regressions than either monotherapy, including in SR xenograft models.Source →
Testing a Combination of Medications for HER2-Positive Early-Stage Breast CancerBreast Cancerphase-2—Source →
Testing Trastuzumab Deruxtecan for Recurrent Ovarian CancerOvarian Cancerphase-2—Source →
Durvalumab, Trastuzumab, and Pertuzumab in HER2-Enriched Breast CancerBreast Cancerphase-2—Source →
Study of Tucatinib and Trastuzumab-Pertuzumab for Metastatic HER2+ Breast CancerBreast Cancerphase-3—Source →
Testing Trastuzumab Deruxtecan for Metastatic Breast CancerBreast Cancerphase-3—Source →
Testing Elacestrant and Trastuzumab Deruxtecan in Metastatic Breast CancerBreast Cancerphase-1/2—Source →
Study of Atezolizumab, Pertuzumab, and Trastuzumab in HER2-positive Breast Cancer with Brain MetastasesBreast Cancerphase-2—Source →
Evaluating Trastuzumab Deruxtecan for HER2 Mutations in Non-Small Cell Lung CancerLung Cancerphase-3—Source →
Trastuzumab May Not Protect Kidneys in Breast Cancer PatientsBreast Cancerobservational—Source →
Pertuzumab and Trastuzumab Combination Shows Promise in Urothelial CancerOvarian Cancerphase-2The disease control rate was 37% in the urothelial cancer cohort.Source →
Trastuzumab Deruxtecan Shows Promise in Lung Cancer with Acquired HER2 AmplificationLung CancerobservationalA partial response was achieved with reduced-dose Trastuzumab deruxtecan.Source →
New Treatment Combination Shows Promise for HER2 Positive Breast CancerBreast Cancerphase-3Overall survival was longer in the pyrotinib group (hazard ratio 0.64 (95% confidence interval (CI) 0.46 to 0.89); nominal one-sided P=0.004).Source →
Cardiac Risks in Breast Cancer Patients on Combination TherapyBreast Cancerobservational—Source →
Testing a Combination Therapy for ER-Positive, HER-2 Positive Breast CancerBreast Cancerphase-2—Source →
Comparing Infection Risks of Two Breast Cancer TreatmentsBreast Cancerobservational—Source →
Testing Sotorasib and Trastuzumab Deruxtecan for Lung Cancer with KRAS G12C MutationLung Cancerphase-1—Source →
Trial Tests Combo Cancer TreatmentBreast Cancerphase-1—Source →
Researchers Identify New Ways Cancer Cells Resist TreatmentBreast Cancerlab-study—Source →
Trastuzumab Deruxtecan Resistance Varies in HER2-Amplified vs. HER2-Low Breast CancerBreast Cancerlab-study—Source →
Ebastine May Help Overcome Resistance to Trastuzumab in HER2-Positive Breast CancerBreast Cancerlab-study—Source →
Dual HER2 Blockade Improves Outcomes in HER2-Positive Breast CancerBreast Cancermeta-analysisThe P + H arm showed significant improvements in 3-year EFS rate (RR 1.08, 95% CI 1.00-1.16, p = 0.04), 5-year EFS rate (RR 1.10, 95% CI 1.01-1.20, p = 0.03), and 5-year DFS rate (RR 1.09, 95% CI 0.99-1.20).Source →
EMP3 Expression Linked to Poor Prognosis in HER2-Enriched Breast CancerBreast Cancerlab-study—Source →
Researchers Report Two Cases of Complete Metabolic Responses to New Cancer TreatmentLung Cancerobservational—Source →
New Treatment Option for Rare Lung Cancer TransformationLung CancerpreclinicalThe patient had a partial response with a progression-free survival of 13.1 months.Source →
Trastuzumab Deruxtecan Shows Promise in Lung Cancer TreatmentLung CancerobservationalThe median progression-free survival was 7.85 months, and the objective response rate was 51.4%.Source →
New Cancer Treatment Shows Promise in Breast and Ovarian CancerOvarian Cancerphase-3—Source →
Trastuzumab Emtansine Efficacy and Safety in HER2-Positive Breast CancerBreast CancerobservationalThe 4-years disease-free survival (DFS) rate was 92.5% (95%CI=[87;98]).Source →
Comparing Heart Risks of Cancer Treatments for ERBB2-Positive Breast CancerBreast Cancermeta-analysisThe pooled analysis demonstrated a 0.94% incidence of LVEF decrease with trastuzumab emtansine, a 4.20% incidence with trastuzumab deruxtecan, a 4.85% incidence with trastuzumab plus chemotherapy, and a 5.52% incidence with trastuzumab plus pertuzumab plus chemotherapy.Source →
Metabolites Linked to Trastuzumab Resistance in Breast CancerBreast Cancerlab-study—Source →
European Study on Lung Disease Risk with Breast Cancer TreatmentBreast Cancerobservational—Source →
Combining Trastuzumab Deruxtecan and Abiraterone Shows Promise in Prostate CancerProstate Cancerobservational—Source →
Reducing Trastuzumab Deruxtecan Dose May Not Harm Metastatic Breast Cancer PatientsBreast CancerobservationalThe overall median real-world progression-free survival was 8.1 months.Source →
New Study Compares Cancer Treatment Effectiveness in HER2-Positive Breast Cancer PatientsBreast Cancerphase-3Seven-year invasive disease-free survival was 80.8% with T-DM1 and 67.1% with trastuzumab (difference, 13.7 percentage points).Source →
Trastuzumab Deruxtecan Shows Promise in Treating HER2-Positive Breast Cancer Brain MetastasesBreast Cancermeta-analysisThe overall antitumor response rate was 60.4%, and the disease control rate was 94.4%.Source →
New Treatment Options for Advanced HER2-Positive Breast CancerBreast Cancerphase-3Median overall survival for patients in the tucatinib arm was 21.9 months compared with 17.4 months for patients in the control arm.Source →
Trastuzumab Deruxtecan Shows Promise in Treating Advanced Lung CancerLung Cancermeta-analysisT-DXd showed a 100% probability of being the best treatment for progression-free survival, ≥59% for overall survival, and ≥80% for overall response rate.Source →
New Imaging Agent Shows Promise for Cancer DetectionMelanomaanimal-study—Source →
New Treatment Strategy for Trastuzumab-Resistant Breast CancerBreast Cancerlab-study—Source →
New Treatment Option for Advanced Breast CancerBreast Cancerphase-3The median progression-free survival was 13.2 months in the trastuzumab deruxtecan group and 8.1 months in the chemotherapy group.Source →
Subcutaneous Trastuzumab/Pertuzumab Shortens Patient Treatment TimeBreast Cancerphase-2SC administration of HP shortened patient time burden by approximately 1 hour.Source →
New Hope for Lung Cancer Patients with HER2 AlterationsLung Cancerreview—Source →
New Combination Therapy Shows Promise in Treating Pancreatic CancerPancreatic Cancerlab-study—Source →
Trastuzumab Therapy May Benefit Some HER2-Positive Breast Cancer PatientsBreast CancerobservationalThe 5-year disease-free survival rate was 91.76% in patients with lower SII levels who received trastuzumab, compared to 82.76% in those with higher SII levels.Source →
Trastuzumab Cardiotoxicity in Breast Cancer PatientsBreast Cancerobservational—Source →
New Study Compares Treatments for Early Stage HER2-Positive Breast CancerBreast Cancerphase-2Patients treated with T-DM1 had better disease-free survival.Source →
New Treatment Option for Advanced HER2-Low Breast CancerBreast Cancerreview—Source →
New Treatment Option for Lung Cancer with HER2 Mutation Shows PromiseLung Cancerpreclinical—Source →
Neratinib Reduces Breast Cancer Recurrence in Some PatientsBreast Cancerphase-3Neratinib reduces the risk of recurrence and significantly improves invasive disease-free survival of patients with early-stage HER2+ breast cancer.Source →
Reducing Chemotherapy in HER2-Positive Breast CancerBreast Cancerphase-2—Source →
Cost-effectiveness of trastuzumab deruxtecan in FinlandBreast Cancerphase-3Total quality-adjusted life years (QALYs) and life years (LYs) gained for T-DXd compared with T-DM1 were 1.93 and 2.56, respectively.Source →
New Study Explores Effectiveness of Trastuzumab Deruxtecan in Breast CancerBreast Cancerphase-2The confirmed objective response rate was 70.6% in HER2-overexpressing patients, 37.5% in HER2-low patients, and 29.7% in HER2 non-expressing patients.Source →
HER2-low Breast Cancer Treatment Options ExploredBreast CancerreviewAnti-HER2 antibody-drug conjugate trastuzumab deruxtecan has shown significant survival benefit.Source →
Body Mass Index May Affect Breast Cancer Treatment OutcomesBreast Cancerobservational—Source →
HER2-Mutated Lung Cancer Patient Responds to New TreatmentLung Cancerobservational—Source →
New Treatment Options for HER2-low Breast CancerBreast Cancerphase-3—Source →
Cost-effectiveness of trastuzumab deruxtecan for HER2-low breast cancerBreast Cancerphase-3—Source →
Understanding Resistance to Trastuzumab in HER2+ Breast CancerBreast Cancermeta-analysis—Source →
Trastuzumab Deruxtecan's Effect on Heart Rhythm in Breast Cancer PatientsBreast Cancerphase-2—Source →
No Chemotherapy Needed for Some Early-Stage Breast Cancer PatientsBreast Cancerphase-237.9% of participants achieved a disappearance of all invasive cancer in the breast and axillary lymph nodes.Source →
Comparing a New Trastuzumab Biosimilar to the Original Treatment in ChinaBreast Cancerphase-3The 5-year mortality rate was 84.4% in the HLX02 group, while the mortality rate was 91.2% in the trastuzumab group.Source →
Trastuzumab Side Effects in Breast Cancer Patients StudiedBreast Cancerobservational—Source →
Trastuzumab Cost-Effectiveness in Indonesian Breast Cancer PatientsBreast Cancerphase-3PFS was longer in the chemotherapy alone group, with a difference of 2.2 months.Source →
Trastuzumab Deruxtecan Linked to Lung Toxicity in Cancer PatientsLung Cancerreview—Source →
New Treatment Shows Promise for HER2-Positive Breast Cancer Patients with Brain MetastasesBreast Cancerphase-3The researchers found a 75% improvement in progression-free survival among those with baseline brain metastases.Source →
New Treatments for HER2-Positive Breast CancerBreast Cancerreview—Source →
Pertuzumab and Trastuzumab Plus Chemotherapy for Metastatic Breast CancerBreast CancerobservationalThe median overall survival was 14.9 months longer in patients receiving pertuzumab compared to control patients.Source →
Monitoring Heart Health in Breast Cancer Patients on TrastuzumabBreast Cancerobservational—Source →
Obesity Linked to Higher Risk of Heart Damage in Breast Cancer PatientsBreast Cancerobservational—Source →
Comparing Costs of Cancer Treatments in the US and ChinaBreast Cancerphase-3Margetuximab plus chemotherapy had a gain of 0.11 and 0.09 QALYs compared to trastuzumab plus chemotherapy in the US and China, respectively.Source →
New Biomarker Predicts Resistance to Trastuzumab in Breast CancerBreast Cancerlab-studyHigh α-SMA expression in the stroma was associated with a hazard ratio of 3.12 for recurrence on trastuzumab.Source →
Tucatinib Shows Promise for HER2-Positive Breast CancerBreast Cancermeta-analysis—Source →
Researchers Report Successful HER2 Targeting in Rare Colorectal Cancer CaseColorectal CancerobservationalTreatment with trastuzumab + lapatinib resulted in an excellent response that lasted for 10 months.Source →
New Treatment Combination for Brain Metastases in HER2-Positive Breast CancerBreast Cancerphase-2The CNS objective response rate was 11% (95% CI, 3 to 25), with four partial responses (median duration of response, 4.6 months).Source →
New Cancer Treatment Shows Promise for HER2-Positive PatientsLung Cancerreview—Source →
Trastuzumab Cardiotoxicity Rates in Breast Cancer PatientsBreast Cancerobservational—Source →
HER2 P95 Isoform Linked to Trastuzumab Resistance in Breast CancerBreast Cancerobservational—Source →
Quality of Reviews on Trastuzumab-Based Breast Cancer TherapyBreast Cancermeta-analysis—Source →
Long-term Trastuzumab Use in Breast Cancer Patients: Who Needs Cardiac Monitoring?Breast Cancerobservational—Source →
Trastuzumab's Effect on Gastric Cancer TreatmentBreast CancerobservationalAfter IPTW adjustment, AT combined with trastuzumab showed a better overall survival (OS) over chemotherapy alone (p = 0.023).Source →
New Antibody Combination Shows Promise Against HER2-Overexpressing CancersBreast Cancerlab-study—Source →
BCL-2 levels change in response to HER2-targeted therapyBreast Cancerphase-2—Source →
Trastuzumab Deruxtecan Shows Promise for Lung Cancer Patients with Poor HealthLung Cancerobservational—Source →
Comparing Costs of Trastuzumab Treatments for Breast CancerBreast Cancerobservational—Source →
MSCs Contribute to Trastuzumab Resistance in Breast CancerBreast Cancerlab-study—Source →

This information is provided for general education only and is not medical advice. Always consult a qualified healthcare professional before making treatment decisions.