Response of Human Epidermal Growth Factor Receptor 2-Expressing Prostate Cancer to Trastuzumab Deruxtecan.
Coen J Lap, Rithika Rajendran, Jose Manuel Martin...
https://pubmed.ncbi.nlm.nih.gov/39496182/Actively Recruiting
Led by Washington D.C. Veterans Affairs Medical Center · Updated on 2026-04-13
60
Participants Needed
1
Research Sites
52 weeks
Total Duration
Researchers are evaluating the use of Enhertu as a treatment for men with HER2-positive metastatic castration-resistant prostate cancer mCRPC who have not responded to prior androgen deprivation therapy and novel hormonal agents. This Phase II trial focuses on patients who are either not candidates for or have declined taxane-based chemotherapy. The study is led by Dr. Maneesh Jain at the Washington DC VA and aims to assess both the effectiveness and safety of Enhertu. Participants will receive Enhertu as a single-arm treatment in an open-label, multi-center setting. The study will include 60 men who meet the criteria and will monitor the drugs anti-tumor activity and safety profile. The treatment involves ongoing androgen deprivation therapy to maintain low testosterone levels, and patients must provide tumor tissue samples for HER2 testing. During the study, participants will be regularly assessed for tumor response, progression-free survival, overall survival, and quality of life over a two-year period. Researchers will monitor heart function, blood clotting, organ health, and other safety parameters. The study involves continuous evaluation to measure the duration and control of disease response while ensuring participant safety throughout the trial period.
CONDITIONS
Castrate Resistant Prostate Cancer Enhertu Therapy
A
Asha Escobar
M
Martha Antonio
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Washington D.C. Veterans Affairs Medical Center
Lead Sponsor
Daiichi Sankyo
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Enhertu (trastuzumab deruxtecan) | Current Guideline-Recommended Therapy |
|---|---|---|
| What it is | Enhertu (trastuzumab deruxtecan) is an antibody-drug conjugate targeting HER2, given to patients with metastatic castrate-resistant prostate cancer whose tumors express HER2 and who have already received and progressed on hormone therapy and, in some cases, taxane chemotherapy. | Guideline care typically includes continued androgen deprivation therapy plus novel hormonal agents such as abiraterone or enzalutamide. Taxane-based chemotherapy (like docetaxel) is standard after progression on hormonal agents. For patients who progress further, no HER2-targeted therapy is currently standard practice; subsequent treatment is individualized. |
| Role in trial | This is the only intervention group in the study; all enrolled patients receive Enhertu. | Not a study arm; represents the current treatment pathway an eligible patient would otherwise receive outside the trial setting. |
| Primary use | Being investigated for its ability to shrink tumors and control disease in HER2-positive mCRPC after standard treatments have failed or are not possible. | Used to control disease progression with hormonal agents and, when needed, taxane chemotherapy. In later lines, treatment is based on available systemic options and patient factors, as no HER2-targeted therapy is established as standard at this stage. |
| How it is given/performed | Enhertu is administered by intravenous infusion on a repeating cycle according to the study protocol, under medical supervision. | Hormonal agents are taken orally. Taxane chemotherapy is given as an intravenous infusion at regular intervals. Specific approach depends on the individual's prior treatment history and response. |
| Evidence status | Enhertu is under active investigation in HER2-positive mCRPC. Initial case reports and phase 2 data show promising anti-tumor activity in prostate cancer with HER2 overexpression, but no large randomized data are yet available. | Hormonal and taxane chemotherapies have well-established benefit and safety in mCRPC, supported by randomized trials, meta-analyses, and long-term clinical experience. HER2-targeted agents are still investigational in prostate cancer. |
| Important risks | Potential risks include interstitial lung disease, cytopenias, and other toxicities known with trastuzumab deruxtecan in other cancers. Safety in the prostate cancer population is still being actively evaluated. | Established side effects include cardiovascular risks and metabolic complications for hormonal therapy, and neuropathy, cytopenia, and gastrointestinal risks for taxane chemotherapy. These risks are well-documented and monitored in current practice. |
| Important limitations | Single-arm design makes comparison to current therapies indirect. Limited evidence in this specific prostate cancer population; efficacy and long-term safety require further randomized confirmation. | Current therapies often become ineffective as resistance develops, leaving few established options for advanced prostate cancer after hormonal and taxane-based treatments. No HER2-targeted agent is yet established as a standard in this setting. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 2 years or until disease progression or discontinuation
Participants receive Enhertu as a subsequent line of therapy for HER2-positive metastatic castration-resistant prostate cancer.
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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https://pubmed.ncbi.nlm.nih.gov/40638235/Washington D.C. Veterans Affairs Medical Center
Lead Sponsor
Daiichi Sankyo
Collaborating Sponsor