Oncology Drug Approval News Flash: Datopotamab Deruxtecan-dlnk (Datroway) Approved by FDA for HR-Positive, HER2-Negative Breast Cancer

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【FDA Approval Alert】Daiichi Sankyo’s Datroway Approved for HR-Positive, HER2-Negative Breast Cancer (January 17, 2025)

On January 17, 2025, the U.S. FDA approved datopotamab deruxtecan-dlnk (Datroway) for adults with unresectable or metastatic hormone receptor (HR)-positive, HER2-negative (IHC 0, 1+, 2+/ISH-) breast cancer after endocrine therapy and 1–2 prior lines of chemotherapy for metastatic disease. Approval was based on TROPION-Breast01 trial (NCT05104866).

Disease Overview: HR-Positive, HER2-Negative Breast Cancer

HR-positive, HER2-negative breast cancer is the most common subtype, and new TROP2-directed ADCs are emerging for patients resistant to endocrine therapy.

Treatment Summary

  • Drug Name: datopotamab deruxtecan-dlnk (Datroway)
  • Company: Daiichi Sankyo, Inc.
  • Approval Date: January 17, 2025
  • Indication: HR-positive, HER2-negative metastatic breast cancer (post-endocrine + 1–2 prior chemotherapy regimens)
  • Mechanism of Action: TROP2-directed antibody-drug conjugate (ADC)
  • Pivotal Trial: TROPION-Breast01 (NCT05104866)
  • Key Efficacy:
    • Median PFS: 6.9 vs 4.9 months (HR 0.63; p<0.0001)
    • Median OS: 18.6 vs 18.3 months (HR 1.01; not significant)
    • ORR: 36% vs 23%
    • Median DOR: 6.7 vs 5.7 months

Patient-Friendly Summary

Datroway delivers chemotherapy directly into TROP2-expressing breast cancer cells, offering a new treatment option after endocrine resistance.

M&A Information

  • Subsidiary: Not applicable (Daiichi Sankyo in-house development, co-developed with AstraZeneca)
  • Acquisition Date: Not applicable
  • Development Stage at Acquisition: Not applicable
  • Investor Information: Public Investors (TSE: 4568)

Source

This approval information is based on data from Drugs@FDA (U.S. FDA) and AACR releases.

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Author of this article

After completing graduate school, I studied at a Top tier research hospital in the U.S., where I was involved in the creation of treatments and therapeutics in earnest. I have worked for several major pharmaceutical companies, focusing on research, business, venture creation, and investment in the U.S. During this time, I also serve as a faculty member of graduate program at the university.

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