Onco Wiki / Indication

Breast cancer (invasive) · line 2 · Datopotamab deruxtecan (Dato-DXd) monotherapy (HR+/HER2- pre-treated metastatic post-ET + chemo)

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

Knowledge-base record for audit. Provisional clinical content: this is not a prescription. An oncologist must verify original sources, applicability and review status. Full rules and constraints are in the YAML.

Source YAML: complete record

Line of therapy2
Trackaggressive
Linked regimenREG-DATO-DXD-BREAST-2L
IDIND-BREAST-TNBC-2L-DATO-DXD
TypeIndication
Statusreviewed 2026-04-29 | pending_clinical_signoff
DiseasesDIS-BREAST
SourcesSRC-ESMO-BREAST-METASTATIC-2024 SRC-NCCN-BREAST-2025

Notes

Aggressive-track only. TROPION-Breast02 (NCT05374512): Phase III, 1L PD-L1-low/-negative metastatic TNBC, Dato-DXd vs investigator- choice chemo. Topline PFS not yet reported; FDA Datroway label (Jan 2025) does NOT cover TNBC — current standard 2L+ TNBC TROP2 ADC is sacituzumab govitecan (ASCENT). This indication exists as an aggressive-track placeholder for patients who failed sacituzumab + post-IO chemo and have access via clinical trial / EAP. When TROPION-Breast02 readout lands positive, downgrade evidence_level to high + strength to strong + plan_track to standard. Trial- source SRC-TROPION-BREAST02 not yet ingested into KB — citations fall back to NCCN + ESMO guideline Sources; flagged for follow-up source-stub generation. UA access: not registered.

Used By

No reverse references found in the YAML corpus.