Daiichi Sankyo Enhertu wins FDA approval in HER2-positive early breast cancer indications

  • Daiichi Sankyo secured FDA clearance for Enhertu use in two curative-intent settings for HER2-positive early breast cancer, expanding franchise beyond metastatic disease.
  • Decision drew on two phase 3 studies where results were already presented at 2025 ESMO Congress, with peer-reviewed publications in Annals of Oncology and New England Journal of Medicine.
  • Neoadjuvant study showed regimen built around Enhertu increased likelihood of eliminating detectable invasive cancer at surgery versus a standard chemotherapy-based approach.
  • Adjuvant study showed Enhertu lowered risk of cancer returning or death versus Roche’s Kadcyla in patients with residual invasive disease following pre-surgery HER2-targeted therapy.
  • Approvals trigger USD 155 million in milestone payments from AstraZeneca to Daiichi Sankyo, split USD 30 million for neoadjuvant use and USD 125 million for adjuvant use.


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