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FIRST LINE · TREATMENT PATHWAYS2026 ESTIMATES

Estimated Treatment
‍Trends Across the Patient Journey

HER2+ Metastatic Breast Cancer | 1L

Estimated adoption (%)

January 2026 est.September 2026 est.
+25 pp
5%
30%

T-DXd + pertuzumab

INCREASING ADOPTION

−25 pp
90%
65%

Trastuzumab + pertuzumab

DECLINING USE

0 pp
5%
5%

Other / chemotherapy

STABLE USE

Estimated Treatment Adoption Progress

HER2+ mBC | 2L

January 2026 est.September 2026 est.
-20 pp
70%
50%
T-DXd
Declining adoption
+13 pp
12%
25%
Tucatinib triplet
Increasing adoption
+2 pp
10%
12%
T-DM1
Slow growth
+5 pp
8%
13%
Other HER2/chemo
Increasing adoption

Estimated adoption (%) · Change in percentage points (pp)

Estimated Treatment Adoption Progress

HER2+ mBC | 3L

January 2026 est.September 2026 est.
+5 pp
40%
45%
Tucatinib triplet
Increasing adoption
-3 pp
15%
12%
T-DXd
Modest decline
-2 pp
20%
18%
T-DM1
Slight decline
0 pp
25%
25%
Other HER2/chemo
Stable use

Estimated adoption (%) · Change in percentage points (pp)

Estimated Treatment Adoption Progress

Early HER2+ Breast Cancer | Neoadjuvant (Stage II/III)

January 2026 est.September 2026 est.
+20 pp
5%
25%
T-DXd → THP
Rapid adoption
-25 pp
100%
75%
Conventional TCHP/THP/AC → THP
Declining use

Estimated adoption (%) · Change in percentage points (pp)

REAL-WORLD EVIDENCE

Understanding real-world evidence across HER2-positive breast cancer.

Explore evidence and insights on treatment patterns and outcomes across HER2 expression levels. PRISM RWE HER2 brings real-world data into focus.

SUMMARY / ACTION

Evidence at a glance. Actions in focus.

01
SUMMARY 01

Real-World Data Confirms T-DXd's Efficacy and Manageable Safety Across all HER2 Expression Levels

Real-world evidence shows that T-DXd delivers meaningful effectiveness across HER2-positive and HER2-low metastatic breast cancer, with longer treatment duration, improved survival outcomes, and clinically relevant responses alongside a generally manageable safety profile.

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T-DXd delivers significant effectiveness, medical summary infographic

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02
SUMMARY 02

T-DM1 retains meaningful benefit in heavily pretreated, more complex real-world populations, supporting its role as a standard HER2-targeted option

Real-world findings indicate that T-DM1 remains a reliable and effective standard option for heavily pretreated and clinically complex HER2-positive metastatic breast cancer, particularly in later lines or when other therapies are unsuitable.

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T-DM1 benefits and recommended actions, medical summary infographic

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03
SUMMARY 03

Tucatinib provides durable HER2+ mBC treatment persistence and meaningful rwTTD post-T-DXd for many with brain mets and multiple prior lines

Real-world evidence suggests that tucatinib-based therapy provides durable treatment persistence and meaningful real-world time to next treatment after T-DXd, including for patients with brain metastases and multiple prior lines of therapy.

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Tucatinib continued benefit, medical summary infographic

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04
SUMMARY 04

Signals suggest earlier use of T-DXd may improve patient outcomes

Emerging real-world signals associate earlier T-DXd use with higher response rates, longer progression-free survival, and more durable benefit, supporting earlier sequencing for eligible patients together with proactive safety monitoring.

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Earlier use of T-DXd, medical summary infographic

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Geometric network connecting data points around a central blue circle

ABOUT THE STUDY

Real-world data. Clearer context.

PRISM RWE HER2 presents research-related information about treatment patterns and outcomes in HER2-positive breast cancer. The redesigned experience is intended to help visitors navigate the existing study content and source materials more easily.

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Find relevant study topics and source materials.

Access resources

Navigate to existing publications and documents.

Follow updates

Find the current Living Data Set information.

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