The phase 2 TUXEDO-3 trial identifies the HER3-targeting antibody–drug conjugate patritumab deruxtecan as a promising new therapeutic option for patients with leptomeningeal metastasis from solid tumors.
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References
Ozair, A. et al. Nat. Rev. Clin. Oncol. 22, 134–154 (2025).
Preusser, M. et al. Nat. Med. https://doi.org/10.1038/s41591-025-03744-1 (2025).
Yang, T. J. et al. Neuro. Oncol. 23, 134–143 (2021).
Yang, J. T. et al. J. Clin. Oncol. 40, 3858–3867 (2022).
Barbour, A. B. et al. Adv. Radiat. Oncol. 9, 101377 (2024).
Sinicrope, K. D. et al. Neuro. Oncol. Adv. 1, i8 (2019).
Kumthekar, P. U. et al. Neuro. Oncol. 25, 557–565 (2023).
Le Rhun, E. et al. Neuro. Oncol. Adv. 6, i14–i14 (2024).
Andre, F. et al. Ann. Oncol. 35, 1169–1180 (2024).
Alder, L. et al. NPJ Breast Cancer 9, 19 (2023).
Vaz Batista, M. et al. Med. 6, 100502 (2025).
O’Brien, B. J. et al. J. Clin. Oncol. 42 (Suppl. 16), 2018 (2024).
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C.K.A. has consulted with Genentech, Eisai, IPSEN, Seattle Genetics, Astra Zeneca, Novartis, Immunomedics, Elucida, Athenex, and Roche; she has received research funding from PUMA, Lilly, Merck, Seattle Genetics, Nektar, Tesaro, G1-Therapeutics, ZION, Novartis, Pfizer, Astra Zeneca, Elucida, Caris, Incyclix, Beigene and royalties from UptoDate.com and Jones and Bartlett. R.B. has consulted with NCODA, CareSpace Health Inc, Onviv; she has received research funding from AstraZeneca, Sermonix, Gilead, Jazz Pharmaceuticals and Genentech. A.E.D.V. has no conflicts to disclose.
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Anders, C.K., Bansal, R. & Van Swearingen, A.E.D. A HER3-targeting antibody–drug conjugate for leptomeningeal metastasis. Nat Med 31, 2494–2495 (2025). https://doi.org/10.1038/s41591-025-03853-x
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DOI: https://doi.org/10.1038/s41591-025-03853-x