Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (2024)

Important Safety Information/Uses

Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (1)

Early Breast Cancer

KADCYLA is a prescription medicine used as an adjuvant (after surgery) treatment for HER2-positive early breast cancer when the patient has taken neoadjuvant (before surgery) treatment including a taxane and trastuzumab (Herceptin®) and there is cancer remaining in the tissue removed during surgery.

Patients are selected for therapy based on an FDA-approved test for KADCYLA.

Metastatic Breast Cancer

KADCYLA is a prescription medicine used to treat HER2-positive breast cancer that has spread to other parts of the body (metastatic breast cancer) after prior treatment with trastuzumab (Herceptin®) and a taxane. Prior treatment could have been for the initial treatment of breast cancer or for the treatment of cancer that had spread to other parts of the body.

Patients are selected for therapy based on an FDA-approved test for KADCYLA.

Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (2)

What is the most Important Safety Information I should know about KADCYLA?

Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (3)

Liver problems

  • KADCYLA may cause severe liver problems that can be life-threatening. Symptoms of liver problems may include vomiting, nausea, eating disorder (anorexia), yellowing of the skin (jaundice), stomach pain, dark urine, or itching

Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (4)

Heart problems

  • KADCYLA may cause heart problems, including those without symptoms (such as reduced heart function) and those with symptoms (such as congestive heart failure). Symptoms may include swelling of the ankles or legs, shortness of breath, cough, rapid weight gain of more than 5 pounds in 24 hours, dizziness or loss of consciousness, or irregular heartbeat

Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (5)

Pregnancy

  • Receiving KADCYLA during pregnancy can result in the death of an unborn baby and birth defects. Birth control should be used while you receive KADCYLA and for 7 months after your last dose of KADCYLA
  • If you think you may be pregnant, you should contact your healthcare provider immediately
  • If you are exposed to KADCYLA during pregnancy or if you become pregnant within 7 months following your last dose of KADCYLA, you are encouraged to report KADCYLA exposure to Genentech by calling1-888-835-2555
  • If you are a male patient with a female partner that could become pregnant, birth control should be used during treatment and for 4 months following your last dose of KADCYLA
  • You should not breastfeed during treatment and for 7 months after the last dose of KADCYLA

Contact your doctor right away if you experience symptoms associated with these side effects.

What are the additional possible serious side effects of KADCYLA?

Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (6)

Lung problems

  • KADCYLA may cause lung problems, including inflammation of the lung tissue, which can be life-threatening. Signs of lung problems may include trouble breathing, cough, tiredness, and fluid in the lungs

Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (7)

Infusion-related reactions

  • Symptoms of an infusion-related reaction may include one or more of the following: the skin getting hot or red (flushing), chills, fever, trouble breathing, low blood pressure, wheezing, tightening of the muscles in the chest around the airways, or a fast heartbeat. Your doctor will monitor you for infusion-related reactions

Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (8)

Serious bleeding

  • KADCYLA can cause life-threatening bleeding. Taking KADCYLA with other medications used to thin your blood (antiplatelet) or prevent blood clots (anticoagulation) can increase your risk of bleeding. Your doctorshould provide additional monitoring if you are taking one of these other drugs while on KADCYLA. Even when blood thinners are not also being taken, life-threatening bleeding may occur with KADCYLA

Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (9)

Low platelet count

  • Low platelet count may happen during treatment with KADCYLA. Platelets help your blood to clot. Signs of lowplatelets may include easy bruising,bleeding,and prolonged bleeding from cuts.In mild cases there may not be any symptoms

Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (10)

Nerve damage

  • Symptoms may include numbness and tingling, burning or sharp pain, sensitivity to touch, lack of coordination, muscle weakness, or loss of muscle function. Your doctor will monitor you for symptoms of nerve damage

Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (11)

Skin reactions around the infusion site

  • KADCYLA may leak from the vein or needle and cause reactions such as redness, tenderness, skin irritation, or pain or swelling at the infusion site. If this happens, it is more likely to happen within 24 hours of the infusion

What are the most common side effects of KADCYLA?

The most common side effects in people taking KADCYLA for early breast cancer are:

  • Tiredness
  • Nausea
  • Liver problems
  • Pain that affects the bones, muscles, ligaments, and tendons
  • Bleeding
  • Low platelet count
  • Headache
  • Weakness, numbness, and pain in the hands and feet
  • Joint pain

The most common side effects seen in people taking KADCYLA for metastatic breast cancer are:

  • Tiredness
  • Nausea
  • Pain that affects the bones, muscles, ligaments, and tendons
  • Bleeding
  • Low platelet count
  • Headache
  • Liver problems
  • Constipation
  • Nosebleeds

You are encouraged to report side effects to Genentech and the FDA. You may contact Genentech by calling1-888-835-2555. You may contact the FDA by visitingwww.fda.gov/medwatchor calling1-800-FDA-1088.

Talk to a healthcare professional for more information about the benefits and risks of KADCYLA.

Please seefull Prescribing Informationfor Important Safety Information, including most serious side effects.

If you cannot afford your medication, visitgenentech-access.com/patientfor financial assistance information.

Clinical Trial Results in EBC | KADCYLA® (ado-trastuzumab emtansine) (2024)

FAQs

What are the results of the Kadcyla clinical trial? ›

Treatment with KADCYLA significantly improved PFS as assessed by independent review (median survival, 9.6 months, vs 6.4 months with lapatinib + capecitabine—a 50% improvement in median PFS; stratified hazard ratio for progression or death from any cause, 0.65; 95% confidence interval, 0.55 to 0.77; P<0.0001).

What is the overall survival of trastuzumab emtansine? ›

At the second interim analysis of overall survival, median overall survival was 30·9 months with trastuzumab emtansine versus 25·1 months with capecitabine and lapatinib (hazard ratio [HR] 0·68 [95% CI 0·55–0·85]).

What is the difference between trastuzumab and ado trastuzumab emtansine? ›

Trastuzumab is the anti-HER2 antibody; emtansine refers to the linker-drug (SMCC-DM1). The "ado-" prefix was added at the request of the FDA to help prevent dispensing errors.

What is the success rate of Kadcyla? ›

A statistically significant and clinically meaningful improvement in overall survival (OS), a secondary endpoint, was observed with adjuvant (post-surgery) Kadcyla® (ado-trastuzumab emtansine) compared to Herceptin® (trastuzumab): at the 7-year landmark OS rates were 89.07% and 84.37% with Kadcyla and Herceptin, ...

Is KADCYLA stronger than Herceptin? ›

Kadcyla (ado-trastuzumab emtansine; T-DM1) outperformed Herceptin (trastuzumab) regarding overall survival (OS; time from treatment until death of any cause) and invasive disease-free survival (iDFS; time from treatment until disease worsens) in patients with HER2-positive early breast cancer that still had remaining ...

Is KADCYLA worth it? ›

Kadcyla Continues to Improve Survival in HER2-Positive Early-Stage Breast Cancer. More than eight years of follow-up from the KATHERINE trial showed the continued survival benefits of Kadcyla over Herceptin for HER2-positive breast cancer with a high risk of recurrence.

How bad is Kadcyla? ›

Kadcyla side effects

Lung problems: Kadcyla may cause inflammation of the lungs, which can be life-threatening. Symptoms include trouble breathing, cough, tiredness, and fluid in the lungs. Liver problems: Kadcyla may cause severe liver problems, including liver failure.

Is trastuzumab emtansine effective? ›

Final results from two international randomized trials confirm that trastuzumab emtansine (Kadcyla®) improves survival for patients with metastatic breast cancer that overexpresses the HER2 protein.

What is the life expectancy of someone on trastuzumab? ›

Median survival of patients with Her2-positive primary metastatic disease was 3.0 years (95% CI 2.3-4.0). After adjustment for other factors, survival was better in patients with Her2-positive breast cancer with trastuzumab therapy compared to Her2-negative metastatic disease (HR 2.10; 95% CI 1.58-2.79).

Why is Enhertu better than Kadcyla? ›

2021 results from the DESTINY-Breast03 study showed that Enhertu (chemical name: fam-trastuzumab-deruxtecan-nxki) more than doubled the 12-month progression-free survival rate compared to Kadcyla (chemical name: T-DM1 or ado-trastuzumab emtansine) in people diagnosed with metastatic HER2-positive breast cancer that had ...

Does trastuzumab emtansine cause hair loss? ›

Hair loss was not common in either study group

In this study, less than 6% of people who took KADCYLA or lapatinib and capecitabine lost their hair (3.9% in the KADCYLA arm and 5.1% in the lapatinib and capecitabine arm).

How long is trastuzumab emtansine treatment? ›

If you're having trastuzumab emtansine after surgery for early breast cancer you might have up to 14 cycles. For breast cancer that has come back or spread around the body, you continue to have treatment for as long as it helps and the side effects aren't too bad.

What foods to avoid on Kadcyla? ›

Notes for Consumers: Do not drink grapefruit juice or eat grapefruit without talking to your health care professional while you are receiving Ado-Trastuzumab Emtansine.

How long can you be on Kadcyla? ›

KADCYLA is given for 14 cycles in early breast cancer

For HER2+ early breast cancer, KADCYLA is given every 3 weeks for 14 rounds of infusion—sometimes called "cycles"—unless the cancer comes back or side effects cause the treatment to be stopped sooner. Treatment with KADCYLA typically would last less than a year.

How much does Kadcyla cost in the US? ›

The cost for Kadcyla intravenous powder for injection 100 mg is around $4,108 for a supply of 1 powder for injection, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans.

What were the results of the Katherine trial? ›

Primary findings from the KATHERINE trial showed that patients treated with T-DM1 experienced a 3-year invasive disease-free survival (IDFS) rate of 88.3% vs 77.0% in those treated with trastuzumab (HR, 0.50; 95% CI, 0.39-0.64; P < . 001). Moreover, this IDFS benefit was observed across key patient subgroups.

What is the response rate of T-DM1? ›

The objective response rate was higher with T-DM1 (43.6%, vs. 30.8% with lapatinib plus capecitabine; P<0.001); results for all additional secondary end points favored T-DM1. Rates of grade 3 or 4 adverse events were higher with lapatinib plus capecitabine than with T-DM1 (57% vs. 41%).

Why is Enhertu better than KADCYLA? ›

2021 results from the DESTINY-Breast03 study showed that Enhertu (chemical name: fam-trastuzumab-deruxtecan-nxki) more than doubled the 12-month progression-free survival rate compared to Kadcyla (chemical name: T-DM1 or ado-trastuzumab emtansine) in people diagnosed with metastatic HER2-positive breast cancer that had ...

How bad are KADCYLA side effects? ›

What are the most serious side effects of KADCYLA? KADCYLA can cause severe liver problems that can be life-threatening. KADCYLA may cause heart problems, including those without symptoms (such as reduced heart function) and those with symptoms (such as congestive heart failure).

Top Articles
Latest Posts
Article information

Author: Moshe Kshlerin

Last Updated:

Views: 6298

Rating: 4.7 / 5 (77 voted)

Reviews: 84% of readers found this page helpful

Author information

Name: Moshe Kshlerin

Birthday: 1994-01-25

Address: Suite 609 315 Lupita Unions, Ronnieburgh, MI 62697

Phone: +2424755286529

Job: District Education Designer

Hobby: Yoga, Gunsmithing, Singing, 3D printing, Nordic skating, Soapmaking, Juggling

Introduction: My name is Moshe Kshlerin, I am a gleaming, attractive, outstanding, pleasant, delightful, outstanding, famous person who loves writing and wants to share my knowledge and understanding with you.