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HER2-low ¾Ï - ½ÃÀå ±Ô¸ð, ´ë»ó ȯÀÚ, °æÀï ±¸µµ, ¿¹Ãø(2034³â)HER2-low Cancers - Market Size, Target Population, Competitive Landscape, and Market Forecast-2034 |
HER2-low¾Ï-½ÃÀå ±Ô¸ð, ´ë»ó ȯÀÚ, °æÀï ±¸µµ, ¿¹Ãø(2034³â)Àº ¹Ì±¹, EU 4°³±¹(µ¶ÀÏ, ÇÁ¶û½º, ÀÌÅ»¸®¾Æ, ½ºÆäÀÎ), ¿µ±¹, ÀϺ»ÀÇ HER2-low¾Ï ½ÃÀå µ¿Çâ°ú ÇÔ²² HER2-low¾ÏÀÇ °ú°Å ¹× ¿¹Ãø ¿ªÇÐÀ» »ó¼¼ÇÏ°Ô Àü´ÞÇÕ´Ï´Ù.
HER2-low ¾Ï ½ÃÀå º¸°í¼´Â ÇöÀç Ä¡·á¹ý, ½Å¾à, °³º° Ä¡·á¹ý ½ÃÀå Á¡À¯À², 2020³âºÎÅÍ 2034³â±îÁö ÁÖ¿ä 7°³±¹ÀÇ HER2-low¾Ï ½ÃÀå ±Ô¸ðÀÇ ÇöȲ°ú ¿¹ÃøÀ» Á¦°øÇÕ´Ï´Ù. ¶ÇÇÑ ÇöÀç HER2-low ¾ÏÀÇ Ä¡·á¹ý/¾Ë°í¸®Áò, ¾ð¸ÞÆ® ¸ÞµðÄà ´ÏÁîµµ ¸Á¶óÇÏ¿© ÃÖ»óÀÇ Ä¡·á ±âȸ¸¦ ¹ß±¼ÇÏ°í ½ÃÀåÀÇ ÀáÀç·ÂÀ» Æò°¡ÇÕ´Ï´Ù.
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HER2´Â ERBB2 À¯ÀüÀÚ¿¡ ÀÇÇØ ÄÚµùµÇ´Â ¸·°üÅëÇü Ƽ·Î½Å Ű³ª¾ÆÁ¦ ¼ö¿ëü·Î¼ ¼¼Æ÷ÀÇ Áõ½Ä, ºÐÈ, »ýÁ¸¿¡ Áß¿äÇÑ ¿ªÇÒÀ» ÇÕ´Ï´Ù. HER2´Â »óÇÇ ¼ºÀå ÀÎÀÚ ¼ö¿ëü °è¿¿¡ ¼ÓÇϸç Ç¥ÁØ ºÐÀÚ »ý¹°ÇÐÀû ¹æ¹ýÀ¸·Î Æò°¡µË´Ï´Ù. HER2 ´Ü¹éÁúÀÇ °ú¹ßÇöÀº IHC·Î Æò°¡µÇ°í À¯ÀüÀÚ ÁõÆøÀº FISH·Î °áÁ¤µË´Ï´Ù. HER2-low´Â ISH ÁõÆøÀ̾ø´Â IHC ½ºÄÚ¾î 1 ¶Ç´Â 2(FISH À½¼º)·Î ºÐ·ùµË´Ï´Ù. HER2/neu´Â ÁÖ·Î MAPK ¹× PI3K °æ·Î¸¦ ÅëÇØ ½ÅÈ£¸¦ Àü´ÞÇϰí ÁõÆø ¶Ç´Â °ú¹ßÇöµÇ¸é ¾Ç¼ºÈ¸¦ ÃËÁøÇÕ´Ï´Ù. HER2/neuÀÇ ¹ßÇöÀº À¯¹æ¾Ï, ´ëÀå¾Ï, ³¼Ò¾Ï, Àڱ󻸷¾Ï, ¹æ±¤¾Ï, À§¾Ï, ´ãµµ¾Ï µî ´Ù¾çÇÑ ¾ÏÀ¸·Î °üÂûµÇÁö¸¸, ±× Áß¿¡¼µµ À¯¹æ¾ÏÀÌ °¡Àå ¸¹½À´Ï´Ù.
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HER2-low³óµµ¾Ï Ä¡·áÁ¦ÀÇ Àå¿¡¼´Â HER2-low³óµµ¾Ï Ä¡·áÁ¦ÀÇ ½ÃÆÇ¾à ¹× ½Å¾à(Á¦III»ó, Á¦II»ó, Á¦I/II»ó) ÆÄÀÌÇÁ¶óÀÎÀÇ »ó¼¼ÇÑ ºÐ¼®À» Á¦°øÇÕ´Ï´Ù. ¶ÇÇÑ HER2-low ¾ÏÀÇ ÀÓ»ó½ÃÇèÀÇ »ó¼¼, Ç¥Çö·ÂÀÌ Ç³ºÎÇÑ ¾à¸®ÀÛ¿ë, °è¾à°ú Á¦ÈÞ, ½ÂÀΰú ƯÇãÀÇ »ó¼¼, Æ÷ÇԵǴ °¢ ¾àÁ¦ÀÇ Àå´ÜÁ¡, ÃֽŠ´º½º¿Í º¸µµ ÀÚ·áÀÇ ÀÌÇØ¿¡µµ µµ¿òÀÌ µË´Ï´Ù.
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ENHERTU´Â HER2 ÁöÇ⼺ ADCÀÔ´Ï´Ù. Daiichi SankyoÀÇ µ¶ÀÚÀûÀÎ DXd ADC ±â¼úÀ» »ç¿ëÇÏ¿© ¼³°èµÈ ENHERTU´Â Daiichi SankyoÀÇ ¾Ï ¿µ¿ª Æ÷Æ®Æú¸®¿À ¸®µå ADCÀ̸ç AstraZenecaÀÇ ADC °úÇÐ Ç÷§Æû¿¡¼ °¡Àå Áøº¸µÈ ÇÁ·Î±×·¥ÀÔ´Ï´Ù. 2022³â 8¿ù°ú 2025³â¿¡ FDAÀÇ ½ÂÀÎÀ», 2023³â°ú 2025³â¿¡ EMAÀÇ ½ÂÀÎÀ», 2023³â¿¡ PMDAÀÇ ½ÂÀÎÀ» ÃëµæÇß½À´Ï´Ù. 2025³â 2¿ù¿¡ ¹ßÇ¥µÈ AstraZenecaÀÇ 2024³âµµ Åë±â ÀÓ»ó½ÃÇè ÷ºÎ ¹®¼¿¡ µû¸£¸é, ȸ»ç´Â HER2-low ¹× ÃÊÀúÄ¡ ÀüÀ̼º À¯¹æ¾Ï Ä¡·áÁ¦ ENHERTU(DESTINY-Breast06)ÀÇ ÀϺ»¿¡¼ ½ÂÀÎ °áÁ¤À» 2025³â ÈĹݿ¡ Àü¸ÁÇϰí ÀÖ½À´Ï´Ù.
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DATROWAY(datopotamab deruxtecan/Dato-DXd) - AstraZeneca¿Í Daiichi Sankyo
Datopotamab deruxtecanÀº ½ÃÇè Áß TRP2 ÁöÇ⼺ ADCÀÔ´Ï´Ù. Daiichi SankyoÀÇ µ¶ÀÚÀûÀÎ DXd ADC ±â¼úÀ» »ç¿ëÇÏ¿© ¼³°èµÈ datopotamab deruxtecanÀº Daiichi SankyoÀÇ ¾Ï ¿µ¿ª ÆÄÀÌÇÁ¶óÀο¡ ÀÖ´Â 6°³ÀÇ DXd ADC Áß ÇϳªÀ̸ç AstraZenecaÀÇ ADC °úÇÐ Ç÷§Æû¿¡¼ °¡Àå Áøº¸µÈ ÇÁ·Î±×·¥ Áß ÇϳªÀÔ´Ï´Ù. ÃÖ±Ù 2025³â 1¿ù DATROWAY´Â ¹Ì±¹¿¡¼ ÀýÁ¦ ºÒ°¡´É ¶Ç´Â ÀüÀ̼º HR ¾ç¼º, HER2 À½¼º(IHC 0, IHC 1 ¶Ç´Â IHC 2/ISH-) À¯¹æ¾ÏÀ¸·Î ÀýÁ¦ ºÒ°¡´É ¶Ç´Â ÀüÀ̼º Áúȯ¿¡ ´ëÇØ ³»ºÐºñ ¿ä¹ý ¹× ÈÇÐ ¿ä¹ýÀ» ¹ÞÀº ÀûÀÌ ÀÖ´Â ¼ºÀΠȯÀÚÀÇ Ä¡·áÁ¦·Î ½ÂÀÎÀ» ¹Þ¾Ò½À´Ï´Ù.
2025³â 3¿ù, Daiichi SankyoÀÇ DATROWAY´Â ÈÇпä¹ý °æ·ÂÀÌ ÀÖ´Â HR ¾ç¼º, HER2 À½¼º(IHC 0, IHC 1 ¶Ç´Â IHC 2/ISH-)ÀÇ ÀýÁ¦ ºÒ´É ¶Ç´Â Àç¹ß À¯¹æ¾ÏÀÇ ¼ºÀΠȯÀÚ¸¦ ´ë»óÀ¸·Î ÇÑ Ä¡·áÁ¦·Î¼ ÀϺ»¿¡¼ ¹ß¸ÅµÇ¾ú½À´Ï´Ù.
2025³â 2¿ù¿¡ ¹ßÇ¥µÈ AstraZenecaÀÇ 2024³âµµ Åë±â ÀÓ»ó½ÃÇè ºÎ·Ï¿¡ µû¸£¸é, ȸ»ç´Â TROPION-PanTumor01(NCT03401385) ½ÃÇèÀÇ 1»ó µ¥ÀÌÅͰ¡ 2025³â ÈĹݿ¡ ÀÌ¿ë °¡´ÉÇÒ °ÍÀ¸·Î ¿¹»óÇϰí ÀÖ½À´Ï´Ù.
DB-1303/BNT323(Æ®¶ó½ºÅõÁÖ¸¿ ÆÄ¹ÐÅ×Ä) - Duality Biologics¿Í BioNTech
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ADC´Â HER2-low ¾Ï Ä¡·á¸¦ º¯È½ÃÄ×°í, 2022³â¿¡´Â ENHERTU°¡ HER2-low ÀüÀ̼º À¯¹æ¾Ï Ä¡·áÁ¦·Î óÀ½ ½ÂÀεǾú½À´Ï´Ù. ÀÌ È¹±âÀûÀÎ Áøº¸´Â Precision On Colology¸¦ ÀçÇü¼ºÇÏ°í »õ·Î¿î Ä¡·á ±âÁØÀ» ¼³Á¤ÇÏ´Â °ÍÀÔ´Ï´Ù. ENHERTU´Â HER2-low ¹ßÇö Á¾¾ç¿¡ ´ëÇÑ Áß¿äÇÑ ¿É¼ÇÀ» µµÀÔÇÒ »Ó¸¸ ¾Æ´Ï¶ó, Çϳª ÀÌ»óÀÇ ³»ºÐºñ ¿ä¹ýÀÌ ¹«È¿ÈµÈ ÈÄÀÇ HER2-low ¹ßÇö ÀüÀ̼º À¯¹æ¾Ï¿¡ ´ëÇØ ½ÂÀεÊÀ¸·Î½á, ÀÏ·ÃÀÇ Ä¡·á¿¡¼ º¸´Ù °ß°íÇÑ ÁöÀ§¸¦ È®º¸Çß½À´Ï´Ù.
2025³â 1¿ù, FDA´Â DESTINY-Breast06 ½ÃÇè¿¡ ±Ù°ÅÇÏ¿© ENHERTUÀÇ ½ÂÀÎÀ» ÀýÁ¦ ºÒ°¡´É ¶Ç´Â ÀüÀ̼º È£¸£¸ó ¼ö¿ëü ¾ç¼º, HER2-low ¹ßÇö ¶Ç´Â HER2 ÃÊÀú¹ßÇö À¯¹æ¾Ï ȯÀÚ·Î È®´ëÇß½À´Ï´Ù. À̹ø ½ÂÀÎÀº ÈÇпä¹ý Àü Ä¡·á·Â ¿ä°ÇÀ» Á¦°ÅÇÏ°í ³»ºÐºñ ¿ä¹ý ÈÄ Á¶±â »ç¿ëÀÌ °¡´ÉÇÏ°Ô µÇ¾ú½À´Ï´Ù. ÀÌ ¿¬±¸¿¡¼ ENHERTU´Â Ç¥ÁØ ÈÇÐ ¿ä¹ý°ú ºñ±³ÇÏ¿© PFS¿¡¼ À¯ÀÇ ÇÑ ÀÌÁ¡À» º¸¿´½À´Ï´Ù(13.2 °³¿ù ´ë 8.1 °³¿ù). Ž»ö ºÐ¼®Àº HER2-low ȯÀÚ¿Í HER2 ÃÊÀúÄ¡ ȯÀÚ »çÀÌ¿¡¼ µ¿µîÇÑ È¿´ÉÀ» È®ÀÎÇß½À´Ï´Ù. ENHERTUÀÇ ¾ÈÀü¼º ÇÁ·ÎÆÄÀÏÀº ÀÌÀüÀÇ ½ÃÇè°ú Àϰü¼ºÀÌ ÀÖ¾ú°í »õ·Î¿î ¿ì·Á »çÇ×Àº È®ÀεÇÁö ¾Ê¾Ò½À´Ï´Ù. ÀÌ·¯ÇÑ ÀûÀÀ È®´ë·Î ENHERTU´Â HR ¾ç¼º, HER2-low ¶Ç´Â HER2 ÃÊÀúÄ¡ÀÇ ÀüÀ̼º À¯¹æ¾Ï¿¡ ´ëÇÑ »õ·Î¿î Ç¥ÁØ Ä¡·á°¡ µÉ °¡´É¼ºÀÌ ³ª¿Ô½À´Ï´Ù. ±×·¯³ª ILD¿Í ¹è¾Æ µ¶¼º¿¡ ´ëÇÑ °ËÀº ÇÁ·¹ÀÓ °æ°í°¡ Á¦°øµË´Ï´Ù. °ËÁ¤ ÇÁ·¹ÀÓ °æ°í·Î ÀÎÇØ ¾ÈÀü Á¡¼ö¸¦ ³·°Ô ¼³Á¤Çß½À´Ï´Ù.
À§¾Ï, Àڱ󻸷¾Ï µî HER2-low¾Ï¿¡ ´ëÇÑ ÇöÀçÀÇ Ä¡·á ¿É¼ÇÀº ÀÌ·¯ÇÑ ¾Ç¼º Á¾¾ç¿¡¼ HER2ÀÇ ¿ªÇÒ¿¡ ´ëÇØ ¿¬±¸°¡ ÁøÇàµÊ¿¡ µû¶ó ÁøÈÇϰí ÀÖ½À´Ï´Ù. ±âÁ¸ÀÇ ´ÜÀÏŬ·ÐÇ×ü³ª ÀúºÐÀÚ Æ¼·Î½Å Ű³ª¾ÆÁ¦ ¾ïÁ¦Á¦(TKI)´Â HER2-low ¹ßÇöÀÇ À¯¹æ¾Ï¿¡´Â °ÅÀÇ Ä¡·á È¿°ú¸¦ ³ªÅ¸³»Áö ¾Ê½À´Ï´Ù.
¿À·§µ¿¾È HER2-low ¹ßÇö À¯¹æ¾ÏÀº HR/HER2- ¹× TNBC¸¦ Æ÷ÇÔÇÑ HER2-À¯¹æ¾ÏÀÇ Ä¡·á ¼ø¼¿¡ Æ÷ÇÔµÇ¾î ¿Ô½À´Ï´Ù. ENHERTU´Â HER2-low ¹ßÇö(IHC1/2/ISH-) ȯÀÚ¿¡¼ À¯¸ÁÇÑ °á°ú¸¦ º¸¿©ÁÝ´Ï´Ù. DESTINY-Breast04 ½ÃÇèÀÇ Áø·á¸¦ ¹Ù²Ù´Â °á°ú¿¡ ±Ù°ÅÇØ, ENHERTU´Â 2022³â 8¿ù¿¡ ¹Ì±¹ FDA¿¡ ÀÇÇØ ½ÂÀεǰí, ¶ÇÇÑ, ÀüÄ¡·á °æ·ÂÀÌ ÀÖ´Â HER2-low ¹ßÇö ÀüÀ̼º À¯¹æ¾Ï ȯÀÚ¿¡ ´ëÇÑ Àü¹Ì Á¾ÇÕ¾Ï ³×Æ®¿öÅ©(NCCN)ÀÇ °¡À̵å¶óÀο¡¼µµ ÃßõµÇ°í ÀÖ½À´Ï´Ù. º» ¿¬±¸ÀÇ Åë°èÀû ¼³°è´Â HR ¾ç¼º ȯÀÚ ¹× HR À½¼º ȯÀÚ(ieTNBC)¸¦ Æ÷ÇÔÇÑ ¸ðµç ½ÃÇè Áý´Ü ¸ðµÎ¿¡¼ ÈÇпä¹ý¿¡ ´ëÇÑ ENHERTUÀÇ À¯ÀͼºÀ» È®ÀÎÇÒ ¼ö ÀÖ¾ú½À´Ï´Ù. ¶ÇÇÑ 2023³â 1¿ù, ENHERTU´Â ÀýÁ¦ ºÒ°¡´ÉÇϰųª ÀüÀ̼º HER2-low À¯¹æ¾Ï ¼ºÀΠȯÀÚÀÇ Ä¡·á¸¦ À§ÇÑ ´Üµ¶¿ä¹ýÀ¸·Î À¯·´¿¬ÇÕÀÇ ½ÂÀÎÀ» ȹµæÇß½À´Ï´Ù. ƯÈ÷ ÀÌ Ä¡·á¹ýÀº ÀüÀ̼º ȯ°æ¿¡¼ ÀÌÀü¿¡ ÈÇпä¹ýÀ» ¹ÞÀº ÀûÀÌ Àְųª º¸Á¶ ÈÇпä¹ý ¿Ï·á Áß ¶Ç´Â ¿Ï·á ÈÄ 6°³¿ù À̳»¿¡ Áúº´ Àç¹ßÀ» °æÇèÇÑ È¯ÀÚ¸¦ ´ë»óÀ¸·Î ÇÕ´Ï´Ù. ±× ÈÄ, °°Àº ÇØ 3¿ù¿¡ ÀϺ»¿¡¼µµ ½ÂÀεǾú½À´Ï´Ù.
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DelveInsight's " HER2-low Cancers - Market Size, Target Population, Competitive Landscape, and Market Forecast-2034" report delivers an in-depth understanding of the HER2-low Cancers, historical and forecasted epidemiology as well as the HER2-low Cancers market trends in the United States, EU4 (Germany, France, Italy, and Spain), and the United Kingdom, and Japan.
HER2-low Cancers market report provides current treatment practices, emerging drugs, and market share of the individual therapies, current and forecasted 7MM HER2-low Cancers market size from 2020 to 2034. The report also covers current HER2-low Cancers treatment practices/algorithms, and unmet medical needs to curate the best of the opportunities and assess the underlying potential of the market.
Study Period: 2020-2034
HER2-low Cancers Understanding
HER2-low Cancers Overview
HER2, a transmembrane tyrosine kinase receptor encoded by the ERBB2 gene, plays a key role in cell growth, differentiation, and survival. It belongs to the epidermal growth factor receptor family and is assessed using standard molecular methods-HER2 protein overexpression is evaluated via IHC, while gene amplification is determined by FISH. HER2-low is classified as an IHC score of 1+ or 2+ without amplification by ISH (FISH-negative). HER2/neu primarily signals through the MAPK and PI3K pathways, driving malignant transformation when amplified or overexpressed. Its expression is observed in various cancers, including breast, colorectal, ovarian, endometrial, bladder, gastric, and biliary tract cancers, with breast cancer being the most common.
The emergence of novel ADCs has transformed the treatment landscape for HER2-low tumors, significantly improving survival. ENHERTU is a cutting-edge ADC composed of a HER2-targeting monoclonal antibody and the topoisomerase I inhibitor.
The epidemiology covered in the report provides historical as well as forecasted epidemiology segmented by total targeted patient pool of HER2-low cancers, treatment eligible pool of HER2-low cancers, total incident cases of breast cancer, age-specific cases of HER2-low breast cancers, and stage-specific cases of HER2-low breast cancers in the 7MM, covering the United States, EU4 (Germany, France, Italy, and Spain), and the United Kingdom, and Japan from 2020 to 2034.
The drug chapter segment of the HER2-low cancers report encloses a detailed analysis of HER2-low cancers marketed and emerging (Phase III and Phase II and Phase I/II) pipeline drugs. It also helps to understand HER2-low cancers clinical trial details, expressive pharmacological action, agreements and collaborations, approval and patent details, advantages and disadvantages of each included drug, and the latest news and press releases.
Marketed Drugs
ENHERTU (trastuzumab deruxtecan): Daiichi Sankyo and AstraZeneca
ENHERTU is a HER2-directed ADC. Designed using Daiichi Sankyo's proprietary DXd ADC Technology, ENHERTU is the lead ADC in the oncology portfolio of Daiichi Sankyo and the most advanced program in AstraZeneca's ADC scientific platform. It received FDA approval in August 2022 and 2025, EMA approval in 2023 and 2025, and PMDA approval in 2023. As per AstraZeneca's full-year 2024 clinical trial appendix, published in February 2025, the company anticipates a regulatory decision for ENHERTU (DESTINY-Breast06) in Japan for the treatment of HER2-low and ultralow metastatic breast cancer in the second half of 2025.
Emerging Drugs
DATROWAY (datopotamab deruxtecan/Dato-DXd): AstraZeneca and Daiichi Sankyo
Datopotamab deruxtecan is an investigational TROP2-directed ADC. Designed using Daiichi Sankyo's proprietary DXd ADC Technology, datopotamab deruxtecan is one of six DXd ADCs in the oncology pipeline of Daiichi Sankyo and one of the most advanced programs in AstraZeneca's ADC scientific platform. Recently, in January 2025, DATROWAY received approval in the US for the treatment of adult patients with unresectable or metastatic HR-positive, HER2-negative (IHC 0, IHC 1+ or IHC 2+/ISH-) breast cancer who have received prior endocrine-based therapy and chemotherapy for unresectable or metastatic disease.
In March 2025, Daiichi Sankyo's DATROWAY has been launched in Japan for the treatment of adult patients with HR positive, HER2 negative (IHC 0, IHC 1+ or IHC 2+/ISH-) unresectable or recurrent breast cancer after prior chemotherapy.
According to AstraZeneca's full-year 2024 clinical trial appendix, published in February 2025, the company anticipates the data from Phase I of the TROPION-PanTumor01 (NCT03401385) trial to be available in the second half of 2025.
DB-1303/BNT323 (trastuzumab pamirtecan): Duality Biologics and BioNTech
BNT323/DB-1303 is a third-generation topoisomerase-1 inhibitor-based ADC-targeting HER2, which was built from DualityBio's proprietary Duality Immune Toxin Antibody Conjugates (DITAC) platform. The candidate has exhibited antitumor activity in both HER2-positive and HER2-low tumor models as well as in several solid tumor indications, including patients with breast, gastric, endometrial, biliary tract cancers, and other advanced solid tumors.
BNT323/DB-1303 is currently being evaluated in an ongoing Phase I/II study (NCT05150691) in patients with advanced/metastatic solid tumors and a pivotal Phase III study (NCT06018337) in patients with HR-positive and HER2-low, metastatic breast cancer that has progressed on hormone and/or Cyclin-dependent Kinase 4/6 (CDK4/6) therapy.
Drug Class Insights
ADCs have transformed HER2-low cancer treatment, with a breakthrough in 2022 when ENHERTU became the first approved therapy for HER2-low metastatic breast cancer. This game-changing advancement is reshaping precision oncology, setting new treatment benchmarks. Beyond introducing a vital option for tumors with low HER2 expression, ENHERTU secured a stronger position in the treatment sequence, now approved for HER2-low metastatic breast cancer after the failure of one or more endocrine therapies.
In January 2025, the FDA expanded ENHERTU's approval to include patients with unresectable or metastatic hormone receptor-positive, HER2-low, or HER2-ultralow breast cancer based on the DESTINY-Breast06 trial. This approval removed the prior chemotherapy requirement, enabling earlier use after endocrine-based therapy. The trial demonstrated a significant PFS advantage with ENHERTU over standard chemotherapy (13.2 months vs. 8.1 months). Exploratory analysis confirmed comparable efficacy between HER2-low and HER2-ultralow patients. ENHERTU's safety profile remained consistent with previous trials, with no new concerns identified. With this expanded indication, ENHERTU is emerging as a potential new standard of care for HR-positive, HER2-low, or HER2-ultralow metastatic breast cancer. However, it carries a black boxed warning for ILD and embryo-fetal toxicity. Due to black box warning we have given less score in safety.
The current treatment options for HER2-low cancers, including gastric, endometrial, and other cancers, are evolving as research continues to uncover more about the role of HER2 in these malignancies. Traditional monoclonal antibodies and small molecular Tyrosine Kinase Inhibitors (TKIs) have little therapeutic effect on breast cancer with HER2-low expression.
For a long time, HER2-low breast cancer has been included in the treatment sequence of HER2- breast cancer, including HR+/HER2- and TNBC. ENHERTU has demonstrated promising results in patients with HER2-low expression (IHC 1+ or 2+/ISH-). Based on the practice-changing results of the DESTINY-Breast04 trial, ENHERTU has been approved by the US FDA in August 2022 and has also been recommended in National Comprehensive Cancer Network (NCCN) guidelines for patients with previously treated HER2-low metastatic breast cancer. The statistical design of this trial allowed for confirming the benefit of ENHERTU over chemotherapy both in HR-positive patients and the overall study population, including HR-negative patients (i.e., TNBC). Additionally, in January 2023, ENHERTU received approval from the European Union as a monotherapy for the treatment of adult patients with unresectable or metastatic HER2-low breast cancer, specifically those who had previously undergone chemotherapy in the metastatic setting or experienced disease recurrence during or within six months of completing adjuvant chemotherapy. This was followed by approval in Japan in March of the same year.
Recently, in January 2025, ENHERTU was granted approval by the US FDA for the treatment of adult patients with unresectable or metastatic HR-positive, HER2-low, or HER2-ultralow (IHC 0 with membrane staining) breast cancer, as determined by an FDA-approved test, who have progressed on one or more endocrine therapies in the metastatic setting. Subsequently, in February 2025, ENHERTU received approval in Europe for HR-positive, HER2-low, or HER2-ultralow breast cancer patients who have received at least one endocrine therapy in the metastatic setting and are not deemed suitable for further endocrine therapy as the next-line-of treatment.
For patients with HR-negative/HER2-low breast cancer, treatment commonly involves first-line chemotherapy, plus immunotherapy if PD-L1 positive, followed by sequential lines of single-agent chemotherapy. As for HR-positive breast cancer, given the PFS advantage over chemotherapy, PARP inhibitors is considered for patients with germline BRCA mutation.
The future of HER2-low cancer treatment is set to be significantly influenced by the development of innovative therapies, particularly ADCs like DATROWAY, TRODELVY, trastuzumab pamirtecan, BB-1701, DF1001, and emiltatug ledadotin. These ADCs are designed to target HER2-low-expressing cancer cells, delivering potent cytotoxic agents directly to the tumor, thereby improving efficacy while minimizing damage to healthy tissue. Additionally, HF158K1/HF-K1, an immunoliposome containing doxorubicin, offers a novel approach by encapsulating the chemotherapy drug in liposomes for targeted delivery. Another promising treatment, Eftilagimod alpha, is an APC-activating soluble LAG-3 protein that aims to enhance the immune system's response against cancer. Together, these therapies hold the potential to revolutionize the treatment landscape for HER2-low cancers.
Overall, HER2-low Cancers market is further expected to increase in the forecast period (2025-2034).
This section focuses on the rate of uptake of the potential drugs expected to be launched in the market during the study period 2020-2034. The analysis covers HER2-low Cancers market uptake by drugs; patient uptake by therapies; and sales of each drug. The emerging pipeline of HER2-low cancer is majorly focused on treating HER2-low breast cancer patients. With zanidatamab already approved for HER2-positive biliary tract cancer, its potential expansion into breast cancer could provide a valuable new treatment option.
HER2-low Cancers Pipeline Development Activities
The report provides insights into different therapeutic candidates in Phase III, Phase II, and Phase I/II stage. It also analyzes key players involved in developing targeted therapeutics.
Pipeline Development Activities
The report covers detailed information on collaborations, acquisitions and mergers, licensing, and patent details for HER2-low Cancers emerging therapies.
KOL- Views
To keep up with current market trends, we take KOLs and' SMEs' opinions working in the domain through primary research to fill the data gaps and validate our secondary research. Industry Experts were contacted for insights on HER2-low Cancers' evolving treatment landscape, patient reliance on conventional therapies, patient therapy switching acceptability, and drug uptake along with challenges related to accessibility.
DelveInsight's analysts connected with 20+ KOLs to gather insights; however, interviews were conducted with 10+ KOLs in the 7MM. Centers and University such as National Cancer Center, Keio University School of Medicine, University of Nottingham, University of California Los Angeles, and other organizations. Their opinion helps understand and validate current and emerging therapies or market trends in HER2-low Cancers. This will support the clients in potential upcoming novel treatments by identifying the overall scenario of the market and the unmet needs.
Qualitative Analysis
We perform Qualitative and market Intelligence analysis using various approaches, such as SWOT analysis and Analyst views. In the SWOT analysis, strengths, weaknesses, opportunities, and threats in terms of disease diagnosis, patient awareness, patient burden, competitive landscape, cost-effectiveness, and geographical accessibility of therapies are provided. These pointers are based on the Analyst's discretion and assessment of the patient burden, cost analysis, and existing and evolving treatment landscape.
The analyst analyzes multiple emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry.
In efficacy, the trial's primary and secondary outcome measures are evaluated.
Further, the therapies' safety is evaluated wherein the acceptability, tolerability, and adverse events are majorly observed, and it sets a clear understanding of the side effects posed by the drug in the trials.
Market Access and Reimbursement
Because newly authorized drugs are often expensive, some patients escape receiving proper treatment or use off-label, less expensive prescriptions. Reimbursement plays a critical role in how innovative treatments can enter the market. The cost of the medicine, compared to the benefit it provides to patients who are being treated, sometimes determines whether or not it will be reimbursed. Regulatory status, target population size, the setting of treatment, unmet needs, the number of incremental benefit claims, and prices can all affect market access and reimbursement possibilities.
The report further provides detailed insights on the country-wise accessibility and reimbursement scenarios, cost-effectiveness scenario of approved therapies, programs making accessibility easier and out-of-pocket costs more affordable, insights on patients insured under federal or state government prescription drug programs, etc.
If a patient has commercial insurance, the ENHERTU Patient Savings Program may help them with out-of-pocket costs.
Eligible patients may pay as little as USD 0 per ENHERTU prescription, up to USD 26,000 annually, to help with ENHERTU out-of-pocket costs. The annual benefit can be used for the cost of the drug itself and may cover up to USD 100 in infusion costs per administration. There are no income requirements to participate in the program.
Eligibility criteria include