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How was TUKYSA® (tucatinib) studied?

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TUKYSA was studied in a clinical trial called HER2CLIMB

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What were the clinical trial results?

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The TUKYSA regimen* helped people live longer without their cancer growing or spreading

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In the trial, the median (midpoint of a set of numbers arranged in order highest to lowest) amount of time people lived without cancer growing or spreading was 7.8 months with the TUKYSA regimen* versus 5.6 months with the placebo regimen.

Out of 612 people in the trial, the first 480 people enrolled were included in this portion of the results. 320 people took the TUKYSA regimen* and 160 people took a placebo regimen.

*TUKYSA regimen: TUKYSA, trastuzumab, capecitabine
Placebo regimen: Placebo, trastuzumab, capecitabine
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The TUKYSA regimen* reduced risk of disease progression or death by 46%

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Over the course of the trial, the TUKYSA regimen* led to a 46% reduction in the chance of disease progression or death compared with the placebo regimen.

*TUKYSA regimen: TUKYSA, trastuzumab, capecitabine
Placebo regimen: Placebo, trastuzumab, capecitabine
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The TUKYSA regimen* helped people live longer compared with the placebo regimen

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All 612 people in the trial were included in this portion of the results. 410 people received the TUKYSA regimen (TUKYSA, trastuzumab, capecitabine) and 202 people received the placebo regimen (placebo, trastuzumab, capecitabine).

*TUKYSA regimen: TUKYSA, trastuzumab, capecitabine
Placebo regimen: Placebo, trastuzumab, capecitabine
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280 out of 410 people taking the TUKYSA regimen (TUKYSA, trastuzumab, capecitabine) were still alive at the time of data
analysis.

117 out of 202 people taking the placebo regimen (placebo, trastuzumab, capecitabine) were still alive at the time of data analysis.

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Median overall survival

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In the clinical trial, those who took the TUKYSA regimen* saw a median overall survival rate of 21.9 months. Those who took the placebo regimen saw a median overall survival rate of 17.4 months.

Those who took the TUKYSA regimen* lived 4.5 months longer compared to those taking the placebo regimen.

Over the course of the trial, the TUKYSA regimen* led to a 34% reduction in the chance of death when compared with the placebo regimen.†,‡

*TUKYSA regimen: TUKYSA, trastuzumab, capecitabine
Placebo regimen: Placebo, trastuzumab, capecitabine
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177 out of 410 people taking the TUKYSA regimen (TUKYSA, trastuzumab, capecitabine) were still alive at the time of data analysis.
65 out of 202 people taking the placebo regimen (placebo, trastuzumab, capecitabine) were still alive at the time of data analysis.
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Median overall survival at follow-up

(exploratory analysis)

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Results depicted in this follow-up analysis are exploratory. This means that the study was not designed to find differences between the two groups. Please interpret with caution.

About 2 years after the last person was enrolled in the trial, researchers completed a follow-up analysis, which included overall survival. This analysis was planned prior to the start of the trial.
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The TUKYSA regimen* helped people with brain metastases live longer without their cancer growing or spreading compared to the placebo regimen

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For people living with brain metastases during the clinical trial, the median amount of time that cancer did not grow or spread was 7.6 months for those who took the TUKYSA regimen,* versus 5.4 months for those who took the placebo regimen.

*TUKYSA regimen: TUKYSA, trastuzumab, capecitabine
Placebo regimen: Placebo, trastuzumab, capecitabine
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Reduction in the chance of disease progression or death for people with brain metastases

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For people in the trial with brain metastases, the TUKYSA regimen* led to a 52% reduction in the chance of disease progression or death compared with the placebo regimen.

Of people who had brain metastases, 198 people took the TUKYSA regimen* and 93 people took the placebo regimen.

*TUKYSA regimen: TUKYSA, trastuzumab, capecitabine
Placebo regimen: Placebo, trastuzumab, capecitabine
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What are the possible side effects?

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You may experience side effects during treatment.
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Serious side effects

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  • 26% of people treated with TUKYSA, along with trastuzumab and capecitabine, had serious side effects
  • These serious side effects included:
    • diarrhea
    • vomiting
    • nausea
    • abdominal pain
    • seizure
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Common side effects

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  • diarrhea
  • rash, redness, pain, swelling, or blisters on the palms of the hands or soles of the feet
  • nausea
  • increased liver function blood tests
  • vomiting
  • mouth sores (stomatitis)
  • decreased appetite
  • a low number of red blood cells (anemia)
  • rash
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More about side effects

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  • These are not all the possible side effects of TUKYSA, and you may also get side effects from the other medicines taken with TUKYSA
  • Nearly everyone in the trial had some side effects
  • People in the HER2CLIMB clinical study were not required to take an antidiarrheal medicine
  • TUKYSA may cause fertility problems in males and females, which may affect the ability to have children. Talk to your healthcare provider if you have concerns about fertility
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Be sure to tell your healthcare provider about any side effects you have.

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They may be able to help you find ways to manage them. Your healthcare provider may change your dose of TUKYSA, temporarily stop, or permanently stop treatment with TUKYSA if you have certain side effects.