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Pfizer’s TUKYSA Regimen Receives FDA Approval as Front-Line Maintenance Treatment for HER2+ Metastatic Breast Cancer

$PFEPress releaseOct 7, 2026, 12:57 PM ETRead the release

The FDA approved Pfizer's TUKYSA (tucatinib) in combination with trastuzumab and pertuzumab as a front-line, chemotherapy-free maintenance treatment for adults with HER2+ metastatic breast cancer following induction therapy. The approval is based on the Phase 3 HER2CLIMB-05 trial, which showed median PFS of 24.9 months versus 16.3 months with placebo (HR 0.64, p<0.0001), a more than 50% improvement in median PFS. Safety was broadly consistent with TUKYSA's known profile, though the label carries a boxed warning for severe hepatotoxicity, including one fatal drug-induced liver injury case in the trial.

Key figures

Drug Name
TUKYSA (tucatinib)
Phase Of Trial
Phase 3
Trial name
HER2CLIMB-05
Tukysa arm n
326
Placebo arm n
328
Pfs hazard ratio
0.64
Risk reduction pct
35.9
Median pfs tukysa arm months
24.9
Median pfs placebo arm months
16.3

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