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  • Enhertu

Enhertu (trastuzumab deruxtecan)

Details

pCPA file number

22410

Manufacturer:

AstraZeneca Canada Inc.

Status:

Concluded with an LOI

Indication:

Breast cancer, monotherapy for the treatment of adult patients, unresectable or metastatic HER2-low (IHC 1+ or IHC 2+/ISH-)

CDA-AMC recommendation

View CDA-AMC project page

Project ID: PC0305-000

Negotiation Timeline

  • Initiation

    A drug is identified and brought into a pCPA process (see standard negotiation process or expedited negotiation pathways).

  • Consideration

    The pCPA considers the evidence (including HTA reimbursement recommendations) and gathers other data to inform the negotiation approach, in alignment with the needs of public drug plans. This phase concludes when the pCPA sends a letter of engagement to the manufacturer. 

    Letter of engagement sent to manufacturer

    September 20, 2023

    This lets the manufacturer know the pCPA is ready to start negotiating.

  • Negotiation

    The pCPA negotiation team reaches out to the manufacturer to outline next steps, then we exchange offers to try to reach an agreement on terms and funding conditions.

  • Completion

    The pCPA creates a letter of intent outlining negotiated terms. If the negotiation ended without an agreement, the pCPA sends a letter letting the manufacturer know that the negotiation is closed. 

    Negotiation process concluded

    February 2, 2024

Related negotiations

Enhertu (trastuzumab deruxtecan)

Status:

Active negotiation

Manufacturer:

AstraZeneca Canada Inc.

Indication:

Advanced or Metastatic Gastric Cancer or Gastro-esophageal Junction (GEJ) Adenocarcinoma

Last updated:

April 21, 2026

Enhertu (trastuzumab deruxtecan)

Status:

Concluded with an LOI

Manufacturer:

AstraZeneca Canada Inc.

Indication:

Unresectable or metastatic human epidermal growth factor receptor 2 (HER2)-positive breast cancer in adult patients who have received a prior treatment with an anti-HER2-based regimen in the metastatic setting or developed disease recurrence during or within 6 months of completing neoadjuvant or adjuvant therapy

Last updated:

May 29, 2023

Enhertu (trastuzumab deruxtecan)

Status:

Active negotiation

Manufacturer:

AstraZeneca Canada Inc.

Indication:

For the treatment of adult patients with unresectable or metastatic hormone receptor (HR)-positive, HER2-low (IHC 1+ or IHC 2+/ISH-) or HER2-ultralow (IHC 0 with membrane staining) breast cancer who have received at least one endocrine therapy in the metastatic setting and are not considered suitable for endocrine therapy as the next line of treatment.

Last updated:

March 12, 2026

Page updated: February 4, 2026

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pan-Canadian Pharmaceutical Association

General inquiries: info@pcpa-app.ca

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