This study focuses on treating people with Non-small Cell Lung Cancer that has spread to other parts of the body or cannot be removed by surgery. Specifically, it involves patients whose cancer cells show high levels of a protein called HER2. The study will test a combination of two medications: trastuzumab deruxtecan (also known as DS-8201a) with pembrolizumab, comparing it to standard treatment that combines platinum-based chemotherapy (either cisplatin or carboplatin) with pembrolizumab.
The purpose of this research is to determine if the combination of trastuzumab deruxtecan with pembrolizumab works better than the standard treatment in controlling the disease. The medications will be given through an intravenous infusion, which means they are delivered directly into a vein. Trastuzumab deruxtecan is a type of medication that specifically targets cancer cells with high HER2 levels, while pembrolizumab helps the body’s immune system fight cancer cells.
During the study, participants will be randomly assigned to receive either the new combination treatment or the standard treatment. Their cancer will be monitored regularly using imaging scans to check how well the treatment is working. The doctors will continue to check the participants’ health and watch for any side effects throughout the study period.



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