.Nature Medicine, Released online: 13 September 2024 doi:10.1038/ s41591-024-03261-7In the non-randomized stage 3b/4 DESTINY-Breast12 research, trastuzumab deruxtecan (T-DXd) procedure of clients with HER2+ innovative breast cancer cells as well as active or secure mind metastases revealed constant intracranial activity and also systemic effectiveness of T-DXd.