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Anatomic Stage IV Breast Cancer AJCC v8 clinical trials and research
As of November 12, 2026, Find a Trial lists 43 Anatomic Stage IV Breast Cancer AJCC v8 clinical trials that are recruiting, at sites in 3 countries (most in United States (43), Puerto Rico (2), Guam (1)). By phase: Phase 2 (19), Phase 1 (8), Phase 1/2 (4), Phase 3 (2). The most active sponsors are Mayo Clinic (7), City of Hope Medical Center (7), National Cancer Institute (NCI) (5). Every study is explained in plain English. Data from ClinicalTrials.gov and NIH RePORTER, updated November 12, 2026.
- 43Clinical trials
- 3Countries
Newest Anatomic Stage IV Breast Cancer AJCC v8 clinical trials
All recruiting trials (43)
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Blended e-Health Program to Help Women with Breast or Gynecologic Cancer Manage Fear of Cancer Progression
This trial tests a blended online and group program to see if it helps women with breast or gynecologic cancer feel less fear that their cancer could grow or spread.
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Couples Coping Together Against Cancer: A Feasibility and Acceptability Look
This observational study tests whether a brokered program for patients with cancer and their partners is feasible and acceptable, and whether it may reduce distress over time.
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Adding Surgery and Radiation to Standard Therapy for HER2+ Stage IV Breast Cancer
This study tests whether adding surgery, radiation, and targeted ablative radiotherapy to the usualHER2-directed systemic therapy helps patients with newly diagnosed oligometastatic HER2-positive breast cancer more than standard systemic therapy alone.
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Living Well with Advanced Breast Cancer: Understanding Supportive Care Needs
This project asks adults with advanced (stage IV) breast cancer and their caregivers about what supportive care has helped, what’s been hard, and what help they still need.
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Leuprolide versus goserelin to stop ovarian estrogen production in pre- or peri-menopausal women with breast cancer
This study tests whether two doses of leuprolide or goserelin better stops the ovaries from making estrogen in pre- or peri-menopausal women with breast cancer.
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Safety of combining pidnarulex (CX-5461) with trastuzumab deruxtecan for HER2-positive, HER2-low/ultralow breast and other HER2-expressing solid tumors
This trial tests whether adding pidnarulex to trastuzumab deruxtecan is safe and finds the best dose for adults with HER2-positive, HER2-low/ultralow, or other HER2-expressing advanced or metastatic breast and solid tumors.
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STEMVAC vaccine with hormone therapy plus CDK4/6 inhibitor or capecitabine for metastatic HR-positive, HER2-negative breast cancer
This trial tests whether adding the STEMVAC vaccine to standard hormone therapy with a CDK4/6 drug, or to capecitabine chemotherapy, helps people with metastatic hormone receptor–positive, HER2‑negative breast cancer.
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STEMVAC vaccine plus chemotherapy for PD-L1 negative metastatic triple-negative breast cancer.
This trial will try giving the STEMVAC cancer vaccine together with standard chemotherapy to adults with PD‑L1 negative metastatic triple‑negative breast cancer to boost the immune system against the tumor.
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Optimized ultrasound twinkling marker to image axillary lymph nodes in clinically node-positive breast cancer
This trial tests an improved ultrasound twinkling marker to help doctors reliably see cancer-containing lymph nodes by ultrasound in people with biopsy-proven node-positive breast cancer.
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Photon VMAT craniospinal radiation for leptomeningeal disease from breast or non‑small cell lung cancer
This trial tests whether craniospinal irradiation delivered with photon VMAT can help adults whose breast cancer or non‑small cell lung cancer has spread to the meninges (leptomeningeal disease).
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Cemiplimab plus Y-90 radioembolization for breast cancer that has spread to the liver
This trial tests whether giving the immunotherapy cemiplimab together with Y-90 liver radioembolization can boost immune attack and shrink tumors in people whose breast cancer has spread mainly to the liver.
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Adaptive capecitabine therapy for metastatic ER-positive, HER2-negative breast cancer
This trial will try using capecitabine with dose changes based on tumor imaging and blood markers in adults with metastatic ER-positive, HER2-negative breast cancer.
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Hippocampal avoidance during craniospinal irradiation for breast and lung cancer with leptomeningeal metastases
This study is testing a new way of giving radiation therapy to help people with breast or lung cancer that has spread to their brain, aiming to reduce symptoms while protecting their memory.
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[18F]FTT PET to image PARP expression in metastatic breast cancer
This test tries to see if an [18F]FTT PET scan can show PARP levels and help detect whether PARP inhibitor treatment (with or without immunotherapy) is working for people with metastatic breast cancer.
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Comparing proton radiation therapy to standard radiation for leptomeningeal metastasis
This study is testing whether proton radiation therapy is better than standard radiation for people with leptomeningeal metastasis from breast or lung cancer to see if it helps them live longer and stay healthier.
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High-dose radiation combined with pembrolizumab and chemotherapy for PD-L1 positive metastatic triple-negative breast cancer
This trial tests whether giving high-dose radiation to a few metastatic sites together with pembrolizumab and chemotherapy helps people with PD-L1 positive metastatic triple-negative breast cancer live longer without their disease getting worse.
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Tamoxifen plus pegylated liposomal doxorubicin for advanced triple-negative breast cancer
This trial tests whether combining tamoxifen with pegylated liposomal doxorubicin can shrink or control metastatic or inoperable locally advanced triple-negative breast cancer in patients with low ER expression and a confirmed TP53 genomic alteration who have had prior therapies.
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Measuring a biomarker for breast cancer treatment effectiveness
This study is testing if measuring a specific biomarker can help doctors understand how well hormone treatments are working for people with advanced breast cancer.
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Personalized tumor vaccine with checkpoint inhibitors for triple negative breast cancer
This phase I trial will test whether a personalized tumor membrane vesicle (TMV) vaccine, given alone or with pembrolizumab or ipilimumab, can boost immune response and help control disease in adults with triple negative breast cancer.
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Using targeted radiation therapy for treating specific metastatic breast cancer cases
This study is testing if a targeted radiation treatment can help people with certain types of metastatic breast cancer keep taking their regular medication for at least 24 weeks while also checking how it affects their safety and quality of life.
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Using imaging to predict response to abemaciclib in advanced breast cancer
This study is testing if special imaging can help doctors figure out which patients with advanced breast cancer will respond best to a new treatment combining abemaciclib and hormone therapy.
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Gemcitabine and NK cells with or without Naxitamab for metastatic HER2-negative breast cancer
This study is testing a new treatment using gemcitabine and special immune cells, with or without naxitamab, to see if it helps people with advanced HER2-negative breast cancer feel better and live longer.
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Using electric fields to treat spinal cancer spread in breast cancer patients
This study tests if wearing a portable device that uses electric fields can help breast cancer patients whose cancer has spread to the spine feel better and slow down tumor growth.
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Using propranolol and pembrolizumab to treat resistant triple negative breast cancer
This study is testing if adding propranolol to pembrolizumab can help people with hard-to-treat triple negative breast cancer respond better to their treatment.
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Targeted therapy for advanced solid tumors based on genetic testing
This study is testing whether matching patients with advanced solid tumors to specific treatments based on their genetic makeup can improve their outcomes when standard options have failed.
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Combining ZEN003694 and Pembrolizumab with Standard Chemotherapy for Advanced Triple-Negative Breast Cancer
This study is testing a new combination of a targeted drug and immunotherapy with standard chemotherapy to see if it helps people with advanced triple-negative breast cancer.
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Using minoxidil to treat hair loss in breast cancer patients on endocrine therapy
This study is testing if a hair loss treatment called minoxidil, given either as a foam or a pill, can help women with breast cancer who are losing their hair due to cancer therapy.
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Imaging HER2+ Breast Cancer with Brain Metastasis using a New Scan
This study is testing a new type of scan to see if it can help doctors better understand how well a treatment works for people with HER2+ breast cancer that has spread to the brain.
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Combining two anti-cancer drugs for patients with advanced tumors
This study is testing a new combination of two anti-cancer drugs to see if it can help teenagers and adults with advanced tumors feel better and improve their treatment options.
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Combining Ivermectin with Balstilimab for Advanced Triple Negative Breast Cancer
This study is testing whether combining ivermectin with balstilimab or pembrolizumab can help people with advanced triple negative breast cancer by shrinking tumors and improving their quality of life.
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Personalized vaccine combined with pembrolizumab for advanced solid tumors
This study is testing a new personalized cancer vaccine combined with pembrolizumab to see if it helps people with advanced solid tumors fight their cancer better.
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Personalized vaccine treatment for advanced melanoma, breast cancer, and lung cancer
This study is testing a personalized vaccine combined with a treatment called nivolumab to see if it can help people with advanced melanoma, breast cancer, or lung cancer fight their tumors better.
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Combining Tumor Treating Fields with Cabozantinib or Pembrolizumab and Nab-Paclitaxel for Advanced Solid Tumors
This study is testing a new treatment that combines tumor treating fields with two different cancer drugs to see if it helps people with advanced solid tumors in the abdomen or chest.
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Avapritinib for treating advanced solid tumors with specific mutations
This study is testing if a new drug called avapritinib can help people with advanced solid tumors that have specific mutations feel better and live longer after other treatments haven't worked.
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Lutetium-177 DOTATATE for Stage IV or Recurrent Breast Cancer
This study tests whether 177Lu-DOTATATE can shrink or slow the growth of breast cancer that has spread or come back in patients whose tumors express SSTR2.
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Investigating biomarkers and clinical features in metastatic breast cancer patients treated with CDK4/6 inhibitors
This study is trying to learn more about how metastatic breast cancer patients respond to CDK4/6 inhibitors by looking at their medical records and collecting blood and tissue samples to understand the cancer better.
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A vaccine using modified measles virus for treating metastatic breast cancer
This study is testing a modified measles virus vaccine to see if it can safely help people with metastatic breast cancer by shrinking their tumors.
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Dendritic cell vaccines and pembrolizumab for treating brain metastasis from breast cancer
This study is testing a new vaccine combined with an immune therapy to see if it can help people with brain metastasis from triple negative or HER2+ breast cancer fight their cancer better.
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Using abemaciclib to treat older patients with hormone receptor positive breast cancer
This study is testing if the medication abemaciclib can safely help older patients with hormone receptor positive breast cancer feel better and live longer.
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Combining Olaparib with Cediranib or AZD6738 for Advanced Breast Cancer with BRCA Mutations
This study is testing if combining the drugs olaparib with either cediranib or AZD6738 can help women with advanced breast cancer that has BRCA mutations feel better after they’ve already tried other treatments.
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Real-time imaging of tumor blood vessels during surgery
We will test whether a real-time microscope technique during surgery can show how well blood vessels in adults' solid tumors work and whether that helps predict if systemic cancer medicines can reach the tumor.
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Monitoring breast cancer using serum tumor markers
This study is testing if using blood tests to monitor hormone receptor positive, HER2 negative metastatic breast cancer can help patients live as long as those who receive standard monitoring while also looking at costs and how patients feel.
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Combining a personalized vaccine with chemotherapy and immunotherapy for metastatic triple-negative breast cancer
This study is testing if adding a personalized vaccine to chemotherapy and immunotherapy can help people with metastatic triple-negative breast cancer feel better and improve their treatment outcomes.
Related topics
Quick answers
How many Anatomic Stage IV Breast Cancer AJCC v8 clinical trials are recruiting right now?
43, as of November 12, 2026. We update this list each time we refresh our data from ClinicalTrials.gov.
Where are these trials running?
In 3 countries. The most sites are in United States (43 trials), Puerto Rico (2 trials), Guam (1 trial). Each study page lists its sites and which ones are recruiting.
What phases are they in?
Phase 2: 19, Phase 1: 8, Phase 1/2: 4, Phase 3: 2. Trials with no phase listed are usually device, behavioural or observational studies.
How do I join one?
Open a study, check the "Is this trial a fit for you?" section, then contact the study team listed on the page. They will ask a few screening questions. Asking is free and does not commit you to anything. Talk it over with your doctor first.
Find the studies that fit you
A list is a starting point. Tell us your situation in your own words and we'll rank the studies that match and explain why. It's free and needs no account.