Assessing Trastuzumab Deruxtecan in Chinese Patients with HER2-positive and HER2-low Breast Cancer
Official title: A Multi-center Prospective Observational Study to Assess the Effectiveness and Safety of Trastuzumab Deruxtecan in Chinese Breast Cancer Patients (REFRESH)
Run by Daiichi Sankyo · NCT06210776 · Data updated 2026-11-12
This study is testing how well Trastuzumab Deruxtecan works for Chinese patients with advanced HER2-positive or HER2-low breast cancer who have already tried other treatments.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 800 (estimated) |
| Sponsor | Daiichi Sankyo Industry-sponsored |
| Drugs / interventions | chemotherapy |
| Locations | 54 sites (Beijing and 53 other locations) |
| Status | Recruiting |
| Started | January 15, 2024 |
| Main results expected | March 1, 2028 |
| Study ends | March 1, 2028 |
| Registry record updated | January 12, 2026 |
| Trial ID | NCT06210776 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults aged 18 and older with unresectable or metastatic HER2-positive or HER2-low breast cancer who have received prior systemic therapy.
✕Probably not a fit
Patients with early-stage breast cancer or those who have not received prior systemic therapy may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to collect real-world clinical and patient-reported outcome data from Chinese patients with unresectable or metastatic HER2-positive or HER2-low breast cancer who have received prior anti-HER2 treatments. The primary goal is to evaluate the time to next treatment or date of death following the initiation of Trastuzumab Deruxtecan (T-DXd). Secondary objectives include analyzing treatment patterns, demographic and clinical characteristics, safety and tolerability, and time to treatment discontinuation. Patients will be followed from the initiation of T-DXd until the end of the study or until they withdraw consent or are lost to follow-up.
Why it matters
Potential benefit: If successful, this study could provide valuable insights into the effectiveness and safety of Trastuzumab Deruxtecan for patients with advanced HER2-positive and HER2-low breast cancer.
How similar studies have gone: Other studies have shown promise in evaluating treatments for HER2-positive breast cancer, but this specific observational approach is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Patients must meet all of the following inclusion criteria to be eligible for the study: 1. ≥18 years of age at time of consent. 2. Pathologically documented breast cancer that is unresectable or metastatic. 3. Cohort A: Patients with confirmed HER2+ (IHC 3+ or IHC2+, ISH+); and patients have received one or more prior anti-HER2-based regimens; and patients should have received no more than 2 lines therapy in the metastatic settings. Cohort B: Patients with confirmed HER2-low expression (IHC 1+ or IHC 2+, ISH-); and patients have received at least a prior systemic therapy in the metastatic setting or developed disease recurrence during or within 6 months of completing adjuvant chemotherapy; and patients should have received no more than 2 lines of previous chemotherapy regimen in the metastatic settings. 4. Decision to newly initiate T-DXd or just have started the first dose no longer than 14 days after the index date per approved label in China. 5. Capable of providing informed consent. 6. Patients capable of completing questionnaires are preferred. If the participant is unable to complete the questionnaire (e.g., being blind, illiterate, not fluent in the available language, or ePRO system is not ready), that participant is exempted from completing PRO questionnaires but may still participate in the study. Patients who meet any of the following criteria will be excluded from the study: 1. Pregnancy or breastfeeding. 2. Patients who at time of data collection for this study are participating in or have participated in an interventional study that remains blinded. 3. Patients who have known to have hypersensitivity reactions to the active substance of T-DXd or any excipients. 4. Patients who have been judged by the investigator to be unfit to participate the study.
Where it's running
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China-Japan Friendship Hospital
Beijing, China Recruiting -
Peking University First Hospital
Beijing, China Recruiting -
Peking University Shougang Hospital
Beijing, China Recruiting -
Peking University Third Hospital
Beijing, China Recruiting -
Beijing GoBroad Hospital
Beijing, China Recruiting -
Sichuan Cancer Hospital
Chengdu, China Recruiting
Show 44 more locations
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Sichuan Provincial People's Hospital
Chengdu, China Recruiting -
Affiliated Zhongshan Hospital of Dalian University
Dalian, China Recruiting -
The First People's Hospital of Foshan
Foshan, China Recruiting -
Fujian Cancer Hospital
Fuzhou, China Recruiting -
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, China Recruiting -
Hainan Cancer Hospital
Haikou, China Recruiting -
The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, China Recruiting -
Zhejiang Cancer Hospital
Hangzhou, China Recruiting -
Harbin Medical University Cancer Hospital
Harbin, China Recruiting -
Jiamusi Cancer Hospital
Jiamusi, China Recruiting -
The First People's Hospital of Lianyungang
Lianyungang, China Recruiting -
Jiangxi Cancer Hospital
Nanchang, China Recruiting -
Nanchang Third Hospital
Nanchang, China Recruiting -
Nanjing Drum Tower Hospital
Nanjing, China Recruiting -
Jiangsu Province Hospital
Nanjing, China Recruiting -
The Peoples of Guangxi Zhuang Autonomous Region
Nanning, China Recruiting -
Affiliated Hospital Of Nantong University
Nantong, China Recruiting -
Qingdao Central Hospital
Qingdao, China Recruiting -
Fudan University Shanghai Cancer Center
Shanghai, China Recruiting -
Changhai Hospital
Shanghai, China Recruiting -
Cancer Hospital of Shantou University Medical College
Shantou, China Recruiting -
Liaoning Cancer Hospital & Institute
Shenyang, China Recruiting -
The University of Hong Kong- Shenzhen Hospital
Shenzhen, China Recruiting -
Cancer Hospital Chinese Academy of Medical Sciences, Shenzhen Center
Shenzhen, China Recruiting -
Shanxi Provincial Cancer Hospital
Taiyuan, China Recruiting -
Tangshan People's Hospital
Tangshan, China Recruiting -
Tianjin Cancer Hospital Airport Hospital
Tianjin, China Recruiting -
Affiliated Cancer Hospital of Xinjiang Medical University
Ürümqi, China Recruiting -
Weifang People's Hospital
Weifang, China Recruiting -
Wenzhou Central Hospital
Wenzhou, China Recruiting -
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an, China Recruiting -
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an, China Recruiting -
Xi'an International Medical Center Hospital
Xi'an, China Recruiting -
The First Affilital of Xiamen University
Xiamen, China Recruiting -
The First Affiliated Hospital of Xinxiang Medical University
Xinxiang, China Recruiting -
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, China Recruiting -
Henan Cancer Hospital
Zengzhou, China Recruiting -
Henan Provincial People's Hospital
Zhengzhou, China Recruiting -
Zhongshan City People's Hospital
Zhongshan, China Recruiting -
The Fifth Affiliated Hospital, Sun Yat-sen University
Zhuhai, China Recruiting -
The Fifth Medical Center of the Chinese PLA General Hospital
Beijing, China Withdrawn -
Affiliated Cancer Hospital and Institute of Guangzhou Medical University
Guangzhou, China Withdrawn -
Anhui Provincial Cancer Hospital
Hefei, China Withdrawn -
Yunnan Cancer Hospital
Kunming, China Withdrawn
+4 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Daiichi Sankyo China
- Email: yu.huan.m8@daiichisankyo.com.cn
- Phone: 0086-021-60397406
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Can we skip radiation after lumpectomy for low-risk HER2-positive breast cancer?
This study tests whether patients who had breast-conserving surgery and low-risk HER2-positive breast cancer can safely skip radiation therapy while receiving HER2-targeted treatment.
-
Entinostat with Pyrotinib and Endocrine Therapy in HER2-positive, HR-positive Advanced Breast Cancer after Trastuzumab Failure
This study tests whether adding entinostat to pyrotinib and hormone therapy is safe and helps patients with advanced HR+/HER2+ breast cancer who progressed after trastuzumab.
-
ctDNA-guided sequential anti-HER2 therapy with CNS prophylaxis for HER2-positive metastatic breast cancer
This trial will test whether using regular ctDNA blood tests to guide stepping up or down sequential anti-HER2 treatments, together with local therapies and measures to protect the brain and spinal cord, can produce long-lasting remission for people with HER2-positive stage IV breast cancer.
-
Trastuzumab-rezetecan for HER2-positive and HER2-low breast cancer
This project will test Trastuzumab-rezetecan in adults with HER2-positive or HER2-low breast cancer who are receiving it as part of routine care to see if it works and is safe.
-
Neoadjuvant zanidatamab plus chemotherapy for HER2-positive early breast cancer
This study will test if adding zanidatamab to chemotherapy given before surgery helps people with HER2-positive early-stage breast cancer.
-
Radiology-based prediction of HER2 level and T‑DXd benefit in metastatic breast cancer
This study tests whether patterns in CT or FDG‑PET images can show HER2 level and help predict response to trastuzumab deruxtecan for people with metastatic breast cancer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.