Clinical trial Recruiting at 46 sites Observational Ages 18 and up

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.

More Breast Cancer trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment800 (estimated)
SponsorDaiichi Sankyo
Industry-sponsored
Drugs / interventionschemotherapy
Locations54 sites (Beijing and 53 other locations)
StatusRecruiting
StartedJanuary 15, 2024
Main results expectedMarch 1, 2028
Study endsMarch 1, 2028
Registry record updatedJanuary 12, 2026
Trial IDNCT06210776 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.