Evaluating trastuzumab deruxtecan in metastatic breast cancer with varying HER2 levels
Official title: HER2 Heterogeneity and Its Impact on Benefit From Trastuzumab Deruxtecan in Metastatic Breast Cancer
Run by Sun Yat-sen University · NCT06551220 · Data updated 2026-11-12
This study is testing how different levels of HER2 in metastatic breast cancer affect how well the drug trastuzumab deruxtecan works for patients.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | Women only |
| Enrollment | 800 (estimated) |
| Sponsor | Sun Yat-sen University Academic / other |
| Drugs / interventions | trastuzumab |
| Locations | 26 sites (New Haven, Connecticut and 25 other locations) |
| Status | Recruiting |
| Started | October 10, 2022 |
| Main results expected | July 2026 |
| Study ends | July 2026 |
| Registry record updated | May 22, 2026 |
| Trial ID | NCT06551220 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include patients with advanced or locally unresectable breast cancer who have been treated with trastuzumab deruxtecan and have measurable lesions.
✕Probably not a fit
Patients who do not have measurable lesions or lack HER2 immunohistochemistry staining information 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 investigate how different patterns of HER2 expression in metastatic breast cancer affect the efficacy of trastuzumab deruxtecan. It focuses on understanding the heterogeneity of HER2 levels and their spatial distribution in tissues. The study will include patients who have received trastuzumab deruxtecan and will evaluate their treatment responses through imaging examinations. The goal is to determine if these variations in HER2 expression influence patient outcomes.
Why it matters
Potential benefit: If successful, this study could lead to more personalized treatment strategies for patients with metastatic breast cancer based on their HER2 expression patterns.
How similar studies have gone: While there have been studies on trastuzumab deruxtecan, this specific focus on HER2 heterogeneity is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with advanced or locally unresectable breast cancer; * Treated with T-DXd (DS-8201, trastuzumab deruxtecan) regardless of line of therapy, HR, and HER2 expression level; * HER2 immunohistochemistry staining information of the primary lesion or metastatic/recurrent lesion; * Measurable lesions with treatment response results that can be evaluated through imaging examinations; * Able to follow up with the latest progression-free survival or overall survival. Exclusion Criteria: * Patients with missing basic clinical information or HER2 immunohistochemistry staining information; * Patients with missing pathological results for both primary and metastatic/recurrent lesions; * Patients with no measurable lesions and unable to evaluate T-DXd treatment response; * Discontinue T-DXd therapy for unacceptable adverse events or other reasons; * Patients lost to follow-up after T-DXd treatment.
Where it's running
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Yale Cancer Center
New Haven, Connecticut, United States Recruiting -
Dana-Farber Cancer Institute, Harvard Medical School
Boston, Massachusetts, United States Recruiting -
Fujian Cancer Hospital, Fujian Medical University
Fuzhou, Fujian, China Recruiting -
The 10th Affiliated Hospital of Southern Medical University
Dongguan, Guangdong, China Recruiting -
The First People's Hospital of Foshan
Foshan, Guangdong, China Recruiting -
The Sixth Affiliated Hospital, School of Medicine, South China University of Technology.
Foshan, Guangdong, China Recruiting
Show 20 more locations
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Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, China Recruiting -
The Affiliated Panyu Central Hospital, Guangzhou Medical University
Guangzhou, Guangdong, China Recruiting -
Guangdong Provincial Hospital of Chinese Medicine
Guangzhou, Guangdong, China Recruiting -
The Affiliated Cancer Hospital, Guangzhou Medical University
Guangzhou, Guangdong, China Recruiting -
The First Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, China Recruiting -
The First Affiliated Hospital of Guangzhou University of Chinese Medicine
Guangzhou, Guangdong, China Recruiting -
Cancer Hospital of Shantou University Medical College
Shantou, Guangdong, China Recruiting -
Yuebei People's Hospital of Shantou University
Shaoguan, Guangdong, China Recruiting -
National Cancer Center Shenzhen Hospital
Shenzhen, Guangdong, China Recruiting -
Shenzhen People's Hospital
Shenzhen, Guangdong, China Recruiting -
Zhongshan City People's Hospital
Zhongshan, Guangdong, China Recruiting -
The Fifth Affiliated Hospital of Sun Yat-sen University
Zhuhai, Guangdong, China Recruiting -
Changde Hospital, Xiangya School of Medicine, Central South University
Changde, Hunan, China Recruiting -
Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University
Changsha, Hunan, China Recruiting -
The Second Xiangya Hospital of Central South University
Changsha, Hunan, China Recruiting -
The First Affiliated Hospital, Hengyang Medical School, University of South China
Hengyang, Hunan, China Recruiting -
Affiliated Cancer Hospital of Inner Mongolia Medical University
Hohhot, Inner Mongolia, China Recruiting -
The First Affiliated Hospital of Nanjing Medical University
Nanjing, Jiangsu, China Recruiting -
Xinhua Hospital Afliated to Shanghai Jiaotong University
Shanghai, Shanghai Municipality, China Recruiting -
The Second Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, China Recruiting
Study contacts
- Principal investigator: Xiaoming Xie, MD, PhD — Sun Yat-Sen University Cancer Center
- Study coordinator: Xiaoming Xie, MD, PhD
- Email: xiexm@sysucc.org.cn
- Phone: 86-020-87343806
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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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.
-
Elacestrant plus trastuzumab deruxtecan for HR-positive, HER2-low or HER2-ultralow metastatic breast cancer after CDK4/6 and endocrine therapy
This trial tests whether combining elacestrant with trastuzumab deruxtecan helps people with HR-positive, HER2-low or HER2-ultralow metastatic breast cancer that progressed after CDK4/6 inhibitor and endocrine treatment.
-
Treatment options after targeted therapy stops working in advanced breast cancer
This study will see how well different treatments work for people with advanced breast cancer who have stopped responding to CDK4/6 inhibitors, PIK3CA inhibitors, or T-DXd.
-
Toxicity markers for Trastuzumab‑Deruxtecan in advanced breast cancer
This project will test whether blood markers can predict serious side effects, including interstitial lung disease, in adults with metastatic HER2‑positive or HER2‑low breast cancer who are treated with Trastuzumab‑Deruxtecan.
-
TQB2102 injection versus trastuzumab emtansine for HER2-positive advanced breast cancer
This trial tests whether TQB2102 injection works as well as trastuzumab emtansine for adults with HER2-positive unresectable or metastatic breast cancer.
-
Treatment for HER2-negative metastatic breast cancer using two investigational drugs
This study is testing if using two new drugs one after the other can help people with HER2-negative metastatic breast cancer live longer and feel better.
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.