Clinical trial Recruiting at 26 sites Observational Ages 18 to 80 Women only

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.

More Metastatic Breast Cancer trials

Quick facts

Study typeObservational
Ages18 Years to 80 Years
SexWomen only
Enrollment800 (estimated)
SponsorSun Yat-sen University
Academic / other
Drugs / interventionstrastuzumab
Locations26 sites (New Haven, Connecticut and 25 other locations)
StatusRecruiting
StartedOctober 10, 2022
Main results expectedJuly 2026
Study endsJuly 2026
Registry record updatedMay 22, 2026
Trial IDNCT06551220 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

  • 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
  • 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.

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.