Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 and up

HLX22 plus trastuzumab deruxtecan for HER2-low, hormone receptor–positive advanced breast cancer

Official title: A Phase II Study of HLX22 (Recombinant Humanized Anti-HER2 Monoclonal Antibody Injection) in Combination With Trastuzumab Deruxtecan (T-DXd) in HER2-low, Hormone Receptor Positive Locally Advanced or Metastatic Breast Cancer Patients With Intolerable Adverse Reaction or Disease Progression on Standard of Care

Run by Shanghai Henlius Biotech · NCT06832202 · Data updated 2026-11-12

This will test whether adding HLX22 to trastuzumab deruxtecan helps people with HER2-low, hormone receptor–positive advanced breast cancer who have progressed on or could not tolerate standard treatments.

More Hormone-receptor-positive Breast Cancer trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment50 (estimated)
SponsorShanghai Henlius Biotech
Industry-sponsored
Drugs / interventionsTrastuzumab
Locations1 site (Shanghai, Shanghai Municipality)
StatusRecruiting
StartedApril 16, 2025
Main results expectedJune 1, 2027
Study endsDecember 1, 2029
Registry record updatedJune 15, 2025
Trial IDNCT06832202 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with centrally confirmed HER2-low, hormone receptor–positive locally advanced or metastatic breast cancer with measurable disease, ECOG 0–1, adequate organ function, and prior progression or intolerance on standard therapies.

Probably not a fit

Patients who previously received any HER2-targeted therapy, have prior interstitial lung disease/pneumonitis, uncontrolled cardiovascular disease, other recent malignancies, or poor performance status are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase II, interventional trial gives eligible patients HLX22 (15 mg/kg) combined with trastuzumab deruxtecan (5.4 mg/kg) every three weeks. Participants have HER2-low, hormone receptor–positive locally advanced or metastatic breast cancer with measurable disease and prior progression or intolerance to standard care. Treatment continues until loss of clinical benefit, unacceptable toxicity, death, or withdrawal of consent. Key eligibility includes ECOG 0–1, expected survival ≥6 months, adequate organ function, and no prior HER2-targeted therapy or prior interstitial lung disease.

Why it matters

Potential benefit: If successful, the combination could prolong tumor control or delay progression for patients with HER2-low, HR-positive advanced breast cancer who have limited options.

How similar studies have gone: Trastuzumab deruxtecan has demonstrated clear benefit in HER2-low metastatic breast cancer (e.g., DESTINY-Breast04), but combining it with HLX22 is a newer approach and remains investigational.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Male/female who are at least 18 years of age on the day of signing the informed consent.
2. With histologically confirmed diagnosis of HER2-low, Hormone Receptor Positive Locally Advanced or Metastatic Breast Cancer.
3. HER2-low defined as IHC 2+/ISH- or IHC 1+ (ISH- or untested) as assessed by a central laboratory on metastatic tumor and was never previously HER2-positive,and was documented HR+ disease in the metastatic setting
4. Had measurable disease according to the RECIST v1.1, the target lesion must not be a bone metastatic lesion only.
5. ECOG PS: 0-1.
6. Expected survival ≥ 6 months.
7. Had adequate organ function

Exclusion Criteria:

1. Patients with other malignant tumors within 3 years before the randomization
2. Previous treatment with any HER2-target therapy
3. Uncontrolled or significant cardiovascular disease or infection
4. Lung-specific intercurrent clinically significant illnesses
5. Prior documented interstitial lung disease (ILD)/ pneumonitis that required steroids, current ILD/ pneumonitis, or suspected ILD/ pneumonitis
6. Patients with spinal cord compression or clinically active central nervous system metastases

Where it's running

  • Fudan University Shanghai Cancer Center
    Shanghai, Shanghai Municipality, China
    Recruiting

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.