HRR gene changes and homologous recombination deficiency in HER2-low breast cancer

Landscape Ofhomologous Recombination-related (HRR) Genes Mutations and HRD, and Correlation With Survival in HER2-lowbreast Cance

Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University · NCT05466786

This study will test how common HRR gene mutations and homologous recombination deficiency are in Chinese women with HER2-low breast cancer and whether those markers relate to survival.

Quick facts

Study typeObservational
Enrollment255 (estimated)
Ages18 Years to 70 Years
SexFemale
SponsorSun Yat-Sen Memorial Hospital of Sun Yat-Sen University (other)
Locations1 site (Guangzhou, Guangdong)
Trial IDNCT05466786 on ClinicalTrials.gov

What this trial studies

This is a cross-sectional, observational study enrolling about 255 patients with HER2-low breast cancer who have completed HRD testing. Investigators will analyze tumor and blood samples to describe the frequency and molecular features of HRR gene alterations and HRD. Clinical data will be linked to outcomes to explore associations with invasive disease-free survival and overall survival. The study is investigator-initiated and conducted at a single center in Guangzhou, China.

Who should consider this trial

Good fit: Women aged 18–70 with pathologically confirmed HER2-low operable primary breast cancer (IHC 1+ or IHC 2+/ISH-), ECOG 0–1, completed HRD assessment, no distant metastasis, and available tumor and blood samples.

Not a fit: Patients with recurrent or inoperable locally advanced disease, bilateral breast cancer, another malignancy within the past five years, or incomplete clinical/pathologic data are excluded and unlikely to benefit from participation.

Why it matters

Potential benefit: If successful, the results could help doctors identify HER2-low patients with HRD who might benefit from targeted therapies and improve prognosis prediction.

How similar studies have performed: Previous studies have linked HRD/HRR alterations to response to PARP inhibitors in breast cancer, but the specific distribution and prognostic value in HER2-low patients are not well defined.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Female patients aged 18-70 years with pathologically confirmed HER2-low breast cancer (defined as IHC 2+/ISH- or IHC 1+ per ASCO/CAP guidelines);
2. ECOG performance status of 0 or 1;
3. Treatment-naïve operable primary breast cancer with completed homologous recombination deficiency (HRD) assessment;

5)Absence of distant metastasis; 6)Availability of adequate tumor tissue and blood samples for biomarker analysis.

Exclusion Criteria:

1. Recurrent or inoperable locally advanced breast cancer;
2. Bilateral breast cancer;
3. History of other malignant tumors within the past 5 years;
4. Incomplete clinical or pathological data.

Where this trial is running

Guangzhou, Guangdong

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Breast Cancer, HER2-low Breast Cancer, Homologous recombination-related, Homologous recombination deficiency

Last reviewed 2026-05-15 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.