Observational study of trastuzumab deruxtecan for patients with HER2-low breast cancer
Official title: REal-world Study of Trastuzumab deruXtecan in Patients With unresectabLe or Metastatic Breast Cancer Expressing HER2-lOw From BulgaRia and SlovEnia (EXPLORE)
Run by AstraZeneca · NCT06727227 · Data updated 2026-11-12
This study is looking at how well trastuzumab deruxtecan works for people with HER2-low breast cancer that can't be removed by surgery or has spread, focusing on real-world experiences in Bulgaria and Slovenia.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 138 (estimated) |
| Sponsor | AstraZeneca Industry-sponsored |
| Drugs / interventions | chemotherapy, trastuzumab |
| Locations | 14 sites (Panagyurishte, Pazardzhik and 13 other locations) |
| Status | Recruiting |
| Started | January 29, 2025 |
| Main results expected | October 31, 2027 |
| Study ends | October 31, 2027 |
| Registry record updated | September 14, 2026 |
| Trial ID | NCT06727227 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include adults aged 18 and older with confirmed unresectable or metastatic HER2-low breast cancer who have received prior chemotherapy.
✕Probably not a fit
Patients who are pregnant, breastfeeding, or have a history of other primary malignancies within the last two years 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 gather real-world data on the use of trastuzumab deruxtecan in patients with unresectable or metastatic HER2-low breast cancer in Bulgaria and Slovenia. It will assess various outcomes, including time to next treatment and treatment discontinuation, while also documenting patient demographics and treatment patterns prior to T-DXd therapy. The study seeks to fill the gap in real-world evidence for this treatment approach, particularly in the Balkan region, following its recent approval for HER2-low breast cancer. No formal hypothesis is set, and the study will explore multiple endpoints related to treatment effectiveness and patient management.
Why it matters
Potential benefit: If successful, this study could provide valuable insights into the effectiveness of trastuzumab deruxtecan for patients with HER2-low breast cancer, potentially improving treatment strategies.
How similar studies have gone: While there is limited real-world evidence for trastuzumab deruxtecan in HER2-low breast cancer, the recent DB-04 trial has shown significant survival benefits, indicating potential success for this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patient (age ≥18 years) with histological or cytological confirmed diagnosis of unresectable or mBC. * Documented HER2-low status (IHC1+, IHC2+/ISH-) in patients who have received prior chemotherapy in the metastatic setting or documented HER2-low status (IHC 1+, IHC 2+/ISH-) in patients who have developed disease recurrence during or within 6 months of completing adjuvant chemotherapy. * Recent prior decision to initiate therapy of T-DXd per SmPC (up to 30 days). Documentation confirming this decision will be required and collected. * Able and willing to provide informed consent. Exclusion Criteria: * Pregnancy or breastfeeding. * History of other primary malignancies in 2 years prior to unresectable or mBC diagnosis. * Patients who at time of data collection for this study are participating in or have participated in an interventional study that remains blinded. * HER2-low status patients who have previously documented HER2+ status in the same tumor.
Where it's running
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Research Site
Burgas, Bulgaria Recruiting -
Research Site
Ljubljana, Slovenia Recruiting -
Research Site
Maribor, Slovenia Recruiting -
Research Site
Panagyurishte, Pazardzhik, Bulgaria Not yet recruiting -
Research Site
Plovdiv, Bulgaria Not yet recruiting -
Research Site
Sofia, Bulgaria Active not recruiting
Show 8 more locations
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Research Site
Sofia, Bulgaria Active not recruiting -
Research Site
Sofia, Bulgaria Not yet recruiting -
Research Site
Sofia, Bulgaria Active not recruiting -
Research Site
Sofia, Bulgaria Active not recruiting -
Research Site
Sofia, Bulgaria Not yet recruiting -
Research Site
Sofia, Bulgaria Active not recruiting -
Research Site
Stara Zagora, Bulgaria Not yet recruiting -
Research Site
Varna, Bulgaria Active not recruiting
Study contacts
- Study coordinator: AstraZeneca Clinical Study Information Center, Study Information Center
- Email: information.center@astrazeneca.com
- Phone: 1-877-240-9479
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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.