Clinical trial Recruiting at 3 sites Observational Ages 18 and up

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.

More Breast Cancer trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment138 (estimated)
SponsorAstraZeneca
Industry-sponsored
Drugs / interventionschemotherapy, trastuzumab
Locations14 sites (Panagyurishte, Pazardzhik and 13 other locations)
StatusRecruiting
StartedJanuary 29, 2025
Main results expectedOctober 31, 2027
Study endsOctober 31, 2027
Registry record updatedSeptember 14, 2026
Trial IDNCT06727227 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

  • 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
  • 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

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.