Clinical trial Recruiting at 26 sites Observational Ages 18 and up

Observational study on HER2-low breast cancer treatment with Trastuzumab Deruxtecan

Official title: A Prospective, Non-interventional Study (NIS) With Trastuzumab Deruxtecan For Patients With HER2-(Ultra)Low Expressing Unresectable and/or Metastatic Breast Cancer Accompanied By a Disease Registry of Patients Treated With Conventional Chemotherapy (DESTINY Breast Respond HER2-(Ultra)Low Europe)

Run by Daiichi Sankyo · NCT05945732 · Data updated 2026-11-12

This study is testing how well Trastuzumab deruxtecan works for adults with advanced HER2-low breast cancer who have already had chemotherapy.

More Metastatic Breast Cancer trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment2295 (estimated)
SponsorDaiichi Sankyo
Industry-sponsored
Drugs / interventionschemotherapy, Trastuzumab
Locations216 sites (Graz and 215 other locations)
StatusRecruiting
StartedOctober 24, 2023
Main results expectedDecember 31, 2030
Study endsDecember 31, 2030
Registry record updatedAugust 19, 2026
Trial IDNCT05945732 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 currently participating in a blinded interventional study 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 evaluate the effectiveness of Trastuzumab deruxtecan (T-DXd) in adult patients with unresectable or metastatic HER2-low breast cancer who have previously undergone chemotherapy. It will collect data on patient demographics, clinical characteristics, treatment patterns, tolerability, and management of adverse drug reactions. Patients will receive treatment according to the established guidelines without the administration of any additional drug products as part of the study. Additionally, data on conventional chemotherapy treatments will be gathered to enhance understanding of treatment outcomes.

Why it matters

Potential benefit: If successful, this study could provide valuable insights into the effectiveness and tolerability of T-DXd for patients with HER2-low breast cancer, potentially improving treatment options.

How similar studies have gone: While this study focuses on a specific patient population, similar approaches using targeted therapies in breast cancer have shown promise in previous studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Study Group 1 and Study Group 2

* Adult patient (age ≥ 18 years) with histological or cytological confirmed diagnosis of unresectable and/or mBC
* Decision to newly initiate therapy of T-DXd or conventional chemotherapy according to the physicians choice per SmPC
* Written and signed Informed Consent to participate in the study

Study Group 1

* Documented HER2-low status (IHC1+, IHC2+/ISH-)
* Patients who have received prior chemotherapy in the metastatic setting or
* Patients who have developed disease recurrence during or within 6 months of completing adjuvant chemotherapy

Study Group 2:

* Documented HR+ status
* Documented HER2-low status (IHC1+ or IHC2+/ISH-) or HER2-ultralow (defined as IHC 0 with membrane staining \[IHC \> 0 to \<1+\]) status
* Patients who have received at least one endocrine therapy in the metastatic setting
* Patients who have NOT received prior chemotherapy in the metastatic setting

Exclusion Criteria:

Study Group 1 and Study Group 2

* Pregnancy or breastfeeding
* Patients who at time of data collection for this study are participating in or have participated in an interventional study that remains blinded.

No other specific exclusion criteria are defined, as patients will be treated according to the proposed indication statements in the SmPC.

Where it's running

  • Medizinische Universität Graz
    Graz, Austria
    Recruiting
  • Medizinische Universität Innsbruck
    Innsbruck, Austria
    Recruiting
  • Klinikum Klagenfurt am Wörthersee
    Klagenfurt, Austria
    Recruiting
  • Ordensklinikum Linz GmbH Barmherzige Schwestern
    Linz, Austria
    Recruiting
  • KH der Barmherzigen Brüder Salzburg
    Salzburg, Austria
    Recruiting
  • Uniklinikum Salzburg
    Salzburg, Austria
    Recruiting
Show 44 more locations
  • Medical University of Vienna
    Vienna, Austria
    Recruiting
  • Krankenhaus Hietzing
    Vienna, Austria
    Recruiting
  • Salzkammergut Klinikum Vöcklabruck
    Vöcklabruck, Austria
    Recruiting
  • Landesklinikum Wiener Neustadt
    Wiener Neustadt, Austria
    Recruiting
  • Nordlandssjukhuset Bodø
    Bodø, Norway
    Recruiting
  • Drammen Sykehus
    Drammen, Norway
    Recruiting
  • Sykehuset Telemark
    Skien, Norway
    Recruiting
  • Onkologikliniken Mälarsjukhuset
    Eskilstuna, Sweden
    Recruiting
  • Gävle Hospital
    Gävle, Sweden
    Recruiting
  • Department of Oncology, Örebro University Hospital
    Örebro, Sweden
    Recruiting
  • Cancercentrum, Norrlands Universitetssjukhus
    Umeå, Sweden
    Recruiting
  • Department of Oncology, Västerås
    Västerås, Sweden
    Recruiting
  • Kantonsspital Baden
    Baden, Switzerland
    Recruiting
  • Centre du sein Fribourg
    Fribourg, Switzerland
    Recruiting
  • Clinique Generale-Beaulieu / Clinique de Genolier
    Geneva, Switzerland
    Recruiting
  • Réseau Hospitalier Neuchâtelois (RHNe)
    La Chaux-de-Fonds, Switzerland
    Recruiting
  • Réseau du Sein Lausanne
    Lausanne, Switzerland
    Recruiting
  • Chuv
    Lausanne, Switzerland
    Recruiting
  • Kantonsspital Baselland
    Liestal, Switzerland
    Recruiting
  • Universitätsspital Zürich
    Zurich, Switzerland
    Recruiting
  • Medizinische Universität Graz
    Graz, Austria
    Terminated
  • LKH Hochsteiermark-Leoben
    Leoben, Austria
    Withdrawn
  • Interne II, LKH Feldkirch
    Rankweil, Austria
    Active not recruiting
  • Medizinische Universität Wien
    Vienna, Austria
    Terminated
  • Klinikum Wels-Grieskirchen GmbH
    Wels, Austria
    Active not recruiting
  • ASZ Aalst
    Aalst, Belgium
    Active not recruiting
  • Chirec Delta Hospital
    Auderghem, Belgium
    Active not recruiting
  • Imeldaziekenhuis Bonheiden
    Bonheiden, Belgium
    Active not recruiting
  • AZ Klina
    Brasschaat, Belgium
    Active not recruiting
  • AZ Sint-Jan Brugge av
    Bruges, Belgium
    Active not recruiting
  • CHU Brugmann
    Brussels, Belgium
    Active not recruiting
  • Cliniques universitaires Saint-Luc
    Brussels, Belgium
    Active not recruiting
  • Chu Helora- Hôpital de La Louvière- site Jolimont
    Haine-Saint-Paul, Belgium
    Active not recruiting
  • Jessa Ziekenhuis
    Hasselt, Belgium
    Active not recruiting
  • CHU Tivoli
    La Louvière, Belgium
    Active not recruiting
  • CHC MontLegia
    Liège, Belgium
    Active not recruiting
  • Hôpital de la Citadelle
    Liège, Belgium
    Active not recruiting
  • CHU UCL Namur/Site Sainte Elisabeth
    Namur, Belgium
    Active not recruiting
  • Clinique Saint Pierre Ottignies
    Ottignies, Belgium
    Active not recruiting
  • Vitaz
    Sint-Niklaas, Belgium
    Active not recruiting
  • CHR Verviers East Belgium
    Verviers, Belgium
    Active not recruiting
  • Aalborg Universitetshospital, Syd
    Aalborg, Denmark
    Terminated
  • Aarhus University Hospital
    Aarhus N, Denmark
    Active not recruiting
  • Herlev Hospital
    Herlev, Denmark
    Active not recruiting

+166 more sites. See ClinicalTrials.gov for the full list.

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.