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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 2295 (estimated) |
| Sponsor | Daiichi Sankyo Industry-sponsored |
| Drugs / interventions | chemotherapy, Trastuzumab |
| Locations | 216 sites (Graz and 215 other locations) |
| Status | Recruiting |
| Started | October 24, 2023 |
| Main results expected | December 31, 2030 |
| Study ends | December 31, 2030 |
| Registry record updated | August 19, 2026 |
| Trial ID | NCT05945732 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
- Study coordinator: Contact for Clinical Trial Information
- Email: CTRinfo@dsi.com
- Phone: 908-992-6400
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Entinostat with Pyrotinib and Endocrine Therapy in HER2-positive, HR-positive Advanced Breast Cancer after Trastuzumab Failure
This study tests whether adding entinostat to pyrotinib and hormone therapy is safe and helps patients with advanced HR+/HER2+ breast cancer who progressed after trastuzumab.
-
Elacestrant plus trastuzumab deruxtecan for HR-positive, HER2-low or HER2-ultralow metastatic breast cancer after CDK4/6 and endocrine therapy
This trial tests whether combining elacestrant with trastuzumab deruxtecan helps people with HR-positive, HER2-low or HER2-ultralow metastatic breast cancer that progressed after CDK4/6 inhibitor and endocrine treatment.
-
Tucatinib plus trastuzumab for HER3-mutant, HER2-not amplified metastatic breast cancer
This trial will test whether combining tucatinib and trastuzumab helps people with metastatic or unresectable breast cancer whose tumors are HER2-negative but carry activating ERBB3 (HER3) mutations.
-
Bevacizumab added or not to T-DXd for HER2-low breast cancer with brain metastases
This trial tests whether adding bevacizumab to trastuzumab deruxtecan helps people with HER2-low breast cancer that has spread to the brain.
-
Treatment options after targeted therapy stops working in advanced breast cancer
This study will see how well different treatments work for people with advanced breast cancer who have stopped responding to CDK4/6 inhibitors, PIK3CA inhibitors, or T-DXd.
-
Toxicity markers for Trastuzumab‑Deruxtecan in advanced breast cancer
This project will test whether blood markers can predict serious side effects, including interstitial lung disease, in adults with metastatic HER2‑positive or HER2‑low breast cancer who are treated with Trastuzumab‑Deruxtecan.
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.