Treatment for HER2-low advanced breast cancer using Disitamab vedotin

Disitamab Vedotin (RC48-ADC) in Patients With HER2-low Advanced Breast Cancer

NA · RenJi Hospital · NCT05831878

This study is testing a new treatment called Disitamab vedotin for people with HER2-low advanced breast cancer who have already tried one round of chemotherapy to see if it can help them feel better and live longer.

Quick facts

PhaseNA
Study typeInterventional
Enrollment36 (estimated)
Ages18 Years and up
SexFemale
SponsorRenJi Hospital (other)
Drugs / interventionschemotherapy, Disitamab
Locations1 site (Shanghai)
Trial IDNCT05831878 on ClinicalTrials.gov

What this trial studies

This clinical trial evaluates the efficacy and safety of Disitamab vedotin (RC48-ADC) as a salvage treatment for patients with HER2-low advanced breast cancer who have previously received up to one chemotherapy for recurrent or metastatic disease. The study focuses on patients whose tumors are classified as HER2-low, defined by specific immunohistochemistry and FISH test results. Key outcomes assessed include overall response rate (ORR), progression-free survival (PFS), overall survival (OS), and adverse events (AE) during the treatment period.

Who should consider this trial

Good fit: Ideal candidates for this study are female patients aged 18-70 years with HER2-low advanced breast cancer who have received no more than one previous chemotherapy.

Not a fit: Patients with a history of thromboembolic events, uncontrolled systemic diseases, or active infections may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with HER2-low advanced breast cancer who have limited treatment alternatives.

How similar studies have performed: While the specific approach of using Disitamab vedotin for HER2-low advanced breast cancer is novel, similar antibody-drug conjugate strategies have shown promise in other cancer types.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Female patients aged ≥18 years
* Expected survival ≥12 weeks
* ECOG 0-1
* Histologically confirmed invasive advanced or metastatic breast cancer that is incurable and unresectable
* At least one measurable lesion according to the RECIST 1.1
* No history of antibody-drug conjugate use
* Up to one previous chemotherapy for advanced disease
* Available hormone receptor status. Hormone receptor-positive subjects are allowed to receive no more than two previous endocrine therapy for advanced disease
* HER2-low tumors, defined as IHC1+ or IHC2+ with negative FISH test; or HER2-ultralow tumors, defined as incomplete and faint membrane staining in \>0 but ≤10% of tumor cells
* Adequate organ function

Exclusion Criteria:

* History of thromboembolic events
* Uncontrolled systemic diseases, including diabetes, hypertension, interstitial lung disease, cirrhosis, etc.
* Active infections requiring systemic treatment
* Pregnant or lactating
* Presence of brain metastases and/or carcinomatous meningitis

Where this trial is running

Shanghai

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: Advanced Breast Cancer

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.