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Trastuzumab-deruxtecan in Patients With Triple-negative Metastatic HER2-Low Breast Cancer: Real-world Experience in Brazil

Terminated
Conditions
Breast Cancer
Interventions
Registration Number
NCT06231693
Lead Sponsor
AstraZeneca
Brief Summary

A national, multicenter, retrospective, observational study (Real-World Evidence-RWE) aimed to assess the efficacy of Trastuzumab-deruxtecan (T-DXd) in patients with triple-negative (RE\<10%) metastatic HER2-Low breast cancer.

Detailed Description

Data from study DESTINY-04 have established T-DXd as the standard second-line treatment for HER2-Low breast tumors. In that study, about 90% of the population had estrogen-positive receptor (ER+) tumors, under-representing negative ER population. The investigators propose to assess T-DXd efficacy in HER2-Low/ER ≤10% patients in Brazilian population by means of a RWE analysis. Endpoints will be assessment of time to the next treatment, objective response rate, and real-world progression-free survival and real-world overall survival.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
2
Inclusion Criteria
  • Aged above 18 years old;
  • Have advanced, hormone receptor negative (ER ≤10%), HER2-Low (1+ or 2+/FISH negative) breast cancer;
  • Have been treated with at least one trastuzumab-deruxtecan dose for advanced disease (incurable) as a second or later line;
  • Do not have active CNS metastatic lesions, characterized as stable, asymptomatic lesions and with no targeted treatment for at least 6 months.
Exclusion Criteria
  • Have been previously treated with trastuzumab-deruxtecan (neoadjuvant, adjuvant, other neoplasms);
  • Have other active neoplasms (except from non-melanoma skin tumors);
  • Have serious or active non-oncology lung diseases;
  • Have other primary and concurrent breast tumor with differing receptor profiles.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Trastuzumab-deruxtecanTrastuzumab deruxtecan-
Primary Outcome Measures
NameTimeMethod
Time to Next TreatmentThrough study completion, an average of 1 year
Secondary Outcome Measures
NameTimeMethod
Response RateThrough study completion, an average of 18 months
Real World Progression Free SurvivalThrough study completion, an average of 18 months
Real World Overall SurvivalThrough study completion, an average of 18 months
Epidemiological FeaturesThrough study completion, an average of 18 months

Age, comorbidities, somatic mutations, pattern of HER2 testing.

Trial Locations

Locations (1)

Research Site

🇧🇷

São Paulo, Brazil

Research Site
🇧🇷São Paulo, Brazil

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