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临床试验/NCT06551116
NCT06551116招募中不适用

QuantifyHER: Quantitative Immunofluorescence and/or RT-qPCR for Measuring HER2 in HER2-low Metastatic Breast Cancer

Abramson Cancer Center at Penn Medicine65 个研究点 分布在 1 个国家目标入组 200 人开始时间: 2024年10月10日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
200
试验地点
65
主要终点
Real-World Objective Response Rate

研究概览

简要总结

This study will assess whether a quantitative, HER2 assay can accurately and reliably discriminate between responders and non-responders among patients with HER2 IHCI+ metastatic breast cancer who are receiving T-Dxd.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Women and men age > 18 years
  • Metastatic breast cancer, histologically- confirmed. Any estrogen receptor (ER) status is allowed. ER status will be determined by local laboratory assessment utilizing ASCO/CAP guidelines.
  • Primary and/or metastatic tumor with 1+ level of expression of HER2 by immunohistochemistry as determined by local laboratory assessment utilizing ASCO/CAP guidelines.
  • Measurable disease by cross-sectional imaging at the start of treatment. Patients with measurable bone-only disease or active brain metastases are eligible.
  • Archival tissue available for biomarker assessment. One specimen should be the most recent metastatic biopsy. If HER2 1+ status was determined on a different specimen (either primary or metastatic tissue), that specimen is also required. Samples obtained from bone metastases that were processed via decalcification methods are not eligible.
  • Intention to initiate therapy with T-DXd (Enhertu) at FDA-approved dose and schedule as next line of therapy. If T-DXd was already initiated, patients must be registered within 30 days of initiation.
  • Ability to provide informed consent

排除标准

  • Concurrent Her2-overexpressing metastatic breast cancer (as confirmed by a metastatic biopsy with IHC 3+ or IHC 2+ with FISH amplified as per standard ASCO/CAP guidelines)

结局指标

主要结局

Real-World Objective Response Rate

时间窗: from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months

Association between quantitative HER2 expression (as a continuous variable) and real-world objective response rate

次要结局

  • Association between combined mRNA + QIF and real-world Objective Response Rate(from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months)
  • Real-World Progression Free Survival(from date of first dose of T-DXd to date of last dose of T-DXd for each.Up to 100 months)
  • Threshold for HER2 QIF and/or mRNA levels(from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months)
  • Real-World Progression Free Survival and Objective Response Rate by estrogen receptor expression(from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (65)

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