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TerminatedNCT06231693Updated May 8, 2025

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

An observational study in Breast Cancer, sponsored by AstraZeneca. Terminated at 2 sites in Brazil. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-08.

Sponsored by AstraZeneca · Observational

Why this study was terminated
The study was stopped due to a realignment of strategic priorities
Study type
Observational
Model
Case-only
Time perspective
Other
Enrollment
2
Ages
18 Years and older
Sex
All
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Study 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.

Read the 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.

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Conditions studied

  • Breast Cancer

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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 2 is below the median of 184 across 2,642 observational studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,429 studies on the registry; 270 are open to participants now.

Of its 357 completed or terminated interventional studies of FDA-regulated products, 173 (48%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients, with metastatic HER2-Low/ER ≤10% breast tumors, from Brazilian population, who were given TDXd as per usual prescription from their physician

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

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.
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Study design

Observational model
Case-only
Time perspective
Other
Enrollment
2 participants (actual)
Patient registry
No

Groups and cohorts

  • Trastuzumab-deruxtecan

    Drug: Trastuzumab deruxtecan

Interventions

  • DrugTrastuzumab deruxtecan

    Patients with RE\<10% and HER2-Low breast cancer that have received Trastuzumab-deruxtecan in the metastatic setting

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What researchers measure

Primary outcomes

  1. Time to Next Treatment

    Time frame: Through study completion, an average of 1 year

Secondary outcomes

  1. Response Rate

    Time frame: Through study completion, an average of 18 months

  2. Real World Progression Free Survival

    Time frame: Through study completion, an average of 18 months

  3. Real World Overall Survival

    Time frame: Through study completion, an average of 18 months

  4. Epidemiological Features

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

    Time frame: Through study completion, an average of 18 months

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Study locations

2 sites
  • Research Site
    Porto Alegre, Rio Grande Do Sul, Brazil
  • Research Site
    São Paulo, Brazil
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References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. "Yes", indicates that AZ are accepting requests for IPD, but this does not mean all requests will be approved.

Supporting information: Study protocol, Sap

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06231693
Lead sponsor
AstraZeneca
Collaborators
Hospital Israelita Albert Einstein
Responsible party
Sponsor
First posted
Jan 30, 2024
Start date
Dec 4, 2023
Primary completion
Mar 26, 2024
Completion
Mar 26, 2024
Last update
May 8, 2025

Study contacts

Italo Fernandes, MD
principal investigator · Hospital Israelita Albert Einstein

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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