CClinicalTrials.gg
RecruitingNCT06551116Updated Jul 8, 2026

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

An observational study in HER2-positive Metastatic Breast Cancer, sponsored by Abramson Cancer Center at Penn Medicine. Recruiting at 37 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-08.

Sponsored by Abramson Cancer Center at Penn Medicine · Observational

From the registry’s dates

  • Started Oct 2024; still recruiting 1 year 11 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
18 Years and older
Sex
All
01

Study summary

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.

02

Conditions studied

  • HER2-positive Metastatic Breast Cancer
03

In context

Lead sponsor

Abramson Cancer Center at Penn Medicine is the lead sponsor of 446 studies on the registry; 86 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 14 (44%) have results posted.

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

04

Who can participate

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

Study population

Patients with HER2 IHC1+ metastatic breast cancer, histologically confirmed

Inclusion criteria

  • 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

Exclusion criteria

Exclusion Criteria:

  • 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)
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
200 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • HER2 Assay

    Analysis of HER2 expression via QIF and mRNA assays

    Diagnostic Test: CE-10-IVD

Interventions

  • Diagnostic testCE-10-IVD

    Leftover tumor tissue from a routine biopsy will be sent for analysis.

06

What researchers measure

Primary outcomes

  1. Real-World Objective Response Rate

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

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

Secondary outcomes

  1. Real-World Progression Free Survival

    Association between quantitative HER2 expression (as a continuous variable) and real world Progression Free Survival

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

  2. Real-World Progression Free Survival and Objective Response Rate by estrogen receptor expression

    Association between HER2 expression by quantitative immunofluorescence and mRNA in HER2 IHC 1+ tumors and both rwORR and rwPFS, stratified by mRNA ER expression

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

  3. Threshold for HER2 QIF and/or mRNA levels

    cut-off value for HER2 QIF, mRNA and the combination below which patients will not respond to T-DXd."

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

  4. Association between combined mRNA + QIF and real-world Objective Response Rate

    Comparison, based on rwORR, of a linear combination of HER2 QIF and mRNA, versus either alone in ability to discriminate T-DXd responders from non- responders

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

07

Study locations

37 of 37 sites recruiting
  • University of California San Francisco Medical Center
    San Francisco, California 94143, United States
    Recruiting
  • Smilow Cancer Hospital-Derby Care Center
    Derby, Connecticut 06418, United States
    Recruiting
  • Smilow Cancer Hospital Care Center
    Fairfield, Connecticut 06824, United States
    Recruiting
  • Smilow Cancer Hospital at Glastonbury
    Glastonbury, Connecticut 06033, United States
    Recruiting
  • Smilow Cancer Hospital Care Center at Greenwich
    Greenwich, Connecticut 06830, United States
    Recruiting
  • Smilow Cancer Hospital Care Center
    Guilford, Connecticut 06437, United States
    Recruiting
  • Smilow Cancer Hospital at Saint Francis
    Hartford, Connecticut 06105, United States
    Recruiting
  • Yale-New Haven Hospital North Haven Medical Center
    New Haven, Connecticut 06473, United States
    Recruiting
  • Yale Cancer Center
    New Haven, Connecticut 06511, United States
    Recruiting
  • Smilow Cancer Hospital Care Center at Long Ridge
    Stamford, Connecticut 06901, United States
    Recruiting
  • Smilow Cancer Hospital-Torrington Care Center
    Torrington, Connecticut 06790, United States
    Recruiting
  • Smilow Cancer Hospital Care Center
    Trumbull, Connecticut 06611, United States
    Recruiting
  • Smilow Cancer Hospital-Waterbury Care Center
    Waterbury, Connecticut 06708, United States
    Recruiting
  • Smilow Cancer Hospital Care Center - Waterford
    Waterford, Connecticut 06385, United States
    Recruiting
  • Georgetown University - Lombardi CCC
    Washington D.C., District of Columbia 20007, United States
    Recruiting
  • MedStar Washington Hospital Center
    Washington D.C., District of Columbia 20010, United States
    Recruiting
  • Sibley Memorial Hospital
    Washington D.C., District of Columbia 20016, United States
    Recruiting
  • University of Chicago Medical Center
    Chicago, Illinois 60637, United States
    Recruiting
  • University of Chicago Comprehensive Cancer Center at Silver Cross
    New Lenox, Illinois 60451, United States
    Recruiting
  • University of Chicago Medicine-Orland Park
    Orland Park, Illinois 60462, United States
    Recruiting
  • University of Chicago Medicine Northwest Indiana
    Crown Point, Indiana 46307, United States
    Recruiting
  • John's Hopkins Hospital
    Baltimore, Maryland 21287, United States
    Recruiting
  • Penn Medicine Princeton Medical Center
    Plainsboro, New Jersey 08536, United States
    Recruiting
  • Montefiore Einstein Medical Center
    The Bronx, New York 10467, United States
    Recruiting
  • UNC Chapel Hill
    Chapel Hill, North Carolina 27599, United States
    Recruiting
  • Abramson Cancer Center of the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15213, United States
    Recruiting
  • UPMC Hillman CC
    Pittsburgh, Pennsylvania 15232, United States
    Recruiting
  • Smilow Cancer Hospital Care Center
    Westerly, Rhode Island 02891, United States
    Recruiting
  • Ben Taub General Hospital
    Houston, Texas 77030, United States
    Recruiting
  • MD Anderson Cancer center
    Houston, Texas 77030, United States
    Recruiting
  • Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
    Houston, Texas 77054, United States
    Recruiting
  • MD Anderson Cancer Center
    Houston, Texas 77079, United States
    Recruiting
  • MD Anderson Cancer center
    League City, Texas 77573, United States
    Recruiting
  • MD Anderson Cancer Center
    Sugar Land, Texas 77478, United States
    Recruiting
  • MD Anderson Cancer center
    Woodland, Texas 77384, United States
    Recruiting
  • University of Washington - Fred Hutchinson Cancer Center
    Seattle, Washington 98109, United States
    Recruiting
08

References and documents

Study documents

  • Protocol and statistical analysis plan · Jan 19, 2024
  • Informed consent form · Apr 10, 2024

Documents are hosted by the registry — open the source record to download them.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06551116
Lead sponsor
Abramson Cancer Center at Penn Medicine
Collaborators
Translational Breast Cancer Research Consortium, Danaher Inc.
Responsible party
Sponsor
First posted
Aug 13, 2024
Start date
Oct 10, 2024
Primary completion
Sep 1, 2029 (estimated)
Completion
Sep 1, 2029 (estimated)
Last update
Jul 8, 2026

Study contacts

Angela DeMichele, MD
Contact
angela.demichele@pennmedicine.upenn.edu
215-908-2599
Angela DeMichele, MD
principal investigator · Abramson Cancer Center at Penn Medicine

Oversight

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

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