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RecruitingNCT06551220HEROICUpdated May 22, 2026

Efficacy of Trastuzumab Deruxtecan in Metastatic Breast Cancer With Different HER2 Expression Patterns

An observational study in Metastatic Breast Cancer, sponsored by Sun Yat-sen University. Recruiting at 26 sites in 2 countries. Open to female participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-05-22.

Sponsored by Sun Yat-sen University · Observational

From the registry’s dates

  • Primary completion was expected by Jul 2026, 3 months ago, but the record still lists the study as recruiting.
  • Started Oct 2022; still recruiting 3 years 11 months later.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
800
Ages
18 Years to 80 Years
Sex
Female
01

Study summary

The purpose of this observational study is to learn about the HER2 heterogeneity and its impact on benefit from trastuzumab deruxtecan in metastatic breast cancer. The main question it aims to answer is:

- Does the heterogeneity of HER2 expression level and spatial distribution in different tissues affect the efficacy of trastuzumab deruxtecan in metastatic breast cancer?

02

Conditions studied

  • Metastatic Breast Cancer

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Keywords

  • Breast Cancer
  • Trastuzumab Deruxtecan
  • HER2
03

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 planned enrollment of 800 is above the median of 184 across 2,642 observational studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Sun Yat-sen University is the lead sponsor of 1,644 studies on the registry; 602 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

This study is a multicenter, retrospective study led by the Sun Yat-sen University Cancer Center. A total of 16 centers are planned to participate in the study, and it aims to include patients with advanced or locally unresectable breast cancer who have received treatment with T-DXd.

Inclusion criteria

  • Patients with advanced or locally unresectable breast cancer;
  • Treated with T-DXd (DS-8201, trastuzumab deruxtecan) regardless of line of therapy, HR, and HER2 expression level;
  • HER2 immunohistochemistry staining information of the primary lesion or metastatic/recurrent lesion;
  • Measurable lesions with treatment response results that can be evaluated through imaging examinations;
  • Able to follow up with the latest progression-free survival or overall survival.

Exclusion criteria

Exclusion Criteria:

  • Patients with missing basic clinical information or HER2 immunohistochemistry staining information;
  • Patients with missing pathological results for both primary and metastatic/recurrent lesions;
  • Patients with no measurable lesions and unable to evaluate T-DXd treatment response;
  • Discontinue T-DXd therapy for unacceptable adverse events or other reasons;
  • Patients lost to follow-up after T-DXd treatment.
05

Study design

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

Groups and cohorts

  • Trastuzumab Deruxtecan

    Drug: Trastuzumab Deruxtecan

Interventions

  • DrugTrastuzumab Deruxtecan

    The patients received Trastuzumab Deruxtecan at a dose of 5.4 mg/kg every 3 weeks until disease progression or unacceptable adverse effects occurred.

06

What researchers measure

Primary outcomes

  1. Progression-free survival (PFS)

    Progression-free survival (PFS) is defined as the time from T-DXd treatment initiation to disease progression or death from any cause.

    Time frame: From date of T-DXd treatment initiation until the date of first documented disease progression or date of death from any cause, whichever came first, assessed up to 60 months.

Secondary outcomes

  1. Overall survival (OS)

    Overall survival (OS) is defined as the time from treatment initiation to death from any cause.

    Time frame: From date of T-DXd treatment initiation until the date of death from any cause, assessed up to 60 months.

Other outcomes

  1. Objective response rate (ORR)

    The Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) was used as the standard for evaluating treatment response to T-DXd. The response was evaluated based on the change in the tumor relative to baseline and was categorized as complete response (CR), partial response (PR), stable disease (SD), or progressive disease (PD). Objective response rate (ORR) is defined as the proportion of patients who achieved CR or PR.

    Time frame: From screening and every 2-6 weeks up to progressive disease, or unacceptable toxicity, assessed up to 60 months.

  2. Disease control rate (DCR)

    The Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) was used as the standard for evaluating treatment response to T-DXd. The response was evaluated based on the change in the tumor relative to baseline and was categorized as complete response (CR), partial response (PR), stable disease (SD), or progressive disease (PD). Disease control rate (DCR) was defined as the proportion of patients who achieved CR, PR, or SD.

    Time frame: From screening and every 2-6 weeks up to progressive disease, or unacceptable toxicity, assessed up to 60 months.

  3. Clinical benefit rate (CBR)

    The Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) was used as the standard for evaluating treatment response to T-DXd. The response was evaluated based on the change in the tumor relative to baseline and was categorized as complete response (CR), partial response (PR), stable disease (SD), or progressive disease (PD). The clinical benefit rate (CBR) was defined as the proportion of patients who achieved CR, PR, or SD for at least 24 weeks.

    Time frame: From screening and every 2-6 weeks up to progressive disease, or unacceptable toxicity, assessed up to 60 months.

07

Study locations

26 of 26 sites recruiting
  • Yale Cancer Center
    New Haven, Connecticut 06510, United States
    Recruiting
  • Dana-Farber Cancer Institute, Harvard Medical School
    Boston, Massachusetts 02215, United States
    Recruiting
  • Fujian Cancer Hospital, Fujian Medical University
    Fuzhou, Fujian, China
    Recruiting
  • The 10th Affiliated Hospital of Southern Medical University
    Dongguan, Guangdong, China
    Recruiting
  • The First People's Hospital of Foshan
    Foshan, Guangdong, China
    Recruiting
  • The Sixth Affiliated Hospital, School of Medicine, South China University of Technology.
    Foshan, Guangdong, China
    Recruiting
  • Sun Yat-sen University Cancer Center
    Guangzhou, Guangdong 510060, China
    Recruiting
  • The Affiliated Panyu Central Hospital, Guangzhou Medical University
    Guangzhou, Guangdong 511400, China
    Recruiting
  • Guangdong Provincial Hospital of Chinese Medicine
    Guangzhou, Guangdong, China
    Recruiting
  • The Affiliated Cancer Hospital, Guangzhou Medical University
    Guangzhou, Guangdong, China
    Recruiting
  • The First Affiliated Hospital of Guangzhou Medical University
    Guangzhou, Guangdong, China
    Recruiting
  • The First Affiliated Hospital of Guangzhou University of Chinese Medicine
    Guangzhou, Guangdong, China
    Recruiting
  • Cancer Hospital of Shantou University Medical College
    Shantou, Guangdong 515041, China
    Recruiting
  • Yuebei People's Hospital of Shantou University
    Shaoguan, Guangdong, China
    Recruiting
  • National Cancer Center Shenzhen Hospital
    Shenzhen, Guangdong, China
    Recruiting
  • Shenzhen People's Hospital
    Shenzhen, Guangdong, China
    Recruiting
  • Zhongshan City People's Hospital
    Zhongshan, Guangdong, China
    Recruiting
  • The Fifth Affiliated Hospital of Sun Yat-sen University
    Zhuhai, Guangdong 519000, China
    Recruiting
  • Changde Hospital, Xiangya School of Medicine, Central South University
    Changde, Hunan, China
    Recruiting
  • Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University
    Changsha, Hunan 410013, China
    Recruiting
  • The Second Xiangya Hospital of Central South University
    Changsha, Hunan, China
    Recruiting
  • The First Affiliated Hospital, Hengyang Medical School, University of South China
    Hengyang, Hunan, China
    Recruiting
  • Affiliated Cancer Hospital of Inner Mongolia Medical University
    Hohhot, Inner Mongolia, China
    Recruiting
  • The First Affiliated Hospital of Nanjing Medical University
    Nanjing, Jiangsu 210029, China
    Recruiting
  • Xinhua Hospital Afliated to Shanghai Jiaotong University
    Shanghai, Shanghai Municipality, China
    Recruiting
  • The Second Affiliated Hospital, Zhejiang University School of Medicine
    Hangzhou, Zhejiang, China
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06551220
Lead sponsor
Sun Yat-sen University
Responsible party
Yutian Zou (Assistant Professor, Sun Yat-sen University) — Principal investigator
First posted
Aug 13, 2024
Start date
Oct 10, 2022
Primary completion
Jul 2026 (estimated)
Completion
Jul 2026 (estimated)
Last update
May 22, 2026

Study contacts

Xiaoming Xie, MD, PhD
Contact
xiexm@sysucc.org.cn
86-020-87343806
Yutian Zou, MD, PhD
Contact
zouyt@sysucc.org.cn
86-020-87343806
Xiaoming Xie, MD, PhD
principal investigator · Sun Yat-Sen University Cancer Center

Oversight

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

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