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Examination of biomarkers for progression or long-term response in trastuzumab deruxtecan (EXPLORE study)

Examination of biomarkers for progression or long-term response in trastuzumab deruxtecan (EXPLORE study) - EXPLORE study (JBCRG-TR04/R7000-J081-002)

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
JPRN
Registry ID
JPRN-UMIN000057863
Enrollment
120
Registered
2025-05-19
Start date
2025-06-01
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HER2-negative or HER2-low unresectable or recurrent breast cancer

Interventions

None listed

Sponsors

Eisai Co.,Ltd.
Lead Sponsor
Japan Breast Cancer Research Group (JBCRG)
Collaborator

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1) Patients who are confirmed to be HER2 positive or HER2 low by a primary physician in accordance with the American Society of Clinical Oncology/College of American Pathologists guidelines. 2) Patients who have given their consent to participate in this study. However, if it is difficult to explain and give consent, they have not declined the use of their clinical information in the public announcement of the study contents. 3) Patients aged 18 years or older at the time of tumor tissue collection (metastatic/recurrent stage) 4) Patients have a history of T-DXd treatment as second to fourth line chemotherapy for unresectable or recurrent breast cancer. 5) T-DXd treatment meets the criteria for either early progression or efficacy. < the criteria of early progression or effective cases (T-DXd treatment period and response)> 1. HER2 positive/early progression; 2nd line therapy: less than 9M, 3rd line therapy: less than 6M, 4th line therapy: less than 6M 2. HER2 positive/effective; 2nd line therapy: more than 20M or complete response (CR), 3rd line therapy: more than 11M or CR, 4th line therapy: more than 11M or CR 3. HER2 low expression/early progression; 2nd line therapy: less than 4M, 3rd line therapy: less than 4M, 4th line therapy: less than 4M 4. HER2 low expression /effective; 2nd line therapy: more than 10M or complete response (CR), 3rd line therapy: more than 10M or CR, 4th line therapy: more than 10M or CR 6) Patients must have archived tumor tissue samples from the metastatic/recurrent stage (at the time of diagnosis of unresectable or metastatic breast cancer or later) and before T-DXd treatment. However, for early progression cases, patients who only have samples from after progression of T-DXd treatment are also eligible. At the National Cancer Center Hospital, samples from which comprehensive consent has been obtained will be used.

Exclusion criteria

Exclusion criteria: 1) Patients in which treatment was discontinued within the early progression criteria due to adverse events during T-DXd treatment 2) Patients who were treated T-DXd for reasons other than disease progression in effective groups 3) Patients who could not consent to the secondary use of information obtained in this study

Design outcomes

Primary

MeasureTime frame
1) HER2 expression status 2) Exploration of factors related to T-DXd efficacy

Countries

Japan

Contacts

Public ContactTatsunori Shimoi

National Cancer Center Hospital Department of Medical Oncology

tshimoi@ncc.go.jp03-3542-2511

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Sep 19, 2026