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

HER2 Heterogeneity and Its Impact on Benefit From Trastuzumab Deruxtecan in Metastatic Breast Cancer

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06551220
Acronym
HEROIC
Enrollment
800
Registered
2024-08-13
Start date
2022-10-10
Completion date
2026-07-01
Last updated
2026-05-22

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

Conditions

Metastatic Breast Cancer

Keywords

Breast Cancer, Trastuzumab Deruxtecan, HER2

Brief 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?

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.

Sponsors

Sun Yat-sen University
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 80 Years
Healthy volunteers
No

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

* 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.

Design outcomes

Primary

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

Secondary

MeasureTime frameDescription
Overall survival (OS)From date of T-DXd treatment initiation until the date of death from any cause, assessed up to 60 months.Overall survival (OS) is defined as the time from treatment initiation to death from any cause.

Countries

China, United States

Contacts

CONTACTXiaoming Xie, MD, PhD
xiexm@sysucc.org.cn86-020-87343806
CONTACTYutian Zou, MD, PhD
zouyt@sysucc.org.cn86-020-87343806
PRINCIPAL_INVESTIGATORXiaoming Xie, MD, PhD

Sun Yat-Sen University Cancer Center

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 23, 2026