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Recruiting NCT06551116

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

Observational HER2-positive Metastatic Breast Cancer

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: CE-10-IVD.
Who it may be relevant to
Registry conditions: HER2-positive Metastatic Breast Cancer. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Overview

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.

Interventions

  • Diagnostic test CE-10-IVD
    Leftover tumor tissue from a routine biopsy will be sent for analysis.

Primary outcome measures

  • 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 outcome measures (4)
  • 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]
  • Real-World Progression Free Survival and Objective Response Rate by estrogen receptor 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]
  • Threshold for HER2 QIF and/or mRNA levels [Time frame: from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months]
  • Association between combined mRNA + QIF 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]

Eligibility criteria

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

  • 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)

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Cohort

Study locations

United States · 37 centers
  • University of California San Francisco Medical Center — San Francisco
  • Smilow Cancer Hospital-Derby Care Center — Derby
  • Smilow Cancer Hospital Care Center — Fairfield
  • Smilow Cancer Hospital at Glastonbury — Glastonbury
  • Smilow Cancer Hospital Care Center at Greenwich — Greenwich
  • Smilow Cancer Hospital Care Center — Guilford
  • Smilow Cancer Hospital at Saint Francis — Hartford
  • Yale-New Haven Hospital North Haven Medical Center — New Haven
  • … and 29 more centers

Identifiers

NCT: NCT06551116 · UPCC 09124 · 855924

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗