RecruitingPhase 3NCT07205822

A Study of Dato-DXd in Inoperable or Metastatic Hormone Receptor-positive, HER2 IHC 0 Breast Cancer

A Phase IIIb, Open-label, Multinational Study Assessing the Efficacy and Safety of Dato-DXd Treatment in Patients With HRpositive, HER2 IHC 0, Locally Advanced Inoperable or Metastatic Breast Cancer Refractory to Endocrine Therapy (TROPION-Breast06)


Sponsor

AstraZeneca

Enrollment

100 participants

Start Date

Oct 30, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

A study to assess the efficacy and safety of Dato-DXd in the pre-chemotherapy setting for patients with metastatic HR-positive, HER2 IHC 0 breast cancer.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a drug called Dato-DXd (datopotamab deruxtecan) — a targeted antibody-drug therapy — in people with advanced or metastatic breast cancer that is hormone receptor-positive and completely HER2-negative (called HER2 IHC 0). This is a specific subgroup of breast cancer patients who currently have limited treatment options after hormonal therapy stops working. **You may be eligible if...** - You are 18 or older with inoperable or metastatic breast cancer - Your cancer is hormone receptor-positive (ER or PR positive) and HER2 IHC 0 - Your cancer has progressed on hormonal therapy, and further hormonal treatment is not appropriate - Your overall health and ability to function is rated good (ECOG 0 or 1) - You have at least one measurable or evaluable tumor - Your organ function and bone marrow are adequate - You have tumor tissue available for testing **You may NOT be eligible if...** - Your cancer is classified as HER2-low or HER2-positive (this trial is specifically for HER2 IHC 0) - You have untreated or active brain metastases - You have serious lung, liver, or heart conditions - You are pregnant or breastfeeding - You have not yet tried or progressed through hormonal therapy Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGDato-DXd

All participants will receive Dato-DXd (6 mg/kg IV on Day 1, Q3W; up to a maximum of 540 mg Q3W for participants ≥ 90 kg) until investigator-defined disease progression according to RECIST 1.1 or until unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation is met. Continued treatment with the same study drug post-progression may be allowed, based on prior discussion with sponsor/sponsor representative/study physician on a case-by-case basis following written investigator's confirmation of continuing clinical benefit to the patient post progression. The study is anticipated to enrol for an 18-month period, and DCO is expected to occur approximately 6 months after the last participant has been dosed.


Locations(41)

Research Site

Largo, Florida, United States

Research Site

Fort Wayne, Indiana, United States

Research Site

Omaha, Nebraska, United States

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New York, New York, United States

Research Site

Houston, Texas, United States

Research Site

Puyallup, Washington, United States

Research Site

Beijing, China

Research Site

Changsha, China

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Guangzhou, China

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Linyi, China

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Shandong, China

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Wuhan, China

Research Site

Zhengzhou, China

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Clermont-Ferrand, France

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La Roche-sur-Yon, France

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Montpellier, France

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Paris, France

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Pierre-Bénite, France

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Aviano, Italy

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Florence, Italy

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Meldola, Italy

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Milan, Italy

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Naples, Italy

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Roma, Italy

Research Site

Bukgu, South Korea

Research Site

Goyang-si, South Korea

Research Site

Seoul, South Korea

Research Site

Seoul, South Korea

Research Site

Seoul, South Korea

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Seoul, South Korea

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Seoul, South Korea

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Seoul, South Korea

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Seoul, South Korea

Research Site

A Coruña, Spain

Research Site

Barcelona, Spain

Research Site

Granada, Spain

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Madrid, Spain

Research Site

Madrid, Spain

Research Site

Madrid, Spain

Research Site

Seville, Spain

Research Site

Valencia, Spain

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NCT07205822


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