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Brief Title: T-DXd Therapy for HER2-low Breast Cancer Patients With Brain Metastases
Official Title: Phase II Study of Trastuzumab-Deruxtecan (T-DXd; DS-8201a) in HER2-Low Breast Cancer Patients Presenting With Newly Diagnosed or Progressing Brain Metastases
Study ID: NCT06048718
Brief Summary: TUXEDO-4 is an international, multicentric, single arm, phase II study aiming to gather additional solid evidence of Trastuzumab-Deruxtecan (T-DXd) activity in patients with Human Epidermal Growth Factor Receptor 2 (HER2)-low breast cancer with active brain metastases. This study will analyze the efficacy of T-DXd as determined by overall response rate (ORR) at any timepoint as judged by best CNS response according to RANO-BM criteria.
Detailed Description: This is an international, multicentric, single arm, phase II study to evaluate the safety and efficacy of T-DXd in HER2-low breast cancer with newly diagnosed or progressing brain metastases with or without untreated type II leptomeningeal disease (LMD). Upon meeting all selection criteria, a total of 27 patients will be enrolled as follows: 13 patients will be accrued in stage 1 to receive T-DXd and additional 14 patients will be accrued in stage 2 according to the number of responses seen in stage 1. The main objective is to analyze the efficacy of T-DXd as determined by ORR at any timepoint as judged by best CNS response according to RANO-BM criteria. End of study is estimated to occur approximately 11 months after the last patient included in the study starts treatment, unless premature termination of the study.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Name: Maximilian Marhold, MD, PhD, PD
Affiliation: Medical University of Vienna, Vienna General Hospital, Vienna, Austria
Role: PRINCIPAL_INVESTIGATOR
Name: Matthias Preusser, MD, Prof
Affiliation: Medical University of Vienna, Vienna General Hospital, Vienna, Austria
Role: PRINCIPAL_INVESTIGATOR