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Spots Global Cancer Trial Database for Trastuzumab Deruxtecan in First-line HER2-positive Locally Advanced/MBC Patients Resistant to Trastuzumab+Pertuzumab

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Trial Identification

Brief Title: Trastuzumab Deruxtecan in First-line HER2-positive Locally Advanced/MBC Patients Resistant to Trastuzumab+Pertuzumab

Official Title: Phase II Trial of TRAstuzumab deruxtecaN in firSt-line Treatment of HER2-positive Locally advanCEd or Metastatic Breast caNcer (MBC) Patients Considered Resistant to Trastuzumab + Pertuzumab + Taxane Due to Early Relapse."TRANSCENDER Study"

Study ID: NCT05744375

Study Description

Brief Summary: The goal of this national, multicenter single arm phase II clinical trial is to study the efficacy, safety and tolerability of the administration of Trastuzumab Deruxtecan (T-DXd) in HER2-positive locally advanced or metastatic breast cancer (MBC) patients resistant to trastuzumab plus pertuzumab plus taxane due to early relapse. The main questions it aims to answer are: * To evaluate the antitumor activity of T-DXd in the first-line treatment of HER2-positive breast cancer patients resistant to trastuzumab-pertuzumab based therapy. * To assess other efficacy measures. * To evaluate safety and tolerability in all patients enrolled in the study. * To evaluate health-related quality of life (HRQoL). Forty-one evaluable patients will be treated with trastuzumab deruxtecan (T-DXd) 5.4 mg/kg IV every 3 weeks (± 3 days). Patients will receive T-DXd until unacceptable toxicity, progressive disease, informed consent withdrawal, or other discontinuation criterion is met.

Detailed Description: This is a national, multicenter single arm phase II clinical trial to study the efficacy, safety and tolerability of the administration of Trastuzumab Deruxtecan (T-DXd) in HER2-positive locally advanced or MBC patients resistant to trastuzumab plus pertuzumab plus taxane due to early relapse. Eligible patients will be enrolled and treated with T-DXd 5.4 mg/kg IV every 3 weeks. The T-DXd dose will be recalculated in the event that patients experience body weight variations greater than 10% during the treatment period. All patients enrolled will receive study therapy until radiographic or symptomatic progressive disease, unacceptable toxicity or withdraw of the informed consent, whatever occurs first. Study population: HER2-positive locally advanced or MBC patients who have not received prior chemotherapy or HER2 targeted therapy for advanced disease and with a Disease-Free Interval (DFI) of \<12 months from the end of prior (neo)adjuvant anti-HER2 therapy. Study Duration: The start date of the study is the date of the first site activation. Recruitment period will occur during approximately 24 months from the first patient in. The end date of the study is the date of the last visit of the last patient (LPLV), including follow-up. The duration of the study will be approximately 68 months from the first patient in. Performing exploratory objectives will be independent of the date of the end of the study.

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Hospital Universitario de Jeréz De La Frontera, Cádiz, Andalucía, Spain

Hospital Universitario de Jaén, Jaén, Andalucía, Spain

Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain

Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain

Hospital Universitario Puerta de Hierro de Majadahonda, Majadahonda, Madrid, Spain

Hospital Universitario Son Espases, Palma De Mallorca, Mallorca, Spain

Hospital Galdakao-Usansolo, Galdakao, Vizcaya, Spain

Complejo Hospitalario Universitario A Coruña (CHUAC), A Coruña, , Spain

Hospital San Juan de Alicante, Alicante, , Spain

Hospital Universitario de Badajoz, Badajoz, , Spain

Hospital del Mar, Barcelona, , Spain

Hospital Universitario San Pedro de Alcántara, Cáceres, , Spain

Hospital Universitario Clínico San Cecilio, Granada, , Spain

Hospital Universitario Arnau de Vilanova de Lleida, Lleida, , Spain

Hospital General Universitario Gregorio Marañón, Madrid, , Spain

Hospital Universitario Ramón y Cajal, Madrid, , Spain

Hospital Universitario 12 de Octubre, Madrid, , Spain

Hospital Universitario La Paz, Madrid, , Spain

Hospital Universitario Virgen del Rocío, Sevilla, , Spain

Contact Details

Name: Study Director Study Director

Affiliation: Hospital General Universitario Gregorio Marañón. Madrid, Spain.

Role: STUDY_DIRECTOR

Name: Study Director Study Director

Affiliation: Hospital del Mar. Barcelona, Spain.

Role: STUDY_DIRECTOR

Useful links and downloads for this trial

Clinicaltrials.gov

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