Study of Datopotamab Deruxtecan and Durvalumab for Adults with Untreated Triple-Negative or Hormone Receptor-Low/HER2-Negative Breast Cancer

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What is this study about?

This clinical trial is focused on studying treatments for breast cancer, specifically for patients with Triple-Negative Breast Cancer (TNBC) or hormone receptor-low/HER2-negative breast cancer. The study will evaluate the effectiveness of a new treatment combination involving Datopotamab Deruxtecan (Dato-DXd) and Durvalumab, both given before and after surgery. This will be compared to the current standard treatment, which includes Pembrolizumab and chemotherapy, also administered before and after surgery. The purpose of the study is to determine if the new treatment combination is more effective than the standard treatment.

Participants in the study will receive either the new treatment combination or the standard treatment. The new treatment involves the use of Dato-DXd, a medication designed to target and destroy cancer cells, and Durvalumab, which helps the immune system fight cancer. These medications will be given through an intravenous infusion, which means they are delivered directly into the bloodstream. The standard treatment includes Pembrolizumab, another medication that boosts the immune system, along with chemotherapy, which uses drugs to kill cancer cells. Some participants may also receive a placebo, which is a substance with no active medication, to help compare the effects of the treatments.

The study will follow participants over a period of time to monitor their response to the treatments. This includes checking for the absence of cancer in the breast and lymph nodes after surgery, as well as tracking the time until any signs of cancer return or other health events occur. The goal is to see if the new treatment can improve outcomes for patients with these specific types of breast cancer. Participants will be closely monitored by healthcare professionals throughout the study to ensure their safety and well-being.

1 joining the study

Upon joining the study, the patient will be randomly assigned to one of two treatment groups. This assignment is done to compare the effectiveness of different treatment combinations for breast cancer.

2 neoadjuvant treatment phase

In this phase, the patient will receive treatment before surgery. The treatment involves either datopotamab deruxtecan and durvalumab or pembrolizumab with chemotherapy.

The medications are administered through intravenous infusion, which means they are given directly into the bloodstream through a vein.

3 surgery

After completing the neoadjuvant treatment, the patient will undergo surgery to remove the breast cancer. The goal is to achieve a pathological complete response, meaning no cancer is found in the tissue removed during surgery.

4 adjuvant treatment phase

Following surgery, the patient will receive additional treatment to help prevent cancer from returning. This phase includes durvalumab or pembrolizumab with or without chemotherapy, depending on the group assigned.

The medications are again administered through intravenous infusion.

5 follow-up

The patient will be monitored regularly to assess the effectiveness of the treatment and to check for any signs of cancer recurrence. This involves scheduled visits and tests as determined by the study protocol.

Who Can Join the Study?

  • Participants must be 18 years or older at the time of signing the informed consent form.
  • Participants must have Stage II or III breast cancer that is either triple-negative or hormone receptor-low/HER2-negative. This means the cancer does not have certain proteins that are usually found in breast cancer.
  • Participants must have an ECOG Performance Status of 0 or 1. This is a scale used to measure how well a person can perform daily activities. A score of 0 means fully active, and 1 means some symptoms but still able to do light work.
  • Participants must provide an acceptable tumor sample for testing.
  • Participants must have adequate bone marrow reserve and organ function. This means their blood and organs are working well enough to handle the treatment.
  • Participants must use contraception if they are male or female, following local rules about birth control for people in clinical studies.

Who Cannot Join the Study?

  • Patients who have already received treatment for their breast cancer cannot participate.
  • Patients with a type of breast cancer that is not Triple Negative or Hormone Receptor low/HER2-negative are excluded. Triple Negative means the cancer does not have any of the three common types of receptors known to fuel most breast cancer growth. Hormone Receptor low/HER2-negative means the cancer has low levels of hormone receptors and does not have the HER2 protein.
  • Patients who are not within the specified age range for the study cannot participate.
  • Both male and female patients are eligible, but those who do not meet other criteria will be excluded.
  • Patients who are considered part of a vulnerable population, which may include those unable to give informed consent, may be excluded.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
IRCCS Humanitas Research Hospital Rozzano Italy
Center For Pediatric And Adolescent Medicine Of The Johannes Gutenberg University Mainz Mainz Germany
Medizinische Universitaet Innsbruck Innsbruck Austria
Institut Gustave Roussy Villejuif France
Oncopole Claudius Regaud Toulouse France
Technische Universitaet Dresden Dresden Germany
Katholieke Universiteit te Leuven Leuven Belgium
Fondazione Policlinico Universitario Agostino Gemelli IRCCS Rome Italy
Medizinische Hochschule Hannover Hanover Germany
Centre Jean Perrin Clermont Ferrand France
Institut De Cancerologie De Lorraine Vandoeuvre Les Nancy France

Other Sites

Site Name City Country Status
Centre Antoine Lacassagne Nice France
Ospedale San Raffaele S.r.l. Milan Italy
Rotkreuzklinikum Muenchen gGmbH Munich Germany
IRCCS Istituto Nazionale Tumori Fondazione Pascale Naples Italy
Azienda Ospedaliero Universitaria Di Modena Modena Italy
Klinikum Esslingen GmbH Esslingen Am Neckar Germany
Haematologie-Onkologie im Zentrum MVZ GmbH Augsburg Germany
Specjalistyczny Szpital Onkologiczny Nu-Med Sp. z o.o. Tomaszow Mazowiecki Poland
Centre Francois Baclesse Caen France
Instytut Centrum Zdrowia Matki Polki Lodz Poland
Institut Sainte Catherine Avignon France
Ilgfjwtj Pionxzuqlducghp Cbzafq Cfzxlz Marseille France
Hnrvnjsi Vnqa dxszsvhz Barcelona Spain
Udodymxlwdoomivvdeead Eorxlzlu Afz Erlangen Germany
Hmttcqul Cespuu Dl Bsalcfwlb Barcelona Spain
Uupcedlevgie Dc Sdiqifsy Dk Chqypygjuo Santiago De Compostela Spain
Spzalhzbbff Pxhtolnbm Znkots Ohllng Zuvfhccnwa Subvysx Ucxetegtfzihb W Klcwxrbu Cracow Poland
Azbywiq Oldydqalbhe Uqgsgbfmoygbc Cngtckeaqkzy Dnxdp Sfrmfd E Ddekz Sbmgpfv Dh Tuvuxp Turin Italy
Ukbtzcukftvfjarttqdij Mfqorvlm Agb Munster Germany
Gciwhabeoyvbgmi Aunmfnjqk Antwerp Belgium
Ciekol Hiwwdtsntun Da Lx Cksh Bxmaqi Bayonne France
Byhropqqkgvammgvhhca Vmvcgtcxr Ksakmqudm Kvmevv El Eaxaktxr Ohjhneglcbrq Miskolc Hungary
Usfvjobzzpxqlcvuqsuqq Hnasmsbusl Abx Heidelberg Germany
Mxysexq Cvyivi &dvzsla Urstetsgjk Oo Fjbihewe Freiburg Im Breisgau Germany
Uhfxfukvjvalpq Cbihnfm Kscpflmtz Gdansk Poland
Kjegtnnd dra Tbnesbymsde Uapoxtezvwcq Mvonzpuv (wjd Klxaznprw Munich Germany
Uivcgbmjow Mumgfkl Ccmqog Hocuhjitqrcbnkgdb Hamburg Germany
Ofoldedzxopbrj Lbxy Gbiz Linz Austria
Ujsxbugyotdm Zteofmwniz Gwty Gent Belgium
Aijfuzpy Zntgmwznru Knwoc Brasschaat Belgium
Uwepnejuipjreztfvegir Szqnesoizoxyylvjbm Alw Kiel Germany
Hhpgts Kpvgwhnv Bqmjqgcfdjs Gckn Berlin Germany
Aifpzkh Skmfxbblw Uqznjrcvbzdbo Fhgdyf Cxvacwth Udine Italy
Irtcwbgk Cvxdev Dptdqcxtzcicmxzmj L'hospitalet De Llobregat Spain
Sbjsgnkh Phcxpnboo Suf z oays Gdynia Poland
Hmvhqlxo Cujfojh Uarjqcwhpollw Ldqjgm Brphu Zaragoza Spain
Ipnuvhva Odjnmywewe Vgffue Padua Italy
Pjmcibtzoild Du Lwrlxti Limoges France
Vmrghiln Nsbmwadp fsfl Gahghaumbz Gkzc Berlin Germany
Ifoivnpj Rxjxynwy Dm Cmgfct Dj Mspppjhmejm Montpellier France
Mige Zr Znvbjvo Zrkvqr Ncwndjcn Osm Sofia Bulgaria
Ttdnm Vsqwftiim Bixttzh Jbfxf Ksjzhn Szekszard Hungary
Dftcxpapt Knuvgcqxgof glrpo Hanover Germany
Oforwqkg Oidgqiijgu Igozqeu Budapest Hungary
Bezahuibxfd Vgbsoigfn Oaqtkgqtsmfx Kecskemet Hungary
Pxy Fudbzbwauv Dj Cbecj E Ribejakdj Cxdv G Pwcpmh Tricase Italy
Aboguge Uxu Temrjhl nmob oahaj Leghorn Italy
Aejtelrtmx Fmzqdmmsvce Dtvsamcz Katgqnvp guwjk Frankfurt Germany
Umwibzqzes Sehggroopns Hvquksxi Flj Axpdyx Tkhqqtjav Ii Ozhitohp Ecp Sofia Bulgaria
Aafvipaojx Pjbgmfan Hkpyfoqd Di Pzqpn Paris France
Vqosflzwfmfx Kxnvgnzyemszbihophcphtmaavqcnvmc mwc Feldkirch Austria
Utljixenqwrhjyjnmtjqw Umj Aru Ulm Germany
Aexjfen Uth Tewaeho Cwmzkk Prato Italy
Nkvzfznd Iweovdme Ohcyzwdch Iug Mzhqk Sfyqdmiwvqadadoxbvkdbbtdxhsk Igqvpolr Bpiovgod Cracow Poland
Cdgoivi Onrrpnqwh Igh Pwcwt Fmngdpkacj Losserbyvxa W Bdqlextqtr Bydgoszcz Poland
Keszuzol Mwftaknxhi dhs Biubzddzodfuyyb gmmhy Trier Germany
Sjalfhvpxrmn Kdhgxmrj Dwrfqd Dessau-Roßlau Germany
Gomro Hynyixw Dk Cppyfqpec Charleroi Belgium
Deeivzpykfru Cgfmnht Owrmccuhb Pvpqjrfsxlkk I Hvtjwqsmfqw Wroclaw Poland
Sbkz Celbj Garclptbfq Salzburg Austria
Hefmdoy Do Lymgpsfat Libramont-Chevigny Belgium
Brkbbhlelgza Cvybzzo Oymzadeiq Igj Mbptf Sjpirveubucivfxark W Baufpahswha Bialystok Poland
Ohnoabld Gjzikjuu Ptzmmldbjql Dg Mgtakqpl Macerata Italy
Prcmai Fxbl Irrqbfblyopkbxdvoc Ownqcbpfs Aln Hkqezvoazaor Gsf Freiburg Im Breisgau Germany
Ipsvyili Gbnysfv Reims France
Ktpqgocu Ediyidclblfcmqkttgkiohkm Hecncbleykqgrzato Essen Germany

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Austria Austria
Not recruiting
11.03.2024
Belgium Belgium
Not recruiting
11.03.2024
Bulgaria Bulgaria
Not recruiting
11.03.2024
France France
Not recruiting
11.03.2024
Germany Germany
Not recruiting
11.03.2024
Hungary Hungary
Not recruiting
11.03.2024
Italy Italy
Not recruiting
11.03.2024
Poland Poland
Not recruiting
11.03.2024
Spain Spain
Not recruiting
11.03.2024

Trial locations

Datopotamab Deruxtecan (Dato-DXd) is an experimental medication being studied for its potential to treat certain types of breast cancer. It is used in combination with other treatments to see if it can help shrink tumors before surgery and improve outcomes for patients with triple-negative or hormone receptor-low/HER2-negative breast cancer.

Durvalumab is a medication that helps the immune system recognize and attack cancer cells. In this trial, it is used both before and after surgery to see if it can improve the effectiveness of the treatment in patients with specific types of breast cancer.

Pembrolizumab is another medication that boosts the immune system’s ability to fight cancer. It is used in this study in combination with chemotherapy to evaluate its effectiveness in treating breast cancer before and after surgery.

Triple Negative Breast Cancer – This type of breast cancer is characterized by the absence of three common receptors known to fuel most breast cancer growth: estrogen, progesterone, and HER2. It tends to be more aggressive and has fewer treatment options compared to other breast cancer types. The cancer cells in triple negative breast cancer do not have the receptors that are targeted by some of the most effective therapies, making it more challenging to treat. It often grows and spreads more quickly than other types of breast cancer. This type of cancer is more likely to affect younger women and those with a BRCA1 gene mutation.

Hormone Receptor-Low/HER2-Negative Breast Cancer – This form of breast cancer has low levels of hormone receptors and lacks the HER2 protein, which is another common target for breast cancer treatments. The low presence of hormone receptors means that hormone therapy may not be as effective. It shares some characteristics with triple negative breast cancer but may have different growth patterns and responses to treatment. This type of cancer can be more difficult to treat due to the limited presence of targets for conventional therapies. It may require a combination of treatments to manage effectively.

Trial ID:
2023-505928-59-00
Protocol code:
D926QC00001
NCT ID:
NCT06112379
Trial Phase:
Therapeutic confirmatory (Phase III)

Other Trials to Consider

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  • Study comparing datopotamab deruxtecan with or without durvalumab to chemotherapy with pembrolizumab for patients with triple-negative breast cancer

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