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
Medizinische Universitaet Innsbruck Innsbruck Austria
Institut Gustave Roussy Villejuif France
Oncopole Claudius Regaud Toulouse France
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
IRCCS Humanitas Research Hospital Rozzano Italy
Center For Pediatric And Adolescent Medicine Of The Johannes Gutenberg University Mainz Mainz Germany
Universitaetsklinikum Heidelberg AöR Heidelberg Germany
Technische Universitaet Dresden Dresden Germany
Katholieke Universiteit te Leuven Leuven Belgium

Other Sites

Site Name City Country Status
Istituto Oncologico Veneto Padua Italy
Centre Antoine Lacassagne Nice France
Haematologie-Onkologie im Zentrum MVZ GmbH Augsburg Germany
Orszagos Onkologiai Intezet Budapest Hungary
Centrum Onkologii Im. Prof. Franciszka Lukaszczyka W Bydgoszczy Bydgoszcz Poland
Klinikum der Technischen Universitaet Muenchen (TUM Klinikum) Munich Germany
IRCCS Istituto Nazionale Tumori Fondazione Pascale Naples Italy
Azienda Ospedaliero Universitaria Di Modena Modena Italy
Universitair Ziekenhuis Gent Gent Belgium
Algemeen Ziekenhuis Klina Brasschaat Belgium
Universitaetsklinikum Schleswig-Holstein AöR Kiel Germany
Klinikum Mutterhaus der Borromaeerinnen gGmbH Trier Germany
Azienda Sanitaria Universitaria Friuli Centrale Udine Italy
Instytut Centrum Zdrowia Matki Polki Lodz Poland
Grand Hopital De Charleroi Charleroi Belgium
Hospital Clinico Universitario Lozano Blesa Zaragoza Spain
SCRI CCCIT Ges.m.b.H. Salzburg Austria
Hopital De Libramont Libramont-Chevigny Belgium
Institut Sainte Catherine Avignon France
Klinikum Esslingen GmbH Esslingen Am Neckar Germany
Bialostockie Centrum Onkologii Im. Marii Sklodowskiej-Curie W Bialymstoku Bialystok Poland
Ospedale Generale Provinciale Di Macerata Macerata Italy
Institut Godinot Reims France
HELIOS Klinikum Berlin-Buch GmbH Berlin Germany
Praxis Fuer Interdisziplinaere Onkologie And Haematologie GbR Freiburg Im Breisgau Germany
Staedtisches Klinikum Dessau Dessau-Roßlau Germany
Polyclinique De Limoges Limoges France
Mbal Za Zhensko Zdrave Nadezhda OOD Sofia Bulgaria
Tolna Vármegyei Balassa János Kórház Szekszard Hungary
Specjalistyczny Szpital Onkologiczny Nu-Med Sp. z o.o. Tomaszow Mazowiecki Poland
Pia Fondazione Di Culto E Religione Card G Panico Tricase Italy
Universitaetsklinikum Erlangen AöR Erlangen Germany
Ospedale San Raffaele S.r.l. Milan Italy
Hospital Clinic De Barcelona Barcelona Spain
Vorarlberger Krankenhaus-Betriebsgesellschaft mbH Feldkirch Austria
Universidade De Santiago De Compostela Santiago De Compostela Spain
Szabolcs-Szatmar-Bereg Varmegyei Oktatokorhaz Nyiregyhaza Hungary
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki W Krakowie Cracow Poland
Universitaetsklinikum Ulm AöR Ulm Germany
Gasthuiszusters Antwerpen Antwerp Belgium
Centre Hospitalier De La Cote Basque Bayonne France
Borsod-Abauj-Zemplen Varmegyei Koezponti Korhaz Es Egyetemi Oktatokorhaz Miskolc Hungary
Medical Center – University Of Freiburg Freiburg Im Breisgau Germany
Azienda USL Toscana Centro Prato Italy
Rotkreuzklinikum Muenchen gGmbH Munich Germany
Centre Francois Baclesse Caen France
Agaplesion Frankfurter Diakonie Kliniken gGmbH Frankfurt Germany
Iqhknucj Rqudwagz Ds Cfphsu Dy Mvxdlrttywf Montpellier France
Dwgnbjqaw Koqvytkefxy glwkc Hanover Germany
Uxazcbosjz Mlomvfr Cqjyow Hapvatuivhkumngyx Hamburg Germany
Ofsjgjaomqiezx Lwhl Gzlk Linz Austria
Iuggqbdj Csuyww Ddanukojtghbueqcb L'hospitalet De Llobregat Spain
Ddmvtqfmnsgg Ccbbxgt Otsluoiwm Pdphdcozosuc I Hhecaxlifnb Wroclaw Poland
Smrxnblu Phbzijsmz Sun z ogtr Gdynia Poland
Nwjixg Vdnwkywbl Sroef Lghdq Kjuyjb Salgotarjan Hungary
Vvzekgag Nggfdakp fpcr Gxbbrccily Ggup Berlin Germany
Buvnwnproef Vtvyemzdx Ovffnrrgeodm Kecskemet Hungary
Asjbbtm Uwe Tttorta nlpd ovyxl Leghorn Italy
Afuizszieh Pomonsqj Hkzuujui Dj Pwmgw Paris France
Avtxtsl Otvzvbhqvap Uwjbxavcqcvbb Cmqrxxrsuyxy Dctcn Snukcm E Dfiiw Sktkohu Dr Teobde Turin Italy
Ukzrsrzdqtfszxmlzaphk Mxyqvkon Ant Munster Germany
Ncvfhpjz Ilytyszo Oyjqjfczq Igb Mybaq Sozuyelmbydhniwbphkubyvqqgyn Iedeemnp Bwjifdui Cracow Poland
Upqnklodbfdxtu Cnsxsct Kmczgtazn Gdansk Poland
Kwcrurpe Ewimauhpwiiclzuorxlvvapp Hshogjjtqmavewwje Essen Germany
Hwojrldu Vpde dnslbaap Barcelona Spain
Ioblkfgh Pricvournqtrkgm Csqina Cuegnj Marseille France
Uwewwoulew Soaqwkdblnt Hnniijuj Fuv Aooqub Tzoayelht Ix Omsizxop Eee Sofia Bulgaria

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.

Investigated diseases:

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)

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