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NCT04556773Active, not recruitingPhase 1

A Phase 1b Study of T-DXd Combinations in HER2-low Advanced or Metastatic Breast Cancer

A Phase 1b Multicentre, Open-label, Modular, Dose-finding and Dose-expansion Study to Explore the Safety, Tolerability, Pharmacokinetics and Anti-tumour Activity of Trastuzumab Deruxtecan (T-DXd) in Combination With Other Anti-cancer Agents in Patients With Metastatic HER2-low Breast Cancer (DESTINY-Breast08)

Source: ClinicalTrials.gov · Last updated 3 Aug 2026

Brief summary (registry, in English)

DESTINY-Breast 08 will investigate the safety, tolerability, PK and preliminary anti-tumour activity of T-DXd in combination with other therapies in patients with Metastatic HER2-low Advanced or Metastatic Breast Cancer

Status (registry)
Active, not recruiting
Phase (registry)
Phase 1
Study type
Interventional
Enrollment
138 (actual)
First submitted
15 Sept 2020
Start date
17 Dec 2020
Primary completion date
16 Aug 2023
Lead sponsor
AstraZeneca
NCT number
NCT04556773
EU CT number
2023-505690-33-00
EudraCT number
2020-002797-27

What you commit to

  • Study type: Interventional · Phase 1
  • Participants enrolled: 138
  • From 17 Dec 2020 to the primary completion date, 16 Aug 2023
  • 25 sites in 10 countries
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Prior treatment with ADC that comprises of an exatecan derivative that is a topoisomerase I inhibitor.

Other illness

  • Uncontrolled intercurrent illness
  • Uncontrolled or siginificant cardiovascular disease
  • History of (non-infectious) ILD/pneumonitis that required steroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening.
  • Lung-specific intercurrent clinically significant illnesses
  • Uncontrolled infection requiring IV antibiotics, antivirals, or antifungals

Other

  • Has spinal cord compression or clinically active central nervous system metastases
  • Active primary immunodeficiency

Who the study is looking for

  • Patients must be at least 18 years of age
  • Male or female patients who have pathologically documented breast cancer that:
    • Has a history of HER2-low expression, defined as IHC 2+/ISH- or IHC 1+ (ISH- or untested) with a validated assay
    • Is documented as HR+ (either ER and/or PgR positive \[ER or PgR ≥1%\]) or ER and PgR negative (ER and PgR \<1%) per ASCO/CAP guidelines in the metastatic setting
  • Patient must have adequate tumor sample for biomarker assessment
  • ECOG Performance Status of 0 or 1
    • For patients with HR+ disease:
    • Part 1: At least 1 prior treatment line of ET with or without a targeted therapy (such as CDK4/6, mTOR or PI3-K inhibitors), and at least 1 prior line of chemotherapy for MBC are required.
    • Part 2: Only 1 prior treatment line of ET with or without a targeted therapy (such as CDK4/6, mTOR or PI3-K inhibitors) for MBC is allowed. No prior chemotherapy in the metastatic setting is allowed. Note there are no patients with HR+ disease in Part 2 of Modules 2 and 3.
    • For patients with HR- disease:
    • Part 1: At least 1 prior line of chemotherapy for MBC is required. Note there are no patients with HR- disease in Part 1 of Modules 4 and 5.
    • Part 2: For Module 2, no prior lines of therapy for MBC are allowed, and for Modules 1 and 3, only 1 prior line of chemotherapy for MBC is allowed. Note there are no patients with HR- disease in Part 2 of Modules 4 and 5.

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (25)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
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MelbourneAustraliaUnknown status
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WestmeadAustraliaUnknown status
Clinique Saint Pierre
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Ottignies-Louvain-la-NeuveBelgiumCompleted
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GoiâniaBrazilUnknown status
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Porto AlegreBrazilUnknown status
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São PauloBrazilUnknown status
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KelownaCanadaUnknown status
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QuébecCanadaUnknown status
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VillejuifFranceUnknown status
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SeoulSouth KoreaUnknown status
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MonterreyMexicoUnknown status
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MoscowRussiaUnknown status
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Saint PetersburgRussiaUnknown status
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Kaohsiung CityTaiwanUnknown status
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TaichungTaiwanUnknown status
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TaipeiTaiwanUnknown status
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TaoyuanTaiwanUnknown status
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Chapel HillUnited StatesUnknown status
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ChattanoogaUnited StatesUnknown status
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CommackUnited StatesUnknown status
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Fort WorthUnited StatesUnknown status
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GermantownUnited StatesUnknown status
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HarrisonUnited StatesUnknown status
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New YorkUnited StatesUnknown status
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UniondaleUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.