A Study to Assess the Effectiveness of Trastuzumab Deruxtecan in Chinese Breast Cancer Patients (REFRESH)

NCT ID: NCT06210776

Last Updated: 2026-01-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

800 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-01-15

Study Completion Date

2028-03-01

Brief Summary

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This multi-center observational prospective study will collect real-world clinical and patient-reported outcome data from eligible patients with unresectable or metastatic HER2+ breast cancer who have received one or more prior anti-HER2-based regimens or patients with unresectable or metastatic HER2-low (IHC 1+ or IHC 2+, ISH-) breast cancer who have received at least a prior systemic therapy in the metastatic setting, or developed disease recurrence during or within 6 months of completing adjuvant chemotherapy.

Detailed Description

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The primary objective of the study is to evaluate real-world time to next treatment or date of death from index date (T-DXd treatment initiation date)(rwTTNT) in each cohort. The secondary objectives of this study are to describe treatment patterns in eligible patients with HER2+ or HER2-low unresectable or mBC who are newly initiating T-DXd in a real-world setting, to describe demographic and clinical characteristics, to assess the safety and tolerability through the collection of physician-reported SEIs, to characterize the management of SEIs, to evaluate real-world time to treatment discontinuation (rwTTD) of T-DXd, and to evaluate patient-reported tolerability.

This decision to treat the patient with T-DXd will be made prior to, and independent of, their participation in this study. Eligible patients willing to participate will be enrolled consecutively in the study and followed up from index date (T-DXd treatment initiation date) until end of study, death, or withdrawal of consent, or loss to follow-up (LTFU), or study closure, whichever occurs first.

Conditions

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HER2-positive Breast Cancer HER2-low Breast Cancer Breast Cancer Advanced Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Cohort A

Patients with unresectable or metastatic HER2+ breast cancer who have received one or more prior anti-HER2-based regimens.

Trastuzumab deruxtecan

Intervention Type DRUG

Intravenous infusion

Cohort B

Patients with unresectable or metastatic HER2-low breast cancer patients who have received at least a prior systemic therapy in the metastatic setting or developed disease recurrence during or within 6 months of completing adjuvant chemotherapy.

Trastuzumab deruxtecan

Intervention Type DRUG

Intravenous infusion

Interventions

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Trastuzumab deruxtecan

Intravenous infusion

Intervention Type DRUG

Other Intervention Names

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T-DXd

Eligibility Criteria

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Inclusion Criteria

1. ≥18 years of age at time of consent.
2. Pathologically documented breast cancer that is unresectable or metastatic.
3. Cohort A: Patients with confirmed HER2+ (IHC 3+ or IHC2+, ISH+); and patients have received one or more prior anti-HER2-based regimens; and patients should have received no more than 2 lines therapy in the metastatic settings.

Cohort B: Patients with confirmed HER2-low expression (IHC 1+ or IHC 2+, ISH-); and patients have received at least a prior systemic therapy in the metastatic setting or developed disease recurrence during or within 6 months of completing adjuvant chemotherapy; and patients should have received no more than 2 lines of previous chemotherapy regimen in the metastatic settings.
4. Decision to newly initiate T-DXd or just have started the first dose no longer than 14 days after the index date per approved label in China.
5. Capable of providing informed consent.
6. Patients capable of completing questionnaires are preferred. If the participant is unable to complete the questionnaire (e.g., being blind, illiterate, not fluent in the available language, or ePRO system is not ready), that participant is exempted from completing PRO questionnaires but may still participate in the study.

Patients who meet any of the following criteria will be excluded from the study:

1. Pregnancy or breastfeeding.
2. Patients who at time of data collection for this study are participating in or have participated in an interventional study that remains blinded.
3. Patients who have known to have hypersensitivity reactions to the active substance of T-DXd or any excipients.
4. Patients who have been judged by the investigator to be unfit to participate the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Daiichi Sankyo

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Director

Role: STUDY_DIRECTOR

Daiichi Sankyo China

Locations

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China-Japan Friendship Hospital

Beijing, , China

Site Status RECRUITING

Peking University First Hospital

Beijing, , China

Site Status RECRUITING

The Fifth Medical Center of the Chinese PLA General Hospital

Beijing, , China

Site Status WITHDRAWN

Peking University Shougang Hospital

Beijing, , China

Site Status RECRUITING

Peking University Third Hospital

Beijing, , China

Site Status RECRUITING

Beijing GoBroad Hospital

Beijing, , China

Site Status RECRUITING

Sichuan Cancer Hospital

Chengdu, , China

Site Status RECRUITING

Sichuan Provincial People's Hospital

Chengdu, , China

Site Status RECRUITING

Affiliated Zhongshan Hospital of Dalian University

Dalian, , China

Site Status RECRUITING

The First People's Hospital of Foshan

Foshan, , China

Site Status RECRUITING

Fujian Cancer Hospital

Fuzhou, , China

Site Status RECRUITING

Affiliated Cancer Hospital and Institute of Guangzhou Medical University

Guangzhou, , China

Site Status WITHDRAWN

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, , China

Site Status RECRUITING

Hainan Cancer Hospital

Haikou, , China

Site Status RECRUITING

The Second Affiliated Hospital Zhejiang University School of Medicine

Hangzhou, , China

Site Status RECRUITING

Zhejiang Cancer Hospital

Hangzhou, , China

Site Status RECRUITING

Harbin Medical University Cancer Hospital

Harbin, , China

Site Status RECRUITING

Anhui Provincial Cancer Hospital

Hefei, , China

Site Status WITHDRAWN

Jiamusi Cancer Hospital

Jiamusi, , China

Site Status RECRUITING

Yunnan Cancer Hospital

Kunming, , China

Site Status WITHDRAWN

The First People's Hospital of Lianyungang

Lianyungang, , China

Site Status RECRUITING

The First Affiliated Hospital of Henan University of Science & Technology

Luoyang, , China

Site Status ACTIVE_NOT_RECRUITING

Jiangxi Cancer Hospital

Nanchang, , China

Site Status RECRUITING

Nanchang Third Hospital

Nanchang, , China

Site Status RECRUITING

Nanjing Drum Tower Hospital

Nanjing, , China

Site Status RECRUITING

Jiangsu Province Hospital

Nanjing, , China

Site Status RECRUITING

The Peoples of Guangxi Zhuang Autonomous Region

Nanning, , China

Site Status RECRUITING

Affiliated Hospital Of Nantong University

Nantong, , China

Site Status RECRUITING

Ningbo No.2 Hospital

Ningbo, , China

Site Status WITHDRAWN

Qingdao Central Hospital

Qingdao, , China

Site Status RECRUITING

Fudan University Shanghai Cancer Center

Shanghai, , China

Site Status RECRUITING

Changhai Hospital

Shanghai, , China

Site Status RECRUITING

Cancer Hospital of Shantou University Medical College

Shantou, , China

Site Status RECRUITING

Liaoning Cancer Hospital & Institute

Shenyang, , China

Site Status RECRUITING

The University of Hong Kong- Shenzhen Hospital

Shenzhen, , China

Site Status RECRUITING

Cancer Hospital Chinese Academy of Medical Sciences, Shenzhen Center

Shenzhen, , China

Site Status RECRUITING

Shanxi Provincial Cancer Hospital

Taiyuan, , China

Site Status RECRUITING

Tangshan People's Hospital

Tangshan, , China

Site Status RECRUITING

Tianjin Cancer Hospital Airport Hospital

Tianjin, , China

Site Status RECRUITING

Affiliated Cancer Hospital of Xinjiang Medical University

Ürümqi, , China

Site Status RECRUITING

Weifang People's Hospital

Weifang, , China

Site Status RECRUITING

Wenzhou Central Hospital

Wenzhou, , China

Site Status RECRUITING

The Second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, , China

Site Status RECRUITING

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, , China

Site Status RECRUITING

Xi'an International Medical Center Hospital

Xi'an, , China

Site Status RECRUITING

The First Affilital of Xiamen University

Xiamen, , China

Site Status RECRUITING

The First Affiliated Hospital of Xinxiang Medical University

Xinxiang, , China

Site Status RECRUITING

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, , China

Site Status RECRUITING

General Hospital of Ningxia Medical University

Yinchuan, , China

Site Status WITHDRAWN

Henan Cancer Hospital

Zengzhou, , China

Site Status RECRUITING

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, , China

Site Status WITHDRAWN

Henan Provincial People's Hospital

Zhengzhou, , China

Site Status RECRUITING

Zhongshan City People's Hospital

Zhongshan, , China

Site Status RECRUITING

The Fifth Affiliated Hospital, Sun Yat-sen University

Zhuhai, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Daiichi Sankyo China

Role: CONTACT

0086-021-60397406

Daiichi Sankyo Contact for Clinical Trial Information

Role: CONTACT

9089926400

Facility Contacts

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Other Identifiers

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DSCN-EHT-NIS-BC002

Identifier Type: -

Identifier Source: org_study_id

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