Real World-clinical Outcomes of Tucatinib, Trastuzumab, and Capecitabine Following Trastuzumab Deruxtecan (T-DXd) for the Treatment of HER2-positive Metastatic Breast Cancer.

NCT ID: NCT06961331

Last Updated: 2026-01-09

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

COMPLETED

Total Enrollment

86 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-05-07

Study Completion Date

2025-09-25

Brief Summary

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A retrospective study of de-identified (to preserve patient privacy) patient information from the Flatiron Health Database to describe 3L and 4L real-world (rw) outcomes (e.g. time to next treatment, time to discontinuation, and overal survival) of the tucatinib-trastuzumab-capecitabine triplet therapy immediately following T-DXd therapy in patients diagnosed with HER2+ metastatic breast cancer (mBC) in the United States.

Detailed Description

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Conditions

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Metastatic HER2+ Advanced Breast Cancer

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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3L+4L tucatinib triplet patients

Non-interventional, retrospective cohort analysis of participants receiving the tucatinib triplet in the 3L or 4L setting immediately following T-DXd.

Tucatinib

Intervention Type DRUG

As provided in real world practice.

Trastuzumab

Intervention Type DRUG

As provided in real world practice.

Capecitabine

Intervention Type DRUG

As provided in real world practice.

Interventions

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Tucatinib

As provided in real world practice.

Intervention Type DRUG

Trastuzumab

As provided in real world practice.

Intervention Type DRUG

Capecitabine

As provided in real world practice.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. mBC diagnosis between January 1, 2017 and 6 months prior to database cutoff
2. Evidence of human epidermal growth factor receptor 2 (HER2) receptor positivity prior to or up to 90 days following the mBC diagnosis date
3. At least 18 years old on the mBC diagnosis date
4. Treated with systemic anticancer treatment in the metastatic setting, i.e., post mBC diagnosis.
5. Treated with T-DXd in the 1L or 2L or 3L setting, followed immediately by the tucatinib triplet, and at least 1 additional prior HER2-targeted regimen

Exclusion Criteria

Patients meeting any of the following criteria will not be included in the study:

1. Patients with evidence of other cancers six months prior to the mBC diagnosis date will be identified with the following International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) and International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes in all databases: 140.xx - 195.xx, 200.xx - 208.xx, C00.xx - C76.xx, C81.xx - C96.xx. (exclude - ICD-9: 174.X, 175.X; ICD-10: C50.XX)
2. Patients treated with tucatinib prior to T-DXd
3. Patients participating in clinical trials
4. Patients receiving concomitant endocrine therapy on index line
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Pfizer

New York, New York, United States

Site Status

Countries

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United States

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=C4251025

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Other Identifiers

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C4251025

Identifier Type: -

Identifier Source: org_study_id

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