T-DXd With or Without Bevacizumab for HER2-low Breast Cancer With Brain Metastasis

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexFemale
Age18-70
SponsorFudan University

About this trial

A phase II, open-label, multicenter, randomized controlled trial exploring the efficacy and safety of Trastuzumab Deruxtecan combined with or without Bevicizumab in HER2-low breast cancer with brain metastasis.

Eligibility criteria

Qualifiers

ECOG score of 0 to 1.

Expected survival period greater than 12 weeks.

Histologically confirmed invasive HER2-low expressing breast cancer (specific definition: breast cancer patients with low expression of human epidermal growth factor receptor 2 (HER-2) as determined by pathological testing. Specifically: HER2 IHC 1+ or HER2 IHC++ with FISH/CISH negative. All specimens must be verified by the pathology department of the research participating center.

Tumor stage: recurrent or metastatic breast cancer; local recurrence must be confirmed by the researcher to be unable to undergo radical surgical resection.

Disqualifiers

Received more than 2 lines of chemotherapy.

Used T-DXd or bevacizumab.

Meningeal metastasis.

Brain metastasis requiring emergency intervention treatment, or brain metastasis requiring treatment with more than 3mg/d of dexamethasone or equivalent medication.

Trial design

Treatments tested in this trial

  • Bevacizumab (Bev)
  • Trastuzumab Deruxtecan (T-DXd)

Treatment groups

140 Participants
are divided into 2 treatment groups

Sponsors and collaborators