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HER-TEMPO - Real World Treatment-related Outcomes on T-DXd in Canada

Metastatic Breast Cancer | HER2-positive Breast Cancer | HER2-low Expressing Breast Cancer | Unresectable Breast Cancer

Trastuzumab deruxtecan (T-DXd) has been studied in multiple global prospective DESTINY-Breast trials and has a marketing authorization from Health Canada for patients with HER2-positive metastatic breast cancer (mBC) and HER2-low mBC, respectively.

Multiple stakeholders, including clinicians, patients, regulators, and healthcare decision makers, are interested in real-world treatment-related outcomes in order to better represent the effectiveness of therapies in routine care settings.

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Conditions de participation

  • Sexe:

    ALL
  • Âges admissibles:

    18 and up

Critères de participation

Inclusion Criteria:

Enrollment criteria for HER2-positive PSP:

* Adults, 18 years of age or older
* Unresectable or metastatic HER2-positive breast cancer who have received at least one prior anti-HER2-based regimen either in the metastatic setting, or in the neoadjuvant or adjuvant setting and developed disease recurrence during or within 6 months of completing neoadjuvant or adjuvant therapy
* Patients must not have received a prior anti-HER2 ADC, such as trastuzumab emtansine, in the metastatic setting
* Patients who received a prior anti-HER2 ADC in the adjuvant setting must have progressed \>12 months following the completion of therapy

Enrollment criteria for HER2-low PSP:

* Adults, 18 years of age or older
* Unresectable or metastatic HER2-low (IHC 1+ or IHC 2+/ISH-) breast cancer who have received at least one prior line of chemotherapy in the metastatic setting or developed disease recurrence during or within 6 months of completing adjuvant chemotherapy
* Patients with HR+ breast cancer should have received at least one or be considered ineligible for endocrine therapy.

Patients in the SPP must additionally meet the following criteria:

* Patients must have provided consent to be contacted for future research and provided consent to participate in the current observational study

Exclusion Criteria (both cohorts):

* Patients who enrolled in the PSP, but did not initiate therapy with T-DXd by the end of the PSP program
* Patients with medical history of Interstitial Lung Disease (ILD) / pneumonitis that required steroids or current ILD /pneumonitis
* Patients who do not have adequate renal or hepatic function, defined as:
* Inadequate renal function is defined as Creatinine clearance \<30 mL/min, as calculated using the Cockcroft-Gault equation .
* Inadequate hepatic function is aspartate aminotransferase (AST)/alanine aminotransferase (ALT) \>5 × upper limit of normal (ULN). Total bilirubin \>1.5 × ULN if no liver metastases or ≥ 3 x ULN in the presence of documented Gilbert's syndrome (unconjugated hyperbilirubinemia) or liver metastases at baseline.

Lieu de l'étude

Research Site
Research Site
Oakville, Ontario
Canada

Contactez l'équipe d'étude

Étude parrainée par
AstraZeneca
Participants recherchés
Plus d'informations
ID de l'étude: NCT06386263