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OncoMatch/Clinical Trials/NCT06058988

Trastuzumab Deruxtecan (T-DXd) for People With Brain Cancer

Is NCT06058988 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Trastuzumab deruxtecan for brain cancer.

Phase 2RecruitingMemorial Sloan Kettering Cancer CenterNCT06058988Data as of May 2026

Treatment: Trastuzumab deruxtecanThe purpose of this study is to find out how much tratuzumab deruxtecan (T-DXd) can penetrate the tumor when injected into the body, and whether T-DXd may be an effective treatment for brain cancers that express the HER2 protein.

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Extracted eligibility criteria

Cancer type

Glioblastoma

Tumor Agnostic

Biomarker criteria

Required: HER2 (ERBB2) overexpression (IHC 3+)

Her2+ defined as 3+ on IHC

Required: HER2 (ERBB2) low expression (IHC 1+ or 2+ and ISH-)

Her2-low defined as IHC1+ or 2+ and ISH- according to ASCO-CAP 2018 Her2 testing guidelines

Required: HER2 (ERBB2) activating mutation

Her2 mutations must be described to be activating, occur at a known hotspot (e.g. exon 20 insertions, S310, G660, R678, L755, D769, L777), or involve the transmembrane, juxtamembrane or tyrosine kinase domains

Disease stage

Metastatic disease required

Metastatic Cancer

Prior therapy

Cannot have received: antibody-drug conjugate (trastuzumab deruxtecan)

Exception: Cohort A: T-DXd naïve; Cohort B: prior T-DXd exposure

Cohort A: ...no prior T-DXd exposure (T-DXd naïve); Cohort B: ...with prior T-DXd exposure

Lab requirements

Blood counts

ANC ≥1.5 × 10^3/μL (no G-CSF within 1 week prior to C1D1); Platelet count ≥10.0x10^4/μL (no ongoing transfusions or growth factor support, no platelet transfusion within 1 week prior to C1D1); Hemoglobin ≥ 8.0 g/dL (no ongoing transfusions or growth factor support, no RBC transfusion within 1 week prior to C1D1); Serum albumin ≥ 2.5 g/dL

Kidney function

Creatinine clearance ≥30 mL/min, as calculated using the Cockcroft-Gault equation

Liver function

AST and ALT ≤3 × ULN (<5x ULN in participants with liver metastases); total bilirubin ≤1.5 × ULN if no liver metastases or <3 × ULN in the presence of documented Gilbert's syndrome or liver metastases at baseline

Cardiac function

Left ventricular ejection fraction ≥50%

Adequate bone marrow, renal, hepatic, and coagulation parameters (obtained ≤7 days prior to the first day of study treatment): ... see full criteria

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Memorial Sloan Kettering Cancer Center (All Protocol Activities) · New York, New York

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