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OncoMatch/Clinical Trials/NCT06227117

Neoadjuvant Study of DV in Combination Toripalimab or Sequence Chemotherapy in HR-negative, HER2 Low-expressing Breast Cancer

Is NCT06227117 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies multiple treatments for breast cancer.

Phase 2RecruitingRemeGen Co., Ltd.NCT06227117Data as of Jun 2026Location: China

Treatment: Disitamab Vedotin · Toripalimab (18weeks) · Carboplatin · Disitamab Vedotin · Sequential Epirubicin · Sequential CTX · Toripalimab (12weeks)The purpose of this study is to evaluate the Safety and Efficacy of Neoadjuvant study of DV in combination Toripalimab i or sequence chemotherapy in HR-negative, HER2 low-expressing Breast Cancer

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Disitamab VedotinDisitamab Vedotin

Chemotherapy

Carboplatin

Other

Toripalimab (18weeks)Sequential EpirubicinSequential CTXToripalimab (12weeks)

Cancer type

Breast Carcinoma

Biomarker criteria

Required: ESR1 negative (ER <1% by IHC) (<1% ER nuclear staining by IHC)

Tumour hormone receptor (HR)-negative, defined as IHC-stained invasive carcinoma with a proportion of cells positive for both ER and PgR nuclear staining of <1% according to ASCO/CAP guideline 2020

Required: PR (PGR) negative (PgR <1% by IHC) (<1% PgR nuclear staining by IHC)

Tumour hormone receptor (HR)-negative, defined as IHC-stained invasive carcinoma with a proportion of cells positive for both ER and PgR nuclear staining of <1% according to ASCO/CAP guideline 2020

Required: HER2 (ERBB2) low expression (IHC 1+ or IHC 2+ with no amplification by ISH) (IHC 1+ or IHC 2+ with no amplification by ISH)

low HER2 expression confirmed by the central laboratory, defined as HER2 protein expression of IHC 1+ or IHC 2+ with no amplification by in situ hybridisation (ISH)

Disease stage

Required: Stage T1CN1-2M0, T2-3N0-2M0

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: anti-tumour systemic therapy

have not received any prior anti-tumour systemic therapy for breast cancer

Cannot have received: PD-(L)1, PD-L2, CTLA4 inhibitors and other antibody-coupled drugs

Prior treatment with PD-(L)1, PD-L2, CTLA4 inhibitors and other antibody-coupled drugs

Cannot have received: investigational drugs

Use of investigational drugs or major surgery within 4 weeks prior to start of study drug administration

Cannot have received: adjuvant endocrine therapy

Previous carcinoma in situ of the breast with adjuvant endocrine therapy within 5 years of surgery

Lab requirements

Blood counts

haemoglobin ≥ 90 g/L; ANC ≥ 1.5 × 10^9 /L; platelets ≥ 100 × 10^9 /L

Kidney function

Creatinine Clearance (CrCl) ≥ 60 mL/min according to the Cockcroft-Gault formula method

Liver function

serum total bilirubin ≤ 1.5x ULN; AST and ALT ≤ 2.5x ULN

Cardiac function

NYHA class <3; left ventricular ejection fraction ≥55%

Cardiac function: New York Heart Association (NYHA) class <3; left ventricular ejection fraction ≥55%; ...haemoglobin ≥ 90 g/L; ANC ≥ 1.5 × 10^9 /L; platelets ≥ 100 × 10^9 /L; serum total bilirubin ≤ 1.5x ULN; AST and ALT ≤ 2.5x ULN; INR and aPTT ≤ 1.5x ULN; CrCl ≥ 60 mL/min

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

Frequently asked questions

Is NCT06227117 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Does this trial require ESR1?

Yes, ESR1 negative (ER <1% by IHC) is a required biomarker for enrollment.

Does this trial require PGR?

Yes, PGR negative (PgR <1% by IHC) is a required biomarker for enrollment.

Does this trial require ERBB2?

Yes, ERBB2 low expression (IHC 1+ or IHC 2+ with no amplification by ISH) is a required biomarker for enrollment.

What disease stage is eligible?

Stage T1CN1-2M0 or T2-3N0-2M0 is required.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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