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OncoMatch/Clinical Trials/NCT07205822

A Study of Dato-DXd in Inoperable or Metastatic Hormone Receptor-positive, HER2 IHC 0 Breast Cancer

Is NCT07205822 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies Dato-DXd for breast cancer.

Phase 3RecruitingAstraZenecaNCT07205822Data as of May 2026

Treatment: Dato-DXdA study to assess the efficacy and safety of Dato-DXd in the pre-chemotherapy setting for patients with metastatic HR-positive, HER2 IHC 0 breast cancer.

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Required: ESR1 overexpression (ER ≥ 1%)

HR-positive (either ER and/or PgR positive [ER or PgR ≥ 1%])

Required: PR (PGR) overexpression (PgR ≥ 1%)

HR-positive (either ER and/or PgR positive [ER or PgR ≥ 1%])

Required: HER2 (ERBB2) IHC 0 (IHC 0 (no staining or incomplete and faint/barely perceptible membrane staining in ≤ 10% of tumour cells))

HER2 IHC 0 (defined as no staining or incomplete and faint/barely perceptible membrane staining in ≤ 10% of tumour cells)

Disease stage

Metastatic disease required

Inoperable or metastatic HR-positive, HER2 IHC 0 breast cancer

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: endocrine therapy

Progressed on and not suitable for further endocrine therapy per investigator assessment.

Cannot have received: TROP2-targeted therapy

Any TROP2-targeted therapy

Cannot have received: topoisomerase I inhibitor (including ADCs)

Any treatment (including ADC) containing a chemotherapeutic agent targeting topoisomerase I

Cannot have received: chemotherapy

Exception: in the metastatic setting

Any chemotherapy in the metastatic setting

Lab requirements

Blood counts

Haemoglobin ≥ 9.0 g/dL (no transfusion within 1 week prior to screening); ANC ≥ 1.5×10^9/L (no G-CSF within 1 week prior to screening); Platelet count ≥ 100×10^9/L (no platelet transfusion within 1 week prior to screening); Serum albumin ≥ 2.5 g/dL

Kidney function

Calculated CrCL ≥ 30 mL/min as determined by Cockcroft Gault (using actual body weight)

Liver function

TBL ≤ 1.5 × ULN or ≤ 3 × ULN in the presence of documented Gilbert's syndrome (unconjugated hyperbilirubinaemia); ALT and AST ≤ 2.5 × ULN (≤ 5 × ULN with hepatic metastases); see Exclusion Criterion 8 for requirements in the setting of HBV.

Adequate bone marrow reserve and organ function within 7 days before the first dose of study intervention. See detailed criteria.

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

US trial sites

  • Research Site · Largo, Florida
  • Research Site · Fort Wayne, Indiana
  • Research Site · Omaha, Nebraska
  • Research Site · New York, New York
  • Research Site · Houston, Texas

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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