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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

Official title: A Phase IIIb, Open-label, Multinational Study Assessing the Efficacy and Safety of Dato-DXd Treatment in Patients With HRpositive, HER2 IHC 0, Locally Advanced Inoperable or Metastatic Breast Cancer Refractory to Endocrine Therapy (TROPION-Breast06)

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

Phase 3RecruitingAstraZenecaNCT07205822Data as of Oct 2026Location: International · 6 countries

Treatment: Dato-DXd — A 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

Treatments studied

Other

Dato-DXd

Cancer type

Breast Carcinoma

Biomarker criteria

Required: ESR1 expression (≥1%)

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

Required: PR (PGR) expression (≥1%)

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

Required: HER2 (ERBB2) wild-type (IHC 0)

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

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot 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 in the metastatic setting

Any chemotherapy in the metastatic setting.

Cannot have received: curative radiotherapy

Exception: palliative radiotherapy for optimal symptom control or pain management is allowed

Curative radiotherapy; however, palliative radiotherapy for optimal symptom control or pain management is allowed.

Lab requirements

Blood counts

Haemoglobin ≥ 9.0 g/dL (no transfusion within 1 week prior to screening). Absolute neutrophil count ≥ 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; for participants with hepatic metastases, ALT and AST ≤ 5 × ULN.

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

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 →

Frequently asked questions

Is NCT07205822 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior endocrine therapy, TROP2-targeted therapy, topoisomerase I inhibitor (including ADCs) disqualifies patients from enrollment.

Does this trial require ESR1?

Yes, ESR1 expression is a required biomarker for enrollment.

Does this trial require PGR?

Yes, PGR expression is a required biomarker for enrollment.

Does this trial require ERBB2?

Yes, ERBB2 wild-type is a required biomarker for enrollment.

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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