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OncoMatch/Clinical Trials/NCT07383818

Neoadjuvant Therapy Combined With Trastuzumab Rezetecan and Toripalimab for HR+/HER2-low Breast Cancer (NEOTORCH-BREAST 08)

Is NCT07383818 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Neoadjuvant therapy combined with Trastuzumab Rezetecan and Toripalimab and Neoadjuvant Chemotherapy in Combination with Toripalimab for hr positive/her2 low breast cancer.

Phase 2RecruitingFirst Affiliated Hospital of Zhejiang UniversityNCT07383818Data as of May 2026

Treatment: Neoadjuvant therapy combined with Trastuzumab Rezetecan and Toripalimab · Neoadjuvant Chemotherapy in Combination with Toripalimab · Neoadjuvant ChemotherapyThis study is a prospective, multi-cohort, multicenter, open-label exploratory clinical trial. The primary study objective is to evaluate the pathologic complete response (PCR) of treatment of HR+/HER2-low breast cancer with neoadjuvant therapy combined with Trastuzumab Rezetecan and Toripalimab , including the incidences and types of adverse events. The secondary endpoints include event-free survival (EFS), residual cancer burden (RCB), and objective response rate (ORR).

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Required: ESR1 overexpression (ER ≥1% (ASCO/CAP 2020))

expression ≥1% is defined as positive, and HR positivity is confirmed if either ER or PR is positive

Required: PR (PGR) overexpression (PR ≥1% (ASCO/CAP 2020))

expression ≥1% is defined as positive, and HR positivity is confirmed if either ER or PR is positive

Required: HER2 (ERBB2) low expression (IHC 1+ or 2+ with negative FISH) (HER2 1+ or 2+ with negative FISH (ASCO/CAP 2023))

HER2-low is defined as HER2 1+ or 2+ with negative FISH test results

Required: PD-L1 (CD274) expression (PD-L1 CPS (22C3 antibody clone); no threshold specified)

Pathological testing for PD-L1 expression: The Combined Positive Score (CPS)... The PD-L1 antibody clone used for detection at our center is 22C3

Disease stage

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

Excluded: Stage IV

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: anti-tumor treatment

No prior anti-cancer treatment

Cannot have received: radiation therapy

Exception: excluding those that have been cured Malignant tumors such as cervical carcinoma in situ, basal cell carcinoma, or squamous cell carcinoma

Previously received anti-tumor treatment or radiation therapy for any malignant tumor, excluding those that have been cured Malignant tumors such as cervical carcinoma in situ, basal cell carcinoma, or squamous cell carcinoma

Lab requirements

Blood counts

Kidney function

Liver function

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

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