UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057601
Receipt number R000065815
Scientific Title A Chart Review Study of T-DXd following ILD in HER2+/ HER2-Low Breast Cancer Patients
Date of disclosure of the study information 2025/06/15
Last modified on 2025/04/22 07:57:30

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Basic information

Public title

A Retrospective Cohort Study of T-DXd administration in HER2-Positive, Low-Expressing Advanced Breast Cancer Patients with History of Interstitial Lung Disease.

Acronym

A retrospective study on the administration of T-DXd in patients with a history of interstitial lung disease.

Scientific Title

A Chart Review Study of T-DXd following ILD in HER2+/ HER2-Low Breast Cancer Patients

Scientific Title:Acronym

A retrospective study on the administration of T-DXd in patients with a history of interstitial lung disease.

Region

Japan


Condition

Condition

advanced recurrent breast cancer

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety and effectiveness of T-DXd in patients with ILD history.
Cohort 1:ILD history by T-DXd
Cohort 2 ILD history by anticancer drugs other than T-DXd

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Ratio of recurrent ILD, Grade of recurrent ILD
Definition of ILD recurrence: Worsening of the ILD grade at the time of the re-administration of T-DXd (Cohort 1), compared to the initial administration of T-DXd (Cohort 2).

Key secondary outcomes

Ratio of recurrent ILD, Grade of recurrent ILD(investigator assessment)
TTF(Time to Treatment Failure)
PFS(progression-free survival)
TTP(time to progression)


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

90 years-old >=

Gender

Female

Key inclusion criteria

Cohort 1:
1. Patients diagnosed with HER2 positive (IHC3+ or IHC2+ ISH+) or low HER2 expression (IHC1+ or IHC2+ ISH-) advanced or metastatic breast cancer.
2. Patients who received T-DXd and had ILD of Grade1* history by T-DXd.
*Asymptomatic steroidal cases are included in Grade1
3. Patients who started T-DXd retreatment between December 2022 and June 2025 after ILD recovery, with or without other breast cancer medications prior to T-DXd retreatment.
4. Patients who can provide CT scan images for central review.

Cohort 2:
1. Patients diagnosed with HER2 positive (IHC 3+ or IHC2+ ISH+) or low HER2 expression (IHC1+ or IHC2+ ISH-) advanced or metastatic breast cancer.
2. Patients with a history of ILD (with any Grade) by anticancer drugs other than T-DXd (endocrine therapy, molecular targeted agents, chemotherapy, ADC other than T-DXd)
3. Patients who started T-DXd treatment between December 2021 and June 2025 after ILD recovery.
4. Patients who can provide CT scan images for central review.

Key exclusion criteria

Cohort 1, 2:
1. Patients with a history or complications of radiotherapy induced radiological ILD requiring interventional treatment
2. Patients with a history or complications of idiopathic ILD

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Michiko
Middle name
Last name Harao

Organization

Jichi Medical University

Division name

Department of Surgery, Division of Gastroenterological, General and Transplant Surgery

Zip code

329-0498

Address

3311-1 Yakushiji, Shimotsuke-shi, Tochigi-ken

TEL

0285-58-7371

Email

miharao@jichi.ac.jp


Public contact

Name of contact person

1st name Michiko
Middle name
Last name Harao

Organization

Jichi Medical University

Division name

Department of Surgery, Division of Gastroenterological, General and Transplant Surgery

Zip code

329-0498

Address

3311-1 Yakushiji, Shimotsuke-shi, Tochigi-ken

TEL

0285-58-7371

Homepage URL


Email

miharao@jichi.ac.jp


Sponsor or person

Institute

CSPOR-BC

Institute

Department

Personal name



Funding Source

Organization

DAIICHI SANKYO COMPANY, LIMITED

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Jichi Medical university

Address

3311-1 Yakushiji, Shimotsuke-shi, Tochigi-ken

Tel

0285587371

Email

miharao@jichi.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 06 Month 15 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 02 Month 20 Day

Date of IRB


Anticipated trial start date

2025 Year 12 Month 01 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2025 Year 04 Month 13 Day

Last modified on

2025 Year 04 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065815