New drug shows promise in shrinking aggressive breast tumors before surgery

NCT ID NCT05900206

First seen Oct 31, 2025 · Last updated Jun 23, 2026 · Updated 34 times

Summary

This study compares a newer targeted drug, trastuzumab deruxtecan (T-DXd), with standard chemotherapy and targeted therapy given before surgery for HER2-positive breast cancer. About 370 adults with large or lymph node-positive tumors will receive either T-DXd or standard treatment for three cycles, then further treatment based on tumor biology. The main goal is to see if T-DXd leads to a higher rate of complete tumor disappearance at surgery.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Karolinska University Hospital

    RECRUITING

    Stockholm, 17164, Sweden

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Norrlands University Hospital

    NOT_YET_RECRUITING

    Umeå, 90185, Sweden

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Sankt Gorans Hospital

    NOT_YET_RECRUITING

    Stockholm, 11219, Sweden

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Skåne University Hospital

    NOT_YET_RECRUITING

    Malmö, 21428, Sweden

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Stockholm Southern Hospital

    NOT_YET_RECRUITING

    Stockholm, 11861, Sweden

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Uppsala University Hospital

    NOT_YET_RECRUITING

    Uppsala, 75185, Sweden

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Örebro University Hospital

    NOT_YET_RECRUITING

    Örebro, 70185, Sweden

    Contact Phone: •••-•••-•••• Email: •••••@•••••

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

trastuzumab deruxtecan (T-DXd, Enhertu)

What this could lead to

If successful, this could lead to a more effective pre-surgery treatment for HER2-positive breast cancer, potentially improving cure rates and reducing the need for chemotherapy.

What could go wrong

This is a phase 2 trial with 370 participants, so results are preliminary. The new drug may not be more effective than standard care, and side effects like lung inflammation or heart problems are possible.

Conditions

The condition(s) this trial relates to.

breast neoplasm

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.