Scientists hunt for clues to predict T-DXd success in metastatic cancer
NCT ID NCT04257162
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study collects tumor and blood samples from 180 people with metastatic cancer who are receiving or have received the drug T-DXd. Researchers will analyze these samples to find genetic markers that predict whether the drug will work well. The goal is to improve treatment decisions for future patients.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this study could help doctors predict which patients will benefit most from T-DXd, leading to more personalized treatment for metastatic cancer.
- What could go wrong
- This is an observational study, not a treatment trial, so it won't directly test a new therapy. Results may not change practice immediately and depend on sample quality and analysis.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 180 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2019
- Expected to finish
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May 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
A. Inclusion Criteria 1. Women and men ≥18 years old that has been included in a trial using Trastuzumab Deruxtecan (T-DXd; DS-8201a). 2. The participant (or legally acceptable representative if applicable) provides written informed consent for the study. It is possible to include patients that were exitus during or after treatment by filling out the appendix 1 form and filing it into the patient's clinical chart. 3. Patients who are starting, are receiving or have received treatment with Trastuzumab Deruxtecan as a treatment for metastatic/advanced cancer. 4. Submission of a formalin-fixed, paraffin-embedded tumor (FFPE) tissue block from the most recently collected tumor tissue, with an associated pathology report, for central molecular analysis and for other protocol-mandated secondary and exploratory assessments. If a newer specimen is either insufficient or unavailable, the patient may still be eligible if the patient can provide a tissue block (preferred) or is willing to consent to and undergo an additional pretreatment core or excisional biopsy (if it is assessable and the biopsy can be safely obtained). The tumor tissue should be of good quality and quantity based on total and viable tumor content. 1. Acceptable samples include core needle biopsies of the deep metastatic lesion or excisional, incisional, punch, or forceps biopsies for cutaneous, subcutaneous, or mucosal lesions or biopsies from bone metastases. 2. Fine needle aspiration, brushing, cell pellet from pleural effusion and lavage samples are not acceptable. 5. Patients included before starting experimental treatment must be able and willing to provide blood sample(s). B. Exclusion Criteria 6. Not having participated or not willing to participate in a trial using Trastuzumab Deruxtecan. 7. Inability to comply with study and follow-up procedures
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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H.Univ. Arnau de Vilanova de Lleida
Lleida, Lleida, Spain
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Hospital Clínic de Barcelona
Barcelona, Barcelona, 08036, Spain
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Hospital La Paz
Madrid, Madrid, 28046, Spain
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Hospital Universitari Vall d' Hebron
Barcelona, Spain
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Hospital Universitario 12 de octubre
Madrid, Spain
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Hospital Universitario Virgen de la Arrixaca
Murcia, 30120, Spain
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Hospital Universitario Virgen del Rocio
Seville, Spain
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Hospital Universitario de Canarias
Santa Cruz de Tenerife, Canary Islands, 38320, Spain
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Hospital Universitario de Jerez
Jerez de la Frontera, Cadiz, 11407, Spain
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Hospital Virgen de Macarena
Seville, Sevilla, Spain
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Hospital Virgen de la Victoria
Málaga, Spain
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Hospital del Mar
Barcelona, Barcelona, 08003, Spain
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ICO Badalona
Badalona, Barcelona, Spain
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ICO Hospitalet
Barcelona, Spain
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Instituto Valenciano de Oncología (IVO)
Valencia, Valencia, 46009, Spain
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