Cancer drug enhertu gets a shot in the arm: new Under-the-Skin version tested
NCT ID NCT07015697
First seen Jun 27, 2026 · Last updated Jul 10, 2026 · Updated 2 times
Summary
This early-phase trial is testing a new way to give the cancer drug T-DXd (Enhertu) — as a shot under the skin instead of an IV drip. The study will enroll 76 adults with metastatic solid tumors to find the safest dose and see how well the body handles it. Researchers will also check if the drug shrinks tumors and how convenient the shot is for patients.
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) plus hyaluronidase, given as a shot under the skin
- What this could lead to
- If it works, this could offer a more convenient way to give T-DXd, potentially reducing treatment time and improving comfort for patients with certain metastatic cancers.
- What could go wrong
- This is an early Phase 1 trial with only 76 participants, so safety and effectiveness are not yet proven. The subcutaneous version may not work as well as the IV form, and side effects could be different or serious.
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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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 76 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2025
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: 1. Adults ≥18 years or the minimum legal adult age (whichever is greater). 2. a) Disease State: If HER2 status is required for eligibility (for all populations), a documented HER2 test result must be available. Breast Cancer: adults with pathologically documented unresectable or metastatic breast cancer HER2-positive BC: have received a prior anti-HER2-based regimen. For HER2-positive BC participants in Part 2 only, prior anti-HER2 based therapy should have been received in either: * the metastatic setting, or * the neoadjuvant or adjuvant setting and have developed disease recurrence during or within 6 months of completing therapy. HR-, HER2-low BC: have received a prior systemic cytotoxic therapy in the metastatic setting; or developed disease recurrence during or within 6 months of completing (neo)adjuvant chemotherapy. HR+, HER2-low/ultralow BC: have received previous ET AND an additional line of ET must not be the next line of treatment considered in the participant's best interest. * For participants in Part 2 with HR+ HER-2low/ultralow BC, the following criteria also apply: * had disease progression while receiving 1 previous line of ET with a CDK4/6i and is not expected to benefit from immediate use of a second line of ET, OR * had disease progression on at least 2 previous lines of ET with or without a target therapy such as CDK4/6, mTOR or PI3-K inhibitors) administered for the treatment of metastatic disease * participants may not have received more than 2 prior lines of cytotoxic therapy in the recurrent or metastatic setting. NSCLC, HER2 mut: adults with unresectable or metastatic NSCLC whose tumors have activating HER2 (ERBB2) mutations, and who have received a prior systemic therapy. b) Part 2 only: At least 1 RECIST 1.1 measurable lesion on CT or MRI. 3. Radiologic or objective evidence of disease progression on or after the last systemic therapy prior to starting trial intervention. Key Exclusion Criteria: 1\. Prior treatment with ADC that consists of an exatecan derivative that is a topoisomerase I inhibitor; 4. Medical history of MI within 6 months before enrollment or symptomatic CHF (New York Heart Association class II to IV). Participants with troponin levels above ULN at screening (as defined by the manufacturer), and without any MI-related symptoms should have a cardiologic consultation during the Screening Period to rule out MI. 5\. Has a corrected QT interval (QTcF) prolongation to \> 480 ms (regardless of participant's sex) based on average of the screening triplicate 12-lead ECG. 6. Has a history of (non-infectious) ILD/pneumonitis that required steroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
31 sites in 7 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Research Site
RECRUITINGNewport Beach, California, 92663, United States
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Research Site
RECRUITINGAtlanta, Georgia, 30322, United States
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Research Site
RECRUITINGLas Vegas, Nevada, 89169, United States
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Research Site
RECRUITINGCharlotte, North Carolina, 28204, United States
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Research Site
RECRUITINGMaumee, Ohio, 43537, United States
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Research Site
RECRUITINGNashville, Tennessee, 37203, United States
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Research Site
NOT_YET_RECRUITINGAsa Sul, 70200-730, Brazil
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Research Site
NOT_YET_RECRUITINGGoiás, 74605-070, Brazil
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Research Site
NOT_YET_RECRUITINGPorto Alegre, 90020-090, Brazil
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Research Site
NOT_YET_RECRUITINGSanto André, 09060-650, Brazil
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Research Site
NOT_YET_RECRUITINGSão Paulo, 01317-000, Brazil
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Research Site
RECRUITINGRennes, France
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Research Site
RECRUITINGChiba, Japan
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Research Site
RECRUITINGKanagawa, 241-8515, Japan
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Research Site
RECRUITINGTokyo, 104-0045, Japan
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Research Site
RECRUITINGTokyo, 135-8550, Japan
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Research Site
RECRUITINGTokyo, 142-8666, Japan
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Research Site
RECRUITINGSeongnam-si, South Korea
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Research Site
RECRUITINGSeoul, 03722, South Korea
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Research Site
RECRUITINGSeoul, 06351, South Korea
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Research Site
RECRUITINGSeoul, 3080, South Korea
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Research Site
RECRUITINGSeoul, South Korea
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Research Site
RECRUITINGBarcelona, Spain
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Research Site
RECRUITINGMadrid, Spain
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Research Site
RECRUITINGSeville, Spain
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Research Site
RECRUITINGTaichung, Taiwan
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Research Site
RECRUITINGTainan, Taiwan
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Research Site
RECRUITINGTaipei, 10002, Taiwan
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Research Site
RECRUITINGTaipei, Taiwan
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Research Site
RECRUITINGTaoyuan City, Taiwan
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Research Site Saint
RECRUITINGHerblain, France
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Other studies related to the condition(s) this trial covers.
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- Can a platform trial match the right drug combo to each tumor?
- Can a shorter treatment hold off small HER2-Positive breast cancers?
- Can a Double-Pronged antibody outsmart HER2-Positive tumors?
- Can a vaccine teach the immune system to fight HER2-Positive tumors?
- Can a tailored Pre-Surgery regimen boost complete remission in HER2+ breast cancer?