Can a Two-Drug attack shrink Hard-to-Treat breast cancer?

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Voluntary participation in this study, signed informed consent form, good treatment compliance, and willingness to cooperate to complete all trial procedures. * Expected survival duration ≥ 3 months. * Histopathologically confirmed breast cancer meeting all of the following criteria simultaneously: 1. Metastatic tumor; 2. Tumor samples tested by central laboratory confirmed as HER2-low or HER2 ultra-low expression; 3. No prior test results reporting HER2 positivity; 4. Tumor sample testing confirms hormone receptor-positive (HR+) status. * Patients must satisfy either of the following conditions: 1. Disease progression within 6 months after initiation of first-line endocrine therapy combined with cyclin-dependent kinase 4/6 (CDK4/6) inhibitors for metastatic disease; 2. Received at least 2 lines of prior endocrine therapy for metastatic disease, with disease progression post-treatment. * Participants in Part 1: Breast cancer patients who have received at least one line of chemotherapy for metastatic disease; Participants in Part 2: Breast cancer patients who have not received any chemotherapy for metastatic disease. * At least one repeatedly and accurately measurable tumor lesion as target lesion assessed per RECIST v1.1 criteria. Exclusion Criteria: * Uncontrolled or severe cardiovascular disease. * History of interstitial lung disease (ILD)/pneumonia requiring corticosteroid therapy (non-infectious), or current ILD/pneumonia, or suspected ILD/pneumonia not excluded by screening imaging. * Presence of pulmonary-specific, clinically significant comorbid conditions. * Presence of spinal cord compression, or clinically active central nervous system metastases. * Female patients who are pregnant, breastfeeding, or planning pregnancy. * Patients who received investigational drug therapy in another clinical trial within 30 days prior to first study drug administration, or who are concurrently enrolled in another clinical trial. Note: Exclusions include participation in observational (non-interventional) clinical trials, or being in the follow-up phase of an interventional clinical trial. * Presence of drug abuse, or other diseases (e.g., psychiatric disorders) that, in the investigator's judgment, may interfere with patient participation in the trial or affect the assessment of trial outcomes.