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Metastatic Breast CancerPhase 1/2DB-07NCT04538742

A Phase 1b/2 Study of T-DXd Combinations in HER2-positive Metastatic Breast Cancer

A Phase 1/2 study testing Trastuzumab deruxtecan, Durvalumab and Paclitaxel in people with Metastatic Breast Cancer, run by AstraZeneca at 72 sites in 15 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

DESTINY-Breast07 will investigate the safety, tolerability, and anti-tumour activity of trastuzumab deruxtecan (T-DXd) in combination with other anti-cancer agents in patients with HER2-positive Metastatic Breast Cancer Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Metastatic Breast Cancer
What is being tested?
Trastuzumab deruxtecan, Durvalumab and Paclitaxel
Could I receive a placebo?
No, everyone receives an active treatment
How many people
245 participants
Where
72 sitesin 15 countries
Study dates
28 Dec 2020to 31 Jan 2030
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients must be at least 18 years of age
  • Pathologically documented breast cancer that:
  • Is advanced/unresectable (patients that can be treated with curative intent are not eligible) or metastatic
  • HER2-positive (IHC 3+ or IHC 2+/ISH+) based on local assessment. The local HER2 result must be from a tumour sample obtained in the metastatic setting.
  • Is documented as hormone receptor-positive (estrogen or progesterone receptor) or negative in the metastatic setting
  • Patient must have adequate tumor sample from the metastatic setting for biomarker assessment
Show all 16Show fewer
  • ECOG Performance Status of 0 or 1
  • Part 1
  • Disease progression on or after the last systemic therapy prior to starting study treatment
  • At least 1 prior treatment line in metastatic setting required.
  • Part 2 (Modules 0 - 5)
  • No prior lines of therapy for advanced/MBC allowed
  • Part 2 (Module 6 and 7) a) Zero or one prior lines of therapy for advanced/MBC allowed
  • CNS Inclusion
  • Modules 0 - 5 Patients must have no brain metastases or stable brain metastases.
  • Module 6 and 7 Patients must have untreated brain metastases not needing local therapy or previously treated brain metastases that have progressed since prior local therapy

Who cannot join

  • Uncontrolled or significant cardiovascular disease
  • Active or prior documented (non-infectious) ILD/pneumonitis that required steroids, or suspected ILD/pneumonitis that cannot be ruled out by imaging at screening
  • Lung-specific intercurrent clinically significant illnesses
  • Uncontrolled infection requiring IV antibiotics, antivirals, or antifungals
  • Spinal cord compression or a history of leptomeningeal carcinomatosis
  • Prior treatment with immune checkpoint inhibitors
Show all 11Show fewer
  • Prior treatment with an ADC containing a topoisomerase I inhibitor
  • Prior treatment with tucatinib
  • CNS Exclusion
  • Modules 0 - 5: Has untreated brain metastasis
  • Module 6 and 7: Ongoing use of systemic corticosteroids for control of symptoms of brain metastases at a total daily dose of > 2 mg dexamethasone or any brain lesion thought to require immediate local therapy

Trial locations and contacts

72 sites in 15 countries.

72 sites in 15 countries

United States10 sites
  • Research Site

    Columbus, Ohio, 43219

  • Research Site

    Commack, New York, 11725

  • Research Site

    Fairfax, Virginia, 22031

  • Research Site

    Fort Myers, Florida, 33901

  • Research Site

    Fort Worth, Texas, 76104

  • Research Site

    Harrison, New York, 10604

  • Research Site

    Nashville, Tennessee, 37203

  • Research Site

    New York, New York, 10016

  • Research Site

    New York, New York, 10065

  • Research Site

    St. Petersburg, Florida, 33705

Other trials in United States

Russia10 sites
  • Research Site

    Moscow, 105229

  • Research Site

    Moscow, 109240

  • Research Site

    Moscow, 111123

  • Research Site

    Moscow, 115478

  • Research Site

    Moscow, 117997

  • Research Site

    Moscow, 121205

  • Research Site

    Moscow, 143423

  • Research Site

    Saint Petersburg, 195271

  • Research Site

    Saint Petersburg, 196603

  • Research Site

    Saint Petersburg, 197758

Other trials in Russia

Brazil9 sites
  • Research Site

    Barretos, 14784-400

  • Research Site

    Belo Horizonte, 30150-274

  • Research Site

    Natal, 59075-740

  • Research Site

    Porto Alegre, 90610-000

  • Research Site

    Porto Alegre, 91350-200

  • Research Site

    Rio de Janeiro, 20560-120

  • Research Site

    São Paulo, 01317-001

  • Research Site

    São Paulo, 04029-000

  • Research Site

    Sorocaba, 18030-005

Other trials in Brazil

Taiwan8 sites
  • Research Site

    Hualien City, 970

  • Research Site

    Tainan, 704

  • Research Site

    Taipei, 10048

  • Research Site

    Taipei, 10449

  • Research Site

    Taipei, 11217

  • Research Site

    Taipei, 114

  • Research Site

    Taipei, 235

  • Research Site

    Taoyuan City, 333

Other trials in Taiwan

South Korea5 sites
  • Research Site

    Busan, 602-739

  • Research Site

    Seoul, 02841

  • Research Site

    Seoul, 03080

  • Research Site

    Seoul, 05505

  • Research Site

    Seoul, 06351

Other trials in South Korea

Spain5 sites
  • Research Site

    Barcelona, 08003

  • Research Site

    L'Hospitalet de Llobregat, 08908

  • Research Site

    Madrid, 28007

  • Research Site

    Madrid, 28050

  • Research Site

    Seville, 41013

Other trials in Spain

Turkey (Türkiye)5 sites
  • Research Site

    Ankara, 6100

  • Research Site

    Edirne, 22030

  • Research Site

    Istanbul, 34662

  • Research Site

    Istanbul, 34722

  • Research Site

    Izmir, 35100

Other trials in Turkey (Türkiye)

India4 sites
  • Research Site

    Delhi, 110085

  • Research Site

    Gūrgaon, 122001

  • Research Site

    Madurai, 625107

  • Research Site

    Mumbai, 400012

Other trials in India

Italy4 sites
  • Research Site

    Bologna, 40138

  • Research Site

    Milan, 20141

  • Research Site

    Naples, 80131

  • Research Site

    Rome, 168

Other trials in Italy

Poland4 sites
  • Research Site

    Bydgoszcz, 85-796

  • Research Site

    Koszalin, 75-581

  • Research Site

    Lodz, 90-242

  • Research Site

    Lublin, 20-090

Other trials in Poland

Canada3 sites
  • Research Site

    Montreal, Quebec, H2X 0A9

  • Research Site

    Québec, Quebec, G1S 4L8

  • Research Site

    Toronto, M5G 2M9

Other trials in Canada

Germany2 sites
  • Research Site

    München, 81675

  • Research Site

    Würzburg, 97080

Other trials in Germany

Australia1 site
  • Research Site

    Melbourne, 3000

Other trials in Australia

France1 site
  • Research Site

    Villejuif, 94805

Other trials in France

United Kingdom1 site
  • Research Site

    Buckhurst Hill, IG9 5HX

Other trials in United Kingdom

About this study

Official title: A Phase 1b/2 Multicentre, Open-label, Modular, Dose-finding and Dose-expansion Study to Explore the Safety, Tolerability, and Anti-tumour Activity of Trastuzumab Deruxtecan (T-DXd) in Combination With Other Anti-cancer Agents in Patients With HER2-positive Metastatic Breast Cancer (DESTINY-Breast07)

DESTINY-Breast07 will investigate the safety, tolerability, and anti-tumour activity of trastuzumab deruxtecan (T-DXd) in combination with other anti-cancer agents in patients with HER2-positive Metastatic Breast Cancer

Read the detailed description

This study is modular in design allowing assessment of safety, tolerability and anti-tumour activity of T-DXd in combination with other anti-cancer agents. Combination-treatment modules will have 2 parts: a dose-finding phase (Part 1), and a dose expansion phase (Part 2); the recommended Phase 2 dose (RP2D) determined in Part 1 will be used for the dose-expansion in Part 2.

The target population of interest in this study is patients with HER2-positive (as per ASCO/CAP 2018 guidelines) advanced/MBC inclusive of patients with active and stable brain metastases. Part 1 of each module will enroll patients with locally assessed HER2-positive advanced/MBC in second-line or later patients. Part 2 of each module will enroll patients with locally assessed HER2-positive breast cancer who have not received prior treatment for advanced/metastatic disease.

Being tested
Trastuzumab deruxtecan, Durvalumab, Paclitaxel, Pertuzumab, Tucatinib
Keywords
Breast Cancer, HER2-positive, Brain Metastases, Trastuzumab Deruxtecan, T-DXd, DS-8201a, DESTINY-Breast07, Anti-HER2 Antibody Drug Conjugate (ADC)
Medical subject headings
Breast Neoplasms, Brain Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Trastuzumab deruxtecanDrug

    Also called DS-8201a, T-DXd

    T-DXd: administered as an IV infusion

  • DurvalumabDrug

    Also called MEDI4736

    Durvalumab: administered as an IV infusion

  • PaclitaxelDrug

    Paclitaxel: administered as an IV infusion

  • PertuzumabDrug

    Pertuzumab: administered as an IV infusion

  • TucatinibDrug

    Also called ONT-380

    Tucatinib administered orally (tablet) twice daily

Study groups in NCT04538742
Study groupRoleWhat they receive
Module 1- T-DXd and DurvalumabExperimentalT-DXd and Durvalumab
Receives: Drug: Trastuzumab deruxtecan; Drug: Durvalumab
Module 2- T-DXd and PertuzumabExperimentalT-DXd and Pertuzumab
Receives: Drug: Trastuzumab deruxtecan; Drug: Pertuzumab
Module 3- T-DXd and PaclitaxelExperimentalT-DXd and Paclitaxel (Arm not initiated in Part 2)
Receives: Drug: Trastuzumab deruxtecan; Drug: Paclitaxel
Module 4- T-DXd and Durvalumab and PaclitaxelExperimentalT-DXd and Durvalumab and Paclitaxel (Arm not initiated in Part 1 and Part 2)
Receives: Drug: Trastuzumab deruxtecan; Drug: Durvalumab; Drug: Paclitaxel
Module 0- T-DXdExperimentalT-DXd
Receives: Drug: Trastuzumab deruxtecan
Module 5 - T-DXd and TucatanibExperimentalT-DXd and tucatinib (Arm not initiated in Part 2)
Receives: Drug: Trastuzumab deruxtecan; Drug: Tucatinib
Module 6 - T-DXd and TucatinibExperimentalT-DXd and tucatinib in patients with active brain metastases (Part 2 Only) (Arm not initiated)
Receives: Drug: Trastuzumab deruxtecan; Drug: Tucatinib
Module 7 - T-DXdExperimentalT-DXd monotherapy in patients with active brain metastases (Part 2 Only)
Receives: Drug: Trastuzumab deruxtecan

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Occurrence of adverse events (AEs)- Part 1

    Occurrence of AEs in Part 1 graded according to NCI CTCAE v5.0

    Measured: Up to follow-up period, approximately 53 months

  2. Occurrence of serious adverse events (SAEs)- Part 1

    Occurrence of SAEs in Part 1 graded according to NCI CTCAE v5.0

    Measured: Up to follow-up period, approximately 53 months

  3. Occurrence of adverse events (AEs)- Part 2

    Occurrence of AEs in Part 2 graded according to NCI CTCAE v5.0

    Measured: Up to follow-up period, approximately 53 months

  4. Occurrence of serious adverse events (SAEs)- Part 2

    Occurrence of SAEs in Part 2 graded according to NCI CTCAE v5.0

    Measured: Up to follow-up period, approximately 53 months

Secondary outcomes (13)
  1. Objective Response Rate (ORR)- Part 1 and Part 2

    ORR is defined as the proportion of patients who have a CR or PR, as determined by the Investigator at local site per RECIST 1.1.

    Measured: Until progression, assessed up to approximately 53 months

  2. Progression Free Survival (PFS)- Part 1 and Part 2

    PFS is defined as time from the date of randomization until the date of progression as assessed by the Investigator at local site per RECIST 1.1, or death due to any cause.

    Measured: Until progression, assessed up to approximately 53 months

  3. Progression Free Survival 2 (PFS2)- Part 2

    PFS2 is defined as time from the date of randomisation until the date of progression on next line treatment (the earliest of the progression event subsequent to first subsequent anticancer therapy) or death; second progression will be defined according to local standard clinical practice.

    Measured: Assessed up to approximately 53 months

  4. Duration of Response (DoR)- Part 2

    DoR is defined as time from the date of first documented response until the date of documented progression or death in the absence of disease progression.

    Measured: Until progression, assessed up to approximately 53 months

  5. Overall Survival (OS)- Part 2

    OS is defined as time from the date of randomisation until the date of death due to any cause.

    Measured: Until death, assessed up to approximately 53 months

  6. Serum Concentration of Trastuzumab Deruxtecan (T-DXd)

    Determination of trastuzumab deruxtecan concentration in serum at different time points after trastuzumab deruxtecan administration

    Measured: While on study drug up to study completion, approximately 53 months

  7. Serum Concentration of Durvalumab

    Determination of durvalumab concentration in serum at different time points after administration

    Measured: While on study drug up to study completion, approximately 53 months

  8. Serum Concentration of Pertuzumab

    Determination of pertuzumab concentration in serum at different time points after administration

    Measured: While on study drug up to study completion, approximately 53 months

  9. Plasma Concentration of Paclitaxel

    Determination of paclitaxel concentration in plasma at different time points after administration

    Measured: While on study drug up to study completion, approximately 53 months

  10. Plasma Concentration of Tucatinib

    Determination of tucatinib concentration in plasma at different time points after administration

    Measured: While on study drug up to study completion, approximately 53 months

  11. Immunogenicity of trastuzumab deruxtecan

    Percentage of patients who develop ADA for trastuzumab deruxtecan

    Measured: Up to follow-up period, approximately 53 months

  12. Immunogenicity of Durvalumab

    Percentage of patients who develop ADA for durvalumab

    Measured: Up to follow-up period, approximately 53 months

  13. Immunogenicity of Pertuzumab

    Percentage of patients who develop ADA for pertuzumab

    Measured: Up to follow-up period, approximately 53 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Sep 2020
  2. Study start28 Dec 2020
  3. Primary completion31 Jan 2025
  4. Study completion31 Jan 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
The study will consist of 2 phases: a dose escalation phase (Part 1) and a dose expansion phase (Part 2). Part 1 of each module will enroll patients with locally assessed HER2-positive advanced/MBC in second-line or later.Part 2 of each module will enroll patients with locally assessed HER2-positive breast cancer who have not received prior treatment for advanced/metastatic disease.
Masking
None (open label)
Enrolment
245 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04538742
Sponsor's protocol ID
D967JC00001
Other IDs
2023-505309-18-00, 2019-004531-22, 2019, 2023
Acronym
DB-07
Status last verified
Dec 2025
First submitted
31 Aug 2020
Last updated
8 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Trastuzumab deruxtecan, Durvalumab and Paclitaxel in people with Metastatic Breast Cancer, run by AstraZeneca at 72 sites in 15 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 8 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 72 sites in United States, Russia, Brazil, Taiwan, South Korea and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Occurrence of adverse events (AEs)- Part 1 (time frame: Up to follow-up period, approximately 53 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Dec 2025; AzTrials last refreshed its copy on 4 Nov 2026.

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