HER2-positive Metastatic Breast CancerNCT06551116
QuantifyHER: Quantitative Immunofluorescence and/or RT-qPCR for Measuring HER2 in HER2-low Metastatic Breast Cancer
An observational study of HER2-positive Metastatic Breast Cancer, run by Abramson Cancer Center at Penn Medicine at 37 sites in United States.
Trial summary
This study will assess whether a quantitative, HER2 assay can accurately and reliably discriminate between responders and non-responders among patients with HER2 IHCI+ metastatic breast cancer who are receiving T-Dxd. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HER2-positive Metastatic Breast Cancer
- What is being tested?
- CE-10-IVD
- How many people
- 200 participants
- Where
- 37 sitesUnited States
- Study dates
- 10 Oct 2024to 1 Sep 2029
- Phase
- Observational
- 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
Study population: Patients with HER2 IHC1+ metastatic breast cancer, histologically confirmed
Who may be able to join
- Women and men age > 18 years
- Metastatic breast cancer, histologically- confirmed. Any estrogen receptor (ER) status is allowed. ER status will be determined by local laboratory assessment utilizing ASCO/CAP guidelines.
- Primary and/or metastatic tumor with 1+ level of expression of HER2 by immunohistochemistry as determined by local laboratory assessment utilizing ASCO/CAP guidelines.
- Measurable disease by cross-sectional imaging at the start of treatment. Patients with measurable bone-only disease or active brain metastases are eligible.
- Archival tissue available for biomarker assessment. One specimen should be the most recent metastatic biopsy. If HER2 1+ status was determined on a different specimen (either primary or metastatic tissue), that specimen is also required. Samples obtained from bone metastases that were processed via decalcification methods are not eligible.
- Intention to initiate therapy with T-DXd (Enhertu) at FDA-approved dose and schedule as next line of therapy. If T-DXd was already initiated, patients must be registered within 30 days of initiation.
- Ability to provide informed consent
Who cannot join
- Concurrent Her2-overexpressing metastatic breast cancer (as confirmed by a metastatic biopsy with IHC 3+ or IHC 2+ with FISH amplified as per standard ASCO/CAP guidelines)
Trial locations and contacts
37 sites in 1 country. Contact the study team or a site near you to ask about taking part.
37 sites in 1 country
United States37 sites, 37 recruiting
- Recruiting
John's Hopkins Hospital
Baltimore, Maryland, 21287
Jessica Jelinek, jnovotn3@jhmi.edu
- Recruiting
UNC Chapel Hill
Chapel Hill, North Carolina, 27599
Mireille Leone, mireille_leone@med.unc.edu
- Recruiting
University of Chicago Medical Center
Chicago, Illinois, 60637
Vhenyse Encarnacion, vhenyse.encarnacion@bsd.uchicago.edu
- Recruiting
University of Chicago Medicine Northwest Indiana
Crown Point, Indiana, 46307
Vhenyse Encarnacion, vhenyse.encarnacion@bsd.uchicago.edu
- Recruiting
Smilow Cancer Hospital-Derby Care Center
Derby, Connecticut, 06418
Carl Brown, carl.brown@yale.edu
- Recruiting
Smilow Cancer Hospital Care Center
Fairfield, Connecticut, 06824
Carl Brown, carl.brown@yale.edu
- Recruiting
Smilow Cancer Hospital at Glastonbury
Glastonbury, Connecticut, 06033
Carl Brown, carl.brown@yale.edu
- Recruiting
Smilow Cancer Hospital Care Center at Greenwich
Greenwich, Connecticut, 06830
Carl Brown, carl.brown@yale.edu
- Recruiting
Smilow Cancer Hospital Care Center
Guilford, Connecticut, 06437
Carl Brown, carl.brown@yale.edu
- Recruiting
Smilow Cancer Hospital at Saint Francis
Hartford, Connecticut, 06105
Carl Brown, carl.brown@yale.edu
- Recruiting
Ben Taub General Hospital
Houston, Texas, 77030
Emily Mowatt, Emily.Mowatt@bcm.edu
- Recruiting
MD Anderson Cancer center
Houston, Texas, 77030
Cynthia Tamez, CTamez@mdanderson.org
- Recruiting
Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
Houston, Texas, 77054
Emily Mowatt, Emily.Mowatt@bcm.edu
- Recruiting
MD Anderson Cancer Center
Houston, Texas, 77079
Cynthia Tamez, CTamez@mdanderson.org
- Recruiting
MD Anderson Cancer center
League City, Texas, 77573
Cynthia Tamez, CTamez@mdanderson.org
- Recruiting
Yale-New Haven Hospital North Haven Medical Center
New Haven, Connecticut, 06473
Carl Brown, carl.brown@yale.edu
- Recruiting
Yale Cancer Center
New Haven, Connecticut, 06511
Carl Brown, MHS, carl.brown@yale.edu
Adriana Kahn, MD
- Recruiting
University of Chicago Comprehensive Cancer Center at Silver Cross
New Lenox, Illinois, 60451
Vhenyse Encarnacion, vhenyse.encarnacion@bsd.uchicago.edu
- Recruiting
University of Chicago Medicine-Orland Park
Orland Park, Illinois, 60462
Vhenyse Encarnacion, vhenyse.encarnacion@bsd.uchicago.edu
- Recruiting
Abramson Cancer Center of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Angela DeMichele, MD, 855-216-0098, BreastCancerClinicalTrials@pennmedicine.upenn.edu
Angela DeMichele, MD
- Recruiting
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
AJ Jackson, jacksonac@upmc.edu
- Recruiting
UPMC Hillman CC
Pittsburgh, Pennsylvania, 15232
AJ Jackson, jacksonac@upmc.edu
- Recruiting
Penn Medicine Princeton Medical Center
Plainsboro, New Jersey, 08536
Mommen Ali, Syed.Ali@PennMedicine.upenn.edu
- Recruiting
University of California San Francisco Medical Center
San Francisco, California, 94143
Emma Brophy, Emma.Brophy@ucsf.edu
- Recruiting
University of Washington - Fred Hutchinson Cancer Center
Seattle, Washington, 98109
Emma Jackson, ejackso2@fredhutch.org
- Recruiting
Smilow Cancer Hospital Care Center at Long Ridge
Stamford, Connecticut, 06901
Carl Brown, carl.brown@yale.edu
- Recruiting
MD Anderson Cancer Center
Sugar Land, Texas, 77478
Cynthia Tamez, CTamez@mdanderson.org
- Recruiting
Montefiore Einstein Medical Center
The Bronx, New York, 10467
Alisia Laird, allaird@montefiore.org
- Recruiting
Smilow Cancer Hospital-Torrington Care Center
Torrington, Connecticut, 06790
Carl Brown, carl.brown@yale.edu
- Recruiting
Smilow Cancer Hospital Care Center
Trumbull, Connecticut, 06611
Carl Brown, carl.brown@yale.edu
- Recruiting
Georgetown University - Lombardi CCC
Washington D.C., District of Columbia, 20007
Antonella Novielli, noviella@georgetown.edu
- Recruiting
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010
Antonella Novielli, noviella@georgetown.edu
- Recruiting
Sibley Memorial Hospital
Washington D.C., District of Columbia, 20016
Stephanie Grunwald, sgrunwa1@jh.edu
- Recruiting
Smilow Cancer Hospital-Waterbury Care Center
Waterbury, Connecticut, 06708
Carl Brown, carl.brown@yale.edu
- Recruiting
Smilow Cancer Hospital Care Center - Waterford
Waterford, Connecticut, 06385
Carl Brown, carl.brown@yale.edu
- Recruiting
Smilow Cancer Hospital Care Center
Westerly, Rhode Island, 02891
Carl Brown, carl.brown@yale.edu
- Recruiting
MD Anderson Cancer center
Woodland, Texas, 77384
Cynthia Tamez, CTamez@mdanderson.org
About this study
This study will assess whether a quantitative, HER2 assay can accurately and reliably discriminate between responders and non-responders among patients with HER2 IHCI+ metastatic breast cancer who are receiving T-Dxd.
- Conditions
- HER2-positive Metastatic Breast Cancer
- Being tested
- CE-10-IVD
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CE-10-IVDDiagnostic test
Leftover tumor tissue from a routine biopsy will be sent for analysis.
| Study group | Role | What they receive |
|---|---|---|
| HER2 Assay | Analysis of HER2 expression via QIF and mRNA assays Receives: Diagnostic Test: CE-10-IVD |
What is being measured
The primary outcome is the main question the study is designed to answer.
Real-World Objective Response Rate
Association between quantitative HER2 expression (as a continuous variable) and real-world objective response rate
Measured: from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months
Secondary outcomes (4)
Real-World Progression Free Survival
Association between quantitative HER2 expression (as a continuous variable) and real world Progression Free Survival
Measured: from date of first dose of T-DXd to date of last dose of T-DXd for each.Up to 100 months
Real-World Progression Free Survival and Objective Response Rate by estrogen receptor expression
Association between HER2 expression by quantitative immunofluorescence and mRNA in HER2 IHC 1+ tumors and both rwORR and rwPFS, stratified by mRNA ER expression
Measured: from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months
Threshold for HER2 QIF and/or mRNA levels
cut-off value for HER2 QIF, mRNA and the combination below which patients will not respond to T-DXd."
Measured: from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months
Association between combined mRNA + QIF and real-world Objective Response Rate
Comparison, based on rwORR, of a linear combination of HER2 QIF and mRNA, versus either alone in ability to discriminate T-DXd responders from non- responders
Measured: from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Aug 2024
- Study start10 Oct 2024
- Primary completion1 Sep 2029 (estimated)
- Study completion1 Sep 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HER2-positive Metastatic Breast CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Abramson Cancer Center at Penn Medicine
- Sponsor type
- University, hospital or other
- Collaborators
- Translational Breast Cancer Research Consortium, Danaher Inc.
- Responsible party
- Sponsor
- Investigators
- Angela DeMichele, MD, Principal investigator, Abramson Cancer Center at Penn Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06551116
- Sponsor's protocol ID
- UPCC 09124
- Other IDs
- 855924
- Status last verified
- Jul 2026
- First submitted
- 29 Jul 2024
- Last updated
- 8 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- QuantifyHER: Quantitative Immunofluorescence and/or RT-qPCR for Measuring HER2 in HER2-low Metastatic Breast Cancer
- ClinicalTrials.gov ID
- NCT06551116
- Acronym / sponsor ID
- UPCC 09124
- Conditions
- HER2-positive Metastatic Breast Cancer
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 200 participants (estimated)
- Lead sponsor
- Abramson Cancer Center at Penn MedicineUniversity, hospital or other
- Collaborators
- Translational Breast Cancer Research Consortium, Danaher Inc.
- Study start
- 10 Oct 2024 (actual)
- Primary completion
- 1 Sep 2029 (estimated)
- Study completion
- 1 Sep 2029 (estimated)
- First posted
- 13 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will assess whether a quantitative, HER2 assay can accurately and reliably discriminate between responders and non-responders among patients with HER2 IHCI+ metastatic breast cancer who are receiving T-Dxd.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| HER2 Assay | – | Diagnostic Test: CE-10-IVDAnalysis of HER2 expression via QIF and mRNA assays |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients with HER2 IHC1+ metastatic breast cancer, histologically confirmed
Key inclusion criteria (7 listed)
- Women and men age > 18 years
- Metastatic breast cancer, histologically- confirmed. Any estrogen receptor (ER) status is allowed. ER status will be determined by local laboratory assessment utilizing ASCO/CAP guidelines.
- Primary and/or metastatic tumor with 1+ level of expression of HER2 by immunohistochemistry as determined by local laboratory assessment utilizing ASCO/CAP guidelines.
- Measurable disease by cross-sectional imaging at the start of treatment. Patients with measurable bone-only disease or active brain metastases are eligible.
- Archival tissue available for biomarker assessment. One specimen should be the most recent metastatic biopsy. If HER2 1+ status was determined on a different specimen (either primary or metastatic tissue), that specimen is also required. Samples obtained from bone metastases that were processed via decalcification methods are not eligible.
Key exclusion criteria (1 listed)
- Concurrent Her2-overexpressing metastatic breast cancer (as confirmed by a metastatic biopsy with IHC 3+ or IHC 2+ with FISH amplified as per standard ASCO/CAP guidelines)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CE-10-IVDLeftover tumor tissue from a routine biopsy will be sent for analysis. | Diagnostic test | HER2 Assay |
Primary outcome
Real-World Objective Response Rate
Time frame: from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months
Association between quantitative HER2 expression (as a continuous variable) and real-world objective response rate
4 secondary outcomes
Real-World Progression Free Survival
Time frame: from date of first dose of T-DXd to date of last dose of T-DXd for each.Up to 100 months
Real-World Progression Free Survival and Objective Response Rate by estrogen receptor expression
Time frame: from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months
Threshold for HER2 QIF and/or mRNA levels
Time frame: from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months
Association between combined mRNA + QIF and real-world Objective Response Rate
Time frame: from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jul 2026.
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A Phase 1/1b Study of PRT13722 in Participants With Advanced HR+/HER2- Breast Cancer
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RecruitingPhase 3
S1501 Dual Observational and Randomized Cohort Study of Patients With Metastatic HER-2+ Breast Cancer at Risk of Cardiac Toxicity
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Angela DeMichele, MD principal investigator
Abramson Cancer Center at Penn Medicine
37 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of HER2-positive Metastatic Breast Cancer, run by Abramson Cancer Center at Penn Medicine at 37 sites in United States.
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 7 inclusion and 1 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: looking for participants now, as of the sponsor's last update on 8 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 37 sites in United States. 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.
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?
Contact Angela DeMichele, MD (215-908-2599, angela.demichele@pennmedicine.upenn.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Real-World Objective Response Rate (time frame: from date of first dose of T-DXd to date of last dose of T-DXd for each. Up to 100 months). 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 Jul 2026.