Table 5 Selected trials of antibody–drug conjugates recruiting patients with HR + /HER2− or HR + /HER2-low advanced breast cancers—updated (August 2023).

From: Emerging systemic therapy options beyond CDK4/6 inhibitors for hormone receptor-positive HER2-negative advanced breast cancer

Clinicaltrials.gov identifier

Phase

Antibody–drug conjugate

Drug target

Treatment arms

Study population

Study status

NCT04494425

(DESTINY-Breast06)

III

Trastuzumab deruxtecan

HER2

Trastuzumab deruxtecan vs TPC (capecitabine, paclitaxel, nab-paclitaxel)

Advanced/metastatic HR+/HER2-low breast cancer with at least 2 prior ET or PD within 6 months of first-line ET + CDK4/6i but no prior CT

Active, not recruiting

NCT04556773

(DESTINY-Breast08)

Ib

Trastuzumab deruxtecan

HER2

Trastuzumab deruxtecan + capecitabine or durvalumab + paclitaxel or capivasertib or anastrozole or fulvestrant

Part 1: previously treated HER2-low advanced/metastatic breast cancer

Part 2: HER2-low MBC previously untreated or only 1 prior line

Active, not recruiting

NCT04042701

(KEYNOTE 797)

Ib

Trastuzumab deruxtecan

HER2

Trastuzumab deruxtecan + pembrolizumab

Advanced/metastatic breast cancer, HER2-low with prior failed standard treatments or HER2+ with prior ado-trastuzumab emtansine

Recruiting

NCT04699630

II

Patritumab deruxtecan

HER3

Patritumab deruxtecan

Advanced/metastatic breast cancer—includes HER2+, HR+/HER2-low and TNBC

Recruiting

NCT04965766

(ICARUS-BREAST)

II

Patritumab deruxtecan

HER3

Patritumab deruxtecan

Advanced/metastatic HER3 high, HR+/HER2− breast cancer resistant to ET + CDK4/6i

Recruiting

NCT04639986

(EVER-132-002)

III

Sacituzumab govitecan

TROP2

Sacituzumab govitecan vs TPC (capecitabine, eribulin, gemcitabine, vinorelbine)

Asian patients with HR+/HER2− MBC with ≥2 but ≤4 prior lines of CT

Active, not recruiting

NCT04448886

II

Sacituzumab govitecan

TROP2

Sacituzumab govitecan +/− pembrolizumab

Advanced/metastatic HR+/HER2− breast cancer PD on/within 12 months of adjuvant ET or with ≥1 prior ET

Recruiting

NCT05143229

(ASSET)

I

Sacituzumab govitecan

TROP2

Sacituzumab govitecan + alpelisib

Previously treated HER2- locally recurrent/metastatic breast cancer

Recruiting

NCT04647916

(SWOG 2007)

II

Sacituzumab govitecan

TROP2

Sacituzumab govitecan

HER2- MBC with CNS progression

Recruiting

NCT05104866

(TROPION-Breast01)

III

Datopotamab deruxtecan

TROP2

Datopotamab deruxtecan vs TPC (capecitabine, eribulin, gemcitabine, vinorelbine)

Advanced/metastatic HR+/HER2− breast cancer with PD on ET and 1–2 lines of CT

Active, not recruiting

  1. CDK4/6i cyclin-dependent kinase 4/6 inhibitor, CNS central nervous system, CT chemotherapy, ET endocrine therapy, MBC metastatic breast cancer, PD disease progression, TNBC triple-negative breast cancer, TPC treatment of physician’s choice.