Clinical Trials

Trastuzumab deruxtecan is currently evaluated in numerous clinical trials spanning Early Phase 1 to Phase 4 studies. These investigations primarily target HER2-positive, HER2-low, and metastatic breast cancers, alongside gastroesophageal adenocarcinomas and various advanced solid tumors. Sponsored by pharmaceutical entities such as Daiichi Sankyo and AstraZeneca alongside academic institutions like Fudan University and Washington University School of Medicine, these global trials encompass active, completed, and upcoming recruitment statuses.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07553390 NOT_YET_RECRUITING
Breast Cancer
M.D. Anderson Cancer Center
2026-10-01 PHASE1
NCT07060807 RECRUITING
Breast Neoplasms
Merck Sharp & Dohme LLC
2025-07-21 PHASE3
NCT07578116 NOT_YET_RECRUITING
Anatomic Stage IV Breast Cancer AJCC v8; Metastatic HER2-Positive Breast Carcinoma; Oligometastatic Breast Carcinoma
SWOG Cancer Research Network
2027-03-09 PHASE3
NCT06643585 RECRUITING
Breast Cancer
Prof. Wolfgang Janni
2025-04-22 PHASE3
NCT07022483 RECRUITING
Endometrial Cancer
Daiichi Sankyo
2025-09-30 PHASE3
NCT07630103 NOT_YET_RECRUITING
Advanced Breast Cancer
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
2026-06 PHASE2
NCT07701941 NOT_YET_RECRUITING
Hormone Receptor Positive; HER2-low or HER2-ultralow; Unresectable or Metastatic Breast Cancer
Daiichi Sankyo
2026-08-03 PHASE1; PHASE2
NCT05633979 ACTIVE_NOT_RECRUITING
Breast Cancer
M.D. Anderson Cancer Center
2023-02-09 PHASE1
NCT05868226 RECRUITING
HER2-positive Breast Cancer; Metastatic Cancer; Metastatic Breast Cancer; Metastatic; HER2-positive Metastatic Breast Cancer; HER2 Mutation-Related Tumors; HER-2 Protein Overexpression; HER2-negative Breast Cancer; Triple Negative Breast Cancer; HR Positive; Hormone Receptor-positive Breast Cancer; Estrogen Receptor Positive Tumor; Progesterone Receptor-positive Breast Cancer; Hormone Receptor Negative Breast Carcinoma; Solid Tumor; Solid Tumor, Adult; Solid Carcinoma; HER2 Low Breast Cancer; HER2 Low Breast Carcinoma; ER Positive Breast Cancer; PR-positive Breast Cancer; Minimal Residual Disease; Colo-rectal Cancer; Colon Cancer; Rectal Cancer; ctDNA Monitoring; Colorectal Neoplasms; Colonic Neoplasms; Rectal Neoplasms; Neoplasm, Residual; Adenocarcinoma of Colon; Adenocarcinoma
QuantumLeap Healthcare Collaborative
2023-02-15 PHASE1; PHASE2
NCT01042379 RECRUITING
Breast Neoplasms; Breast Cancer; Breast Tumors; Angiosarcoma; TNBC - Triple-Negative Breast Cancer; HER2-positive Breast Cancer; HER2-negative Breast Cancer; Hormone Receptor Positive Tumor; Hormone Receptor Negative Tumor; Early-stage Breast Cancer; Locally Advanced Breast Cancer
QuantumLeap Healthcare Collaborative
2010-03-01 PHASE2
NCT03424005 RECRUITING
Metastatic Breast Cancer
Hoffmann-La Roche
2018-03-30 PHASE1; PHASE2
NCT07619365 NOT_YET_RECRUITING
Breast Cancer; Advanced Breast Cancer; Metastatic Breast Cancer
Washington University School of Medicine
2026-08-31 PHASE2
NCT07683754 NOT_YET_RECRUITING
Advanced Breast Cancer; Metastatic Breast Cancer; HER2 Positive; HR Positive
Daiichi Sankyo
2026-09-04 PHASE3
NCT05704829 RECRUITING
HER2-positive Early Breast Cancer
Women's Cancer Study Group GmbH
2024-02-05 PHASE2
NCT05765851 RECRUITING
Advanced Solid Tumor
Daiichi Sankyo
2023-05-30 PHASE1
NCT06899126 RECRUITING
Non-small Cell Lung Cancer
Daiichi Sankyo
2025-10-24 PHASE3
NCT06439693 RECRUITING
Breast Cancer Female; Breast Cancer; Breast Cancer Metastatic; Estrogen Receptor-positive Breast Cancer; HER2-positive Breast Cancer; Stage IV Breast Cancer
Dana-Farber Cancer Institute
2024-08-08 PHASE2
NCT07459673 RECRUITING
Breast Cancer; HER2-positive Breast Cancer; Breast Cancer Stage IV
Memorial Sloan Kettering Cancer Center
2026-03-04 PHASE2
NCT07195344 RECRUITING
Locally Advanced or Metastatic Breast Cancers
Institut Claudius Regaud
2025-10-15 PHASE4
NCT07151586 NOT_YET_RECRUITING
Triple Negative Breast Neoplasms; Neoplasm Metastasis; HER 2 Low-expressing Breast Cancer
UNICANCER
2026-09 PHASE2
NCT07371585 RECRUITING
Breast Cancer Stage IV
SOLTI Breast Cancer Research Group
2026-02-18 PHASE2
NCT07782086 NOT_YET_RECRUITING
Breast Cancer
Shuangyue Liu
2026-09-07
NCT07691489 NOT_YET_RECRUITING
Colorectal Cancer; Adenocarcinoma of the Colon; Adenocarcinoma of the Rectum
Memorial Sloan Kettering Cancer Center
2026-08 PHASE2
NCT06764875 RECRUITING
HER2-positive Gastric Cancer; Gastroesophageal Junction Adenocarcinoma
AstraZeneca
2025-03-01 PHASE3
NCT07543536 RECRUITING
Advanced/Metastatic Breast Cancer; HER2+, Low, or Ultralow Advanced/Metastatic Breast Cancer
Sun Yat-sen University
2026-06-08 PHASE3
NCT07417241 NOT_YET_RECRUITING
Breast Cancer; HER2-positive Breast Cancer
Peking University Cancer Hospital & Institute
2026-03-31 PHASE2
NCT06989112 RECRUITING
Endometrial Cancer
AstraZeneca
2025-03-27 PHASE3
NCT06324357 RECRUITING
Metastatic Breast Cancer; Metastatic Gastric Adenocarcinoma; Gastroesophageal Junction Adenocarcinoma; Esophageal Adenocarcinoma; Colorectal Cancer
Boehringer Ingelheim
2024-06-28 PHASE1; PHASE2
NCT06750484 RECRUITING
Breast Cancer Metastatic
Yale University
2025-06-20 PHASE2
NCT07015697 RECRUITING
Recurrent or Metastatic Solid Tumors
Daiichi Sankyo
2025-07-17 PHASE1
NCT07130344 NOT_YET_RECRUITING
Metastatic Breast Cancer; HER 2 Low-expressing Breast Cancer
Centre Paul Strauss
2025-09
NCT07785856 NOT_YET_RECRUITING
T-dxd Resistant HER2-Positive; HER2 Low Metastatic Breast Cancer
The Methodist Hospital Research Institute
2026-12 PHASE1; PHASE2
NCT06819007 RECRUITING
Ovarian Cancer
Daiichi Sankyo
2025-03-19 PHASE3
NCT07126561 NOT_YET_RECRUITING
HER2 Positive Newly Diagnosed Metastatic Esophageal, Gastric, GEJ Cancer Patients With an ECOG Performance Status of 2
University of Chicago
2026-11-01 PHASE2
NCT06244485 ACTIVE_NOT_RECRUITING
Advanced Solid Tumor
Daiichi Sankyo
2024-02-16 PHASE1
NCT06630130 RECRUITING
Stomach Neoplasms
Jeeyun Lee
2025-01-22 PHASE2
NCT07182721 RECRUITING
HER2-positive, Unresectable, Locally Advanced or Metastatic Breast Cancer; SKB264; Inetetamab
Fudan University
2025-09-30 PHASE2
NCT06680596 ENROLLING_BY_INVITATION
Breast Cancer Metastatic; Breast Cancer Stage IV
UNICANCER
2025-07-30 PHASE2
NCT05408845 RECRUITING
Metastatic Salivary Gland Carcinoma; Recurrent Salivary Gland Carcinoma; Stage III Major Salivary Gland Cancer AJCC v8; Stage IV Major Salivary Gland Cancer AJCC v8; Unresectable Salivary Gland Carcinoma
NRG Oncology
2023-03-03 PHASE2
NCT05372614 RECRUITING
Metastatic Malignant Solid Neoplasm; Metastatic Pancreatic Adenocarcinoma; Stage III Pancreatic Cancer AJCC v8; Stage IV Pancreatic Cancer AJCC v8; Unresectable Malignant Solid Neoplasm; Unresectable Pancreatic Adenocarcinoma
National Cancer Institute (NCI)
2022-10-05 PHASE1
NCT06145308 RECRUITING
Salivary Gland Carcinoma; Precision Therapy
Peking Union Medical College
2023-08-15 PHASE2
NCT07454668 NOT_YET_RECRUITING
Breast Cancer; HER2-positive Breast Cancer; Brain Metastases; Cancer; Cancer Metastatic
Baptist Health South Florida
2026-06 PHASE1
NCT06467357 RECRUITING
Biliary Tract Cancer
AstraZeneca
2024-08-12 PHASE3
NCT04986579 RECRUITING
Metastatic Breast Cancer; Chemotherapy-induced Alopecia
Dana-Farber Cancer Institute
2021-10-07 PHASE2
NCT06731478 RECRUITING
Gastric Cancer; Gastroesophageal Junction Cancer
Daiichi Sankyo
2025-02-27 PHASE3
NCT07198724 RECRUITING
Metastatic Breast Cancer; HER2 Low Breast Carcinoma; HER2-negative Breast Cancer; Breast Cancer; Breast Cancer Female
Kristina A. Fanucci
2025-11-17 PHASE1; PHASE2
NCT07497386 RECRUITING
Unresectable Locally Recurrent Breast Cancer; Unresectable Locally Metastatic Breast Cancer
Jiangsu HengRui Medicine Co., Ltd.
2026-04-28 PHASE2
NCT06263543 RECRUITING
Breast Cancer; Metastatic Breast Cancer; Advanced Breast Cancer; Hormone-receptor-positive Breast Cancer; Human Epidermal Growth Factor 2 Low Breast Cancer
Reshma L. Mahtani, D.O.
2024-06-17 PHASE2
NCT06435429 RECRUITING
Metastatic HER2-positive Breast Cancer
Jazz Pharmaceuticals
2024-08-13 PHASE3
NCT05034887 ACTIVE_NOT_RECRUITING
Gastric Adenocarcinoma; Gastroesophageal Junction Adenocarcinoma
National Cancer Center Hospital East
2022-01-31 PHASE2
NCT06311214 RECRUITING
Advanced Malignant Solid Neoplasm; Metastatic Malignant Solid Neoplasm
National Cancer Institute (NCI)
2025-03-18 PHASE2
NCT07465172 NOT_YET_RECRUITING
Breast Cancer
Breast Cancer Trials, Australia and New Zealand
2026-03
NCT05417594 RECRUITING
Advanced Solid Malignancies
AstraZeneca
2022-06-24 PHASE1; PHASE2
NCT07294508 RECRUITING
HER2 + Breast Cancer
Shanghai Henlius Biotech
2026-02-27 PHASE2; PHASE3
NCT07137416 RECRUITING
Anatomic Stage III Breast Cancer AJCC v8; Anatomic Stage IV Breast Cancer AJCC v8; Invasive Breast Carcinoma; Locally Advanced Breast Carcinoma; Metastatic Breast Carcinoma; Metastatic HER2-Low Breast Carcinoma; Metastatic HER2-Positive Breast Carcinoma; Metastatic Hormone Receptor-Positive Breast Carcinoma; Metastatic Malignant Solid Neoplasm; Metastatic Triple-Negative Breast Carcinoma; Unresectable Breast Carcinoma; Unresectable HER2-Low Breast Carcinoma; Unresectable HER2-Positive Breast Carcinoma; Unresectable Hormone Receptor-Positive Breast Carcinoma; Unresectable Malignant Solid Neoplasm; Unresectable Triple-Negative Breast Carcinoma
National Cancer Institute (NCI)
2026-10-05 PHASE1
NCT06533826 RECRUITING
Breast Cancer; HER2-low Breast Cancer; Metastatic Breast Cancer; HER2-negative Breast Cancer
Ana C Garrido-Castro, MD
2024-10-29 PHASE2
NCT06733233 NOT_YET_RECRUITING
Breast Cancer, Estrogen Receptor-Positive; HER2 Low Breast Cancer
Guangzhou Women and Children's Medical Center
2025-01-01 PHASE2
NCT06771622 ACTIVE_NOT_RECRUITING
Solid Cancer
FBD Biologics Limited
2025-03-13 PHASE1; PHASE2
NCT06731803 ACTIVE_NOT_RECRUITING
Esophagogastric Adenocarcinoma
Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest
2025-03-25 PHASE1; PHASE2
NCT07662473 NOT_YET_RECRUITING
NSCLC
Hunan Province Tumor Hospital
2026-07-29 PHASE2
NCT02693535 RECRUITING
Lymphoma, Non-Hodgkin; Multiple Myeloma; Advanced Solid Tumors
American Society of Clinical Oncology
2016-03-14 PHASE2
NCT07162259 NOT_YET_RECRUITING
Breast Neoplasms
Yan Xue
2025-10-01 PHASE4
NCT04616560 RECRUITING
Desmoplastic Small Round Cell Tumor; Osteosarcoma; Recurrent Desmoplastic Small Round Cell Tumor; Recurrent Kidney Wilms Tumor; Recurrent Osteosarcoma; Refractory Desmoplastic Small Round Cell Tumor; Refractory Wilms Tumor; Wilms Tumor
National Cancer Institute (NCI)
2021-03-08 PHASE2
NCT07647016 RECRUITING
Breast Cancer
Fudan University
2026-04-01 PHASE2
NCT05795101 RECRUITING
Invasive Breast Cancer; Inflammatory Breast Cancer Stage III; HER2-positive Breast Cancer; HER2 Low Breast Adenocarcinoma; Breast Cancer
Filipa Lynce, MD
2023-05-04 PHASE2
NCT07333937 NOT_YET_RECRUITING
Brest Cancer
Xijing Hospital
2025-12-20 PHASE2
NCT07318389 NOT_YET_RECRUITING
Dynamic Tumor Resistance; Metastatic Colorectal Cancer
M.D. Anderson Cancer Center
2026-06-10 EARLY_PHASE1
NCT07069712 RECRUITING
Gastroesophageal Adenocarcinoma
AstraZeneca
2025-07-17 PHASE2
NCT07152782 NOT_YET_RECRUITING
Breast Cancer With Brain Metastasis; HER2-positive Breast Cancer
Fudan University
2025-11 PHASE2
NCT07407465 RECRUITING
Colorectal Cancer; Colorectal Adenocarcinoma; Rectal Adenocarcinoma; Rectal Cancer, Adenocarcinoma; Rectal Cancer, Metastatic; Colon Cancer Metastatic; Colon Cancer Adenocarcinoma
Gruppo Oncologico del Nord-Ovest
2025-10-20 PHASE2
NCT05950945 RECRUITING
Breast Cancer
Daiichi Sankyo
2023-12-30 PHASE3
NCT05982678 RECRUITING
HER2-positive Breast Cancer
The Netherlands Cancer Institute
2024-05-02 PHASE2
NCT06610825 RECRUITING
Prostate Cancer Metastatic; Prostate Cancer; CRPC
Washington D.C. Veterans Affairs Medical Center
2025-03-05 PHASE2
NCT07393425 RECRUITING
HER2 + Breast Cancer
Shanghai Jiao Tong University School of Medicine
2026-02-02 PHASE2
NCT06058988 RECRUITING
Brain Cancer; Glioblastoma; Metastatic Cancer; Leptomeningeal Metastasis; Recurrent Glioblastoma
Memorial Sloan Kettering Cancer Center
2023-09-22 PHASE2
NCT07150208 NOT_YET_RECRUITING
Breast Cancer With Brain Metastasis; HER2-low Expressing Breast Cancer
Fudan University
2025-09 PHASE2
NCT06525298 RECRUITING
Advanced Solid Tumor; Homologous Recombination Deficiency; HRR Deficiency
Eisbach Bio GmbH
2024-09-09 PHASE1; PHASE2
NCT06298084 RECRUITING
Breast Cancer Metastatic; HER2-positive Metastatic Breast Cancer; HER2 Low Breast Carcinoma; Advanced Breast Cancer
Gustave Roussy, Cancer Campus, Grand Paris
2024-03-21 PHASE1; PHASE2
NCT05593094 ACTIVE_NOT_RECRUITING
Advanced Solid Tumors; HER2-positive Breast Cancer
Hoffmann-La Roche
2020-09-03 PHASE1; PHASE2
NCT07086768 RECRUITING
Solid Tumor; Advanced Solid Tumor; Metastatic Solid Tumor
Lei Zheng
2026-01-26 PHASE1
NCT06364410 RECRUITING
Clinical Stage III Gastric Cancer AJCC v8; Clinical Stage III Gastroesophageal Junction Adenocarcinoma AJCC v8; Clinical Stage IV Gastric Cancer AJCC v8; Clinical Stage IV Gastroesophageal Junction Adenocarcinoma AJCC v8; Locally Advanced Gastric Carcinoma; Locally Advanced Gastroesophageal Junction Adenocarcinoma; Locally Advanced Malignant Solid Neoplasm; Metastatic Gastric Carcinoma; Metastatic Gastroesophageal Junction Adenocarcinoma; Metastatic Malignant Solid Neoplasm; Unresectable Gastric Carcinoma; Unresectable Gastroesophageal Junction Adenocarcinoma; Unresectable Malignant Solid Neoplasm
National Cancer Institute (NCI)
2025-02-03 PHASE1
NCT04686305 RECRUITING
Locally Advanced or Metastatic Non-Small Cell Lung Cancer
AstraZeneca
2021-03-09 PHASE1
NCT06102824 RECRUITING
HER2-negative Breast Cancer; Advanced Breast Cancer
Guangdong Provincial People's Hospital
2024-10-01 PHASE2
NCT07012031 RECRUITING
Locally Advanced Lung Non-Small Cell Carcinoma; Metastatic Lung Non-Small Cell Carcinoma; Stage III Lung Cancer AJCC v8; Stage IV Lung Cancer AJCC v8
National Cancer Institute (NCI)
2026-06-17 PHASE1; PHASE2
NCT07368543 NOT_YET_RECRUITING
Metastatic Breast Cancer
Fudan University
2026-01-16 PHASE2
NCT06832202 RECRUITING
HER2-low Hormone Receptor Positive Breast Cancer
Shanghai Henlius Biotech
2025-04-16 PHASE2
NCT05614739 RECRUITING
Urinary Bladder Neoplasms; Neoplasm Metastasis; Ureteral Neoplasms
Eli Lilly and Company
2023-01-12 PHASE1
NCT04644068 ACTIVE_NOT_RECRUITING
Ovarian Cancer; Breast Cancer; Pancreatic Cancer; Prostate Cancer; Additional Indications Below for Module 4 and 5; Non-small Cell Lung Cancer; Colorectal Cancer; Bladder Cancer; Gastric Cancer; Biliary Cancer; Cervical Cancer; Endometrial Cancer; Small Cell Lung Cancer Only in Module 5
AstraZeneca
2020-11-12 PHASE1; PHASE2
NCT04379596 ACTIVE_NOT_RECRUITING
Gastric Cancer
AstraZeneca
2020-06-03 PHASE2
NCT06665178 RECRUITING
Breast Cancer
British Columbia Cancer Agency
2025-03-31 PHASE2
NCT05900206 RECRUITING
Breast Cancer
Karolinska University Hospital
2023-10-26 PHASE2
NCT05376878 RECRUITING
Anatomic Stage IV Breast Cancer AJCC v8; Metastatic Breast Carcinoma; Metastatic Malignant Neoplasm in the Brain
City of Hope Medical Center
2022-12-21 PHASE4
NCT06172127 ACTIVE_NOT_RECRUITING
HER2-positive Breast Cancer
MedSIR
2024-07-22 PHASE2
NCT06409390 RECRUITING
Metastatic Breast Cancer
H. Lee Moffitt Cancer Center and Research Institute
2024-08-14 PHASE2
NCT04704661 ACTIVE_NOT_RECRUITING
Advanced Breast Carcinoma; Advanced Colon Carcinoma; Advanced Colorectal Carcinoma; Advanced Endometrial Carcinoma; Advanced Gastric Carcinoma; Advanced Gastroesophageal Junction Adenocarcinoma; Advanced Malignant Solid Neoplasm; Advanced Salivary Gland Carcinoma; Anatomic Stage III Breast Cancer AJCC v8; Anatomic Stage IV Breast Cancer AJCC v8; Clinical Stage III Gastric Cancer AJCC v8; Clinical Stage III Gastroesophageal Junction Adenocarcinoma AJCC v8; Clinical Stage IV Gastric Cancer AJCC v8; Clinical Stage IV Gastroesophageal Junction Adenocarcinoma AJCC v8; HER2-Positive Breast Carcinoma; Malignant Hepatobiliary Neoplasm; Metastatic Breast Carcinoma; Metastatic Colon Carcinoma; Metastatic Colorectal Carcinoma; Metastatic Endometrial Carcinoma; Metastatic Gastric Carcinoma; Metastatic Gastroesophageal Junction Adenocarcinoma; Metastatic Malignant Solid Neoplasm; Metastatic Salivary Gland Carcinoma; Stage III Colon Cancer AJCC v8; Stage III Colorectal Cancer AJCC v8; Stage III Major Salivary Gland Cancer AJCC v8; Stage III Uterine Corpus Carcinoma or Carcinosarcoma AJCC v8; Stage IV Colon Cancer AJCC v8; Stage IV Colorectal Cancer AJCC v8; Stage IV Major Salivary Gland Cancer AJCC v8; Stage IV Uterine Corpus Carcinoma or Carcinosarcoma AJCC v8; Unresectable Breast Carcinoma; Unresectable Colon Carcinoma; Unresectable Colorectal Carcinoma; Unresectable Endometrial Carcinoma; Unresectable Gastric Carcinoma; Unresectable Gastroesophageal Junction Adenocarcinoma; Unresectable Malignant Solid Neoplasm; Unresectable Salivary Gland Carcinoma
National Cancer Institute (NCI)
2021-08-09 PHASE1
NCT04482309 ACTIVE_NOT_RECRUITING
Part 1: Bladder, Biliary Tract, Cervical, Endometrial, Ovarian, Pancreatic Cancer, Rare Tumors, Any Tumor Type Excluding Breast, Gastric, Colorectal Cancer; Part 2: HER2 Expressing/Amplified Solid Tumors Excluding Breast, Gastric, Colorectal Cancer
AstraZeneca
2020-08-18 PHASE2
NCT06253650 RECRUITING
Gastric Cancer; HER2-positive Gastric Cancer
Gruppo Oncologico del Nord-Ovest
2024-03-01 PHASE2
NCT07416253 NOT_YET_RECRUITING
Breast Cancer
Henan Cancer Hospital
2026-03 PHASE2
NCT07428044 RECRUITING
Non-Small Cell Lung Cancer; Non-small Cell Lung Cancer Stage II; Non-Small Cell Lung Cancer Stage IIIA; Non-Small Cell Lung Cancer Stage IIIB
Memorial Sloan Kettering Cancer Center
2026-02-13 PHASE2
NCT06271837 ACTIVE_NOT_RECRUITING
Advanced Solid Tumors (Excluding Gastric Cancer and Breast Cancer)
AstraZeneca
2024-02-22 PHASE2
NCT06797622 NOT_YET_RECRUITING
Breast Cancer; Metastatic Breast Cancer
Fudan University
2025-02-15 PHASE2
NCT06486883 RECRUITING
Advanced Breast Cancer; Advanced Breast Carcinoma; Hormone Receptor Positive Breast Carcinoma
MedSIR
2025-06-30 PHASE2
NCT06331169 RECRUITING
Breast Cancer
Fudan University
2024-07-31 PHASE1
NCT04553770 RECRUITING
Early-stage Breast Cancer; Hormone Receptor Positive Breast Carcinoma; Invasive Breast Cancer; Stage II Breast Cancer; Stage IIA Breast Cancer; Stage IIB Breast Cancer; Stage III Breast Cancer
Jonsson Comprehensive Cancer Center
2020-10-09 PHASE2
NCT07254416 NOT_YET_RECRUITING
Breast Cancer Patients Treated With T-DXd
Tianjin Medical University Cancer Institute and Hospital
2025-12-15 PHASE4
NCT04585958 RECRUITING
Metastatic Malignant Solid Neoplasm; Platinum-Resistant Ovarian High Grade Serous Adenocarcinoma; Unresectable Malignant Solid Neoplasm
National Cancer Institute (NCI)
2021-05-21 PHASE1
NCT07340164 RECRUITING
Ovarian Cancer; Ovarian Carcinoma, Recurrent; Ovarian Cancer Metastatic Recurrent; Ovarian Cancer (OvCa)
Yonsei University
2026-02-26 PHASE2
NCT07716189 RECRUITING
Nausea and Vomiting Caused by Trastuzumab Deruxtecan
Second Affiliated Hospital, Zhejiang University, School of Medicine
2025-12-12 PHASE3
NCT07446452 RECRUITING
HER2-low Breast Cancer
The First Affiliated Hospital with Nanjing Medical University
2024-01-01 PHASE2
NCT06250777 ENROLLING_BY_INVITATION
Non Small Cell Lung Cancer
Yonsei University
2024-07-11 PHASE2
NCT04829604 ACTIVE_NOT_RECRUITING
HER2 Positive Metastatic Breast Cancer
Ambrx, Inc.
2021-10-26 PHASE2
NCT04784715 ACTIVE_NOT_RECRUITING
Breast Cancer; HER2-positive; Metastatic
AstraZeneca
2021-04-26 PHASE3
NCT06048718 ACTIVE_NOT_RECRUITING
Breast Cancer; Metastatic Breast Cancer
MedSIR
2024-06-05 PHASE2
NCT07537673 RECRUITING
Nausea and Vomiting Caused by Trastuzumab Deruxtecan
Second Affiliated Hospital, Zhejiang University, School of Medicine
2025-11-25 PHASE2
NCT06429761 RECRUITING
BREAST CANCER
AstraZeneca
2025-01-02 PHASE4
NCT07619521 NOT_YET_RECRUITING
Advanced Pancreatic Ductal Adenocarcinoma; Metastatic Pancreatic Ductal Adenocarcinoma; Stage III Pancreatic Cancer AJCC v8; Stage IV Pancreatic Cancer AJCC v8; Unresectable Pancreatic Ductal Adenocarcinoma
National Cancer Institute (NCI)
2026-09-08 PHASE1; PHASE2
NCT06837792 RECRUITING
Hormone Receptor(HR)-Positive, Low HER2 Advanced Breast Cancer Patients (HER2 IHC 1+ or 2+ & ISH Negative)
Yonsei University
2023-10-01 PHASE2
NCT06578286 NOT_YET_RECRUITING
Breast Cancer
Fudan University
2024-09-30 PHASE2
NCT04704934 ACTIVE_NOT_RECRUITING
Gastric Cancer, Adenocarcinoma; Gastroesophageal Junction Adenocarcinoma
Daiichi Sankyo
2021-05-21 PHASE3
NCT07134153 RECRUITING
Breast Cancer
Fudan University
2025-04-18 PHASE1; PHASE2
NCT06174987 RECRUITING
Advanced Cancer; Metastatic Cancer
Daiichi Sankyo
2024-01-05 PHASE3
NCT07117864 RECRUITING
Breast Cancer
QIAO LI
2025-07-01
NCT05650879 ACTIVE_NOT_RECRUITING
HER2 Mutant Non-small Cell Lung Cancer; HER2-positive Metastatic Breast Cancer; HER2 Gene Mutation; HER2 Amplification
Enliven Therapeutics
2023-03-20 PHASE1
NCT05048797 ACTIVE_NOT_RECRUITING
Locally Advanced or Metastatic Non-Small Cell Lung Cancer
AstraZeneca
2021-10-28 PHASE3
NCT05274048 RECRUITING
Gastric Cancer; Gastrointestinal Cancer; HER2 Gene Mutation
Fox Chase Cancer Center
2022-06-24 PHASE1
NCT07281001 RECRUITING
HER2-positive Breast Cancer; Trastuzumab Deruxtecan
Blokhin's Russian Cancer Research Center
2025-12
NCT05845450 RECRUITING
Colorectal Cancer; Resectable Colorectal Carcinoma
Gruppo Oncologico del Nord-Ovest
2023-05-11 PHASE2
NCT05965479 RECRUITING
Gastrooesophageal Cancer
University of Southampton
2024-04-10 PHASE2
NCT06245824 NOT_YET_RECRUITING
Breast Cancer
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
2024-01-30 PHASE4
NCT06100874 ACTIVE_NOT_RECRUITING
Her 2 Positive Breast Cancer; Breast Cancer Female; Breast Cancer Metastatic
Adrienne G. Waks
2023-11-20 PHASE2
NCT06328387 UNKNOWN
Advanced Breast Cancer; Metastatic Breast Cancer
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
2024-01-29 PHASE1; PHASE2
NCT06585969 WITHDRAWN
Metastatic Breast Cancer; ER-positive Breast Cancer; Luminal B; Her2 Enriched; Basal Like
Danish Breast Cancer Cooperative Group
2026-01-01 PHASE3
NCT07529613 COMPLETED
Gastric Adenocarcinoma; Gastroesophageal Junction Adenocarcinoma
National Cancer Center Hospital East
2023-12-20 PHASE1; PHASE2
NCT07065435 RECRUITING
HER2 + Breast Cancer
The First Affiliated Hospital with Nanjing Medical University
2024-01-01 PHASE2
NCT05894824 RECRUITING
Gastric Cancer; Gastroesophageal Junction (GEJ) Cancer
Yonsei University
2024-02-05 PHASE1; PHASE2
NCT06085755 RECRUITING
Stomach Neoplasm
Jeeyun Lee
2024-09-30 PHASE1; PHASE2
NCT05824975 RECRUITING
Advanced Solid Tumor; Metastatic Solid Tumor; Soft Tissue Sarcoma (STS); Platinum-resistant Ovarian Cancer (PROC); Hepatocellular Carcinoma (HCC); Colorectal Cancer (CRC); HER2 Negative Breast Cancer; Cutaneous Melanoma; Renal Cell Carcinoma (RCC)
GI Innovation, Inc.
2023-05-30 PHASE1; PHASE2
NCT05710666 ACTIVE_NOT_RECRUITING
HER2-positive Breast Cancer
Cancer Trials Ireland
2023-10-26 PHASE2
NCT04294628 ACTIVE_NOT_RECRUITING
Advanced Malignant Solid Neoplasm; Metastatic Malignant Solid Neoplasm; Refractory Malignant Solid Neoplasm; Unresectable Malignant Solid Neoplasm
National Cancer Institute (NCI)
2020-09-01 PHASE1
NCT06548178 NOT_YET_RECRUITING
HER2-positive Breast Cancer
Fudan University
2024-09 PHASE2
NCT04042701 ACTIVE_NOT_RECRUITING
Breast Cancer; Non-small Cell Lung Carcinoma
Daiichi Sankyo
2020-02-10 PHASE1
NCT05744375 TERMINATED
Locally Advanced Breast Cancer; Metastatic Breast Cancer
Spanish Breast Cancer Research Group
2023-09-28 PHASE2
NCT04622319 ACTIVE_NOT_RECRUITING
HER2-Positive Primary Breast Cancer; Residual Invasive Breast Cancer
Daiichi Sankyo
2020-12-04 PHASE3
NCT04257162 ACTIVE_NOT_RECRUITING
Metastatic Cancer
SOLTI Breast Cancer Research Group
2019-12-13
NCT05480384 ACTIVE_NOT_RECRUITING
Esophageal Adenocarcinoma; Esophageal Cancer; HER-2 Protein Overexpression; Gastroesophageal-junction Cancer
Brown University
2023-07-14 PHASE2
NCT05113251 ACTIVE_NOT_RECRUITING
Breast Neoplasms; Breast Cancer; HER2-positive Early Breast Cancer
AstraZeneca
2021-10-25 PHASE3
NCT04538742 ACTIVE_NOT_RECRUITING
Metastatic Breast Cancer
AstraZeneca
2020-12-28 PHASE1; PHASE2
NCT03742102 ACTIVE_NOT_RECRUITING
Triple Negative Breast Neoplasms
AstraZeneca
2018-12-21 PHASE1; PHASE2
NCT05246514 ACTIVE_NOT_RECRUITING
HER2-mutant Non-Small Cell Lung Cancer
AstraZeneca
2022-07-13 PHASE2
NCT05954143 TERMINATED
Metastatic Breast Cancer; HER2-positive Breast Cancer
Bolt Biotherapeutics, Inc.
2023-11-30 PHASE2
NCT03334617 ACTIVE_NOT_RECRUITING
Non-Small Cell Lung Cancer
AstraZeneca
2017-12-18 PHASE2
NCT05953168 UNKNOWN
Triple-Negative Breast Cancer
Fudan University
2023-08 PHASE2
NCT04539938 COMPLETED
HER2 Positive Breast Cancer
Seagen, a wholly owned subsidiary of Pfizer
2020-12-01 PHASE2
NCT05097599 TERMINATED
Cancer; Advanced Solid Tumor
Strata Oncology
2022-04-29 PHASE2
NCT05919212 UNKNOWN
Metastatic Breast Cancer
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
2023-02-01
NCT06088056 UNKNOWN
Breast Cancer; Brain Metastases; Radiotherapy
Fudan University
2023-11 PHASE2
NCT06331169 Not yet recruiting
Breast Cancer
Fudan University
2024-04-01 Phase 1
NCT05965479 Recruiting
Gastrooesophageal Cancer
University of Southampton|AstraZeneca|Natera Inc.
2024-04-10 Phase 2
NCT04494425 ACTIVE_NOT_RECRUITING
Advanced or Metastatic Breast Cancer
AstraZeneca
2020-07-24 PHASE3
NCT04739761 ACTIVE_NOT_RECRUITING
Breast Cancer
AstraZeneca
2021-06-22 PHASE3
NCT06271837 Recruiting
Advanced Solid Tumors (Excluding Gastric Cancer and Breast Cancer)
AstraZeneca|Daiichi Sankyo Co. Ltd.
2024-02-18 Phase 2
NCT06210776 Recruiting
HER2-positive Breast Cancer|HER2-low Breast Cancer|Breast Cancer|Advanced Cancer
Daiichi Sankyo
2024-01-15 --
NCT05458674 Recruiting
Breast Cancer
Criterium Inc.
2024-01-01 Phase 2
NCT05993234 Recruiting
HER2-positive Advanced Gastric Cancer|HER2-positive Gastroesophageal Junction Adenocarcinoma
Daiichi Sankyo Europe GmbH a Daiichi Sankyo Company|Daiichi Sankyo
2023-12-05 --
NCT04556773 ACTIVE_NOT_RECRUITING
Metastatic Breast Cancer
AstraZeneca
2020-12-17 PHASE1
NCT04989816 COMPLETED
Gastric or Gastroesophageal Junction (GEJ) Adenocarcinoma
AstraZeneca
2021-08-20 PHASE2
NCT04752059 COMPLETED
Breast Cancer Stage IV
Medical University of Vienna
2020-07-28 PHASE2
NCT04639219 ACTIVE_NOT_RECRUITING
Advanced Solid Tumors With HER2 Mutation,eg:Colorectal,Urothelial,Gastric, Hepatobiliary,Endometrial,Melanoma,Ovarian,Cervical,Salivary Gland,Pancreatic,Breast
AstraZeneca
2020-12-30 PHASE2
NCT04644237 COMPLETED
Non-Small Cell Lung Cancer
Daiichi Sankyo
2021-03-19 PHASE2
NCT04744831 COMPLETED
Advanced Colorectal Cancer
Daiichi Sankyo
2021-03-05 PHASE2
NCT05091528 TERMINATED
HER2-positive Breast Cancer; HER2-positive Gastric Cancer; HER2-positive Colorectal Cancer; HER2-expressing Non-small Cell Lung Cancer
Silverback Therapeutics
2022-02-08 PHASE1; PHASE2
NCT03523585 COMPLETED
Breast Cancer
Daiichi Sankyo
2018-08-01 PHASE3
NCT03734029 ACTIVE_NOT_RECRUITING
Breast Cancer
Daiichi Sankyo
2018-12-27 PHASE3
NCT04014075 COMPLETED
Adenocarcinoma Gastric Stage IV With Metastases; Adenocarcinoma - GEJ
Daiichi Sankyo
2019-11-26 PHASE2
NCT04132960 COMPLETED
Breast Tumors
UNICANCER
2019-10-21 PHASE2
NCT04420598 COMPLETED
Advanced Breast Cancer; HER2-positive Breast Cancer; Brain Metastases; Leptomeningeal Metastasis
MedSIR
2020-05-25 PHASE2
NCT03523572 COMPLETED
Breast Cancer; Urothelial Carcinoma
Daiichi Sankyo
2018-08-02 PHASE1
NCT03529110 ACTIVE_NOT_RECRUITING
Breast Cancer
Daiichi Sankyo
2018-08-09 PHASE3
NCT03505710 TERMINATED
Non-Small Cell Lung Cancer
Daiichi Sankyo
2018-05-21 PHASE2
NCT03329690 COMPLETED
Neoplasm, Gastrointestinal
Daiichi Sankyo Co., Ltd.
2017-11-02 PHASE2
NCT03384940 COMPLETED
Colorectal Neoplasm
Daiichi Sankyo Co., Ltd.
2018-02-23 PHASE2
NCT03248492 TERMINATED
Breast Cancer
Daiichi Sankyo
2017-08-25 PHASE2
NCT02564900 COMPLETED
Advanced Solid Tumors
Daiichi Sankyo Co., Ltd.
2015-09-01 PHASE1
NCT03366428 COMPLETED
Malignant Neoplasm of Breast
Daiichi Sankyo Co., Ltd.
2017-12-26 PHASE1
NCT03383692 COMPLETED
Neoplasm Metastasis
Daiichi Sankyo Co., Ltd.
2018-01-12 PHASE1
NCT03368196 COMPLETED
Adenocarcinoma, Gastric; Neoplasm, Breast
Daiichi Sankyo Taiwan Ltd., a Daiichi Sankyo Company
2018-04-02 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-08-19)

Check the Trastuzumab-deruxtecan (DS-8201a, T-DXd) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Trastuzumab deruxtecan selectively binds to human epidermal growth factor receptor 2 (HER2) on cancer cell surfaces, facilitating receptor-mediated endocytosis and subsequent lysosomal cleavage that releases its topoisomerase I inhibitor payload to induce DNA double-strand breaks and apoptotic cell death. This targeted cytotoxic delivery and bystander killing effect effectively inhibit cell proliferation and induce tumor regression, providing clinical efficacy in patients with HER2-expressing breast cancer, gastroesophageal carcinoma, and other advanced solid tumors.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.