🏛️ Verified NIH Record • Updated 2026-08-07

A Study of T-DXd in Participants With or Without Brain Metastasis Who Have Previously Treated Advanced or Metastatic HER2 Positive Breast Cancer (NCT04739761)

An Open-Label, Multinational, Multicenter, Phase 3b/4 Study of Trastuzumab Deruxtecan in Patients With or Without Baseline Brain Metastasis With Previously Treated Advanced/Metastatic HER2-Positive Breast Cancer (DESTINY-Breast12)

🔵 Active, Not Recruiting Phase3 💊 Investigational Drug / Biologic Sponsor: AstraZeneca

🩺 Plain-English Summary (8th-Grade Level)

This is open-label, multicenter, international study, assessing the efficacy and safety of Trastuzumab deruxtecan (T-DXd) in participants with or without brain metastasis (BMs), with previously-treated advanced/metastatic HER2-positive breast cancer whose disease has progressed on prior anti-HER2-based regimens and who received no more than 2 lines/regimens of therapy in the metastatic setting (excluding tucatinib).

Who can join: Review the eligibility criteria below.

Location: Research Site — Boston, Massachusetts

Age range: 18 Years to 130 Years

🧪 Interventions in This Study

📋 "Do I Qualify?" — 1-Minute Self Screener

Instant Checklist

Full eligibility criteria are available on the official NIH protocol. View the criteria ↗

📍 All Participating Trial Locations (81 Sites)

Showing the first 25 of 81 sites.

  • Research Site — Boston, Massachusetts
  • Research Site — Durham, North Carolina
  • Research Site — Adelaide,
  • Research Site — Auchenflower,
  • Research Site — Clayton,
  • Research Site — Heidelberg,
  • Research Site — St Leonards,
  • Research Site — Subiaco,
  • Research Site — Anderlecht,
  • Research Site — Bruges,
  • Research Site — Leuven,
  • Research Site — Liège,
  • Research Site — Vancouver, British Columbia
  • Research Site — Toronto, Ontario
  • Research Site — Copenhagen,
  • Research Site — Herlev,
  • Research Site — Odense C,
  • Research Site — Helsinki,
  • Research Site — Tampere,
  • Research Site — Turku,
  • Research Site — Berlin,
  • Research Site — Dresden,
  • Research Site — Erlangen,
  • Research Site — Essen,
  • Research Site — Frankfurt,

💰 Cost, Insurance & Patient Rights

  • 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
  • Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
  • Voluntary Participation: You may withdraw at any time without affecting your standard medical care.

Explore by condition: All Breast Cancer clinical trials

💡 How to Participate

  1. Check the checklist above to see if you may qualify.
  2. Review the official NIH record below to find the coordinating site.
  3. Ask about the visit schedule, what is covered at no cost, and any travel support.
  4. Confirm with your own doctor before making a decision.
🏛️ View Official NIH Record ↗