NCT05104866 · STUDY IN CONTEXT
A Phase-3, Open-Label, Randomized Study of Dato-DXd Versus Investigator's Choice of Chemotherapy (ICC) in Participants With Inoperable or Metastatic HR-Positive, HER2-Negative Brea
Draft scope assessment: unclear. Attached because the study's own record names HR. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full. Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
Read the full study record and all posted results →
Linked outcomes
PFS is defined as time from randomization until progression per RECIST 1.1, as assessed by BICR, or death due to any cause. The analysis will include all randomized participants as randomized regardless of whether the participant withdraws from therapy, receives another anti-cancer therapy, or clinically progresses prior to RECIST 1.1.
OS is defined as time from randomization until the date of death due to any cause. The comparison will include all randomized participants as randomized, regardless of whether the participant withdraws from therapy or receives another anti-cancer therapy. The measure of interest is the hazard ratio of OS.
Objective response rate is defined as the proportion of participants who have a confirmed CR or PR, as determined by the BICR/Investigator assessment, per RECIST 1.1.
Duration of response is defined as the time from the date of first documented confirmed response until date of documented progression per RECIST 1.1, as assessed by BICR assessment or death due to any cause.
Duration of response is defined as the time from the date of first documented confirmed response until date of documented progression per RECIST 1.1, as assessed by Investigator assessment or death due to any cause.
PFS by Investigator assessment will be defined as the time from the date of randomization until the date of PD per RECIST 1.1 (by Investigator assessment) or death (by any cause in the absence of progression), (ie, date of event or censoring - date of randomization + 1).
Reported safety
Quality of life and patient-reported measures
EORTC QLQ · Clinical Outcome Assessment- TTD in Pain
Score direction: Not stated by the study. Direction is never inferred from an instrument name.
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- qol key
- qol-0010
- source section id
- NCT05104866-om-0010
- source outcome index
- 10
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Clinical Outcome Assessment- TTD in Pain
- measure definition
- Time to deterioration in pain as measured by the pain scale from EORTC QLQ-C30. Deterioration is defined as a 16.6 increase in score relative to baseline score
- time frame
- From date of randomization to 18 weeks post-progression. Assessments occur every 3 weeks then every 6 weeks until 18 weeks post-progression and at end of treatment visit. Assessed up to data cut-off (24Jul2024) to a maximum of approximately 33 months.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
EORTC QLQ · Clinical Outcome Assessment- TTD in Physical Functioning
Score direction: Not stated by the study. Direction is never inferred from an instrument name.
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- qol key
- qol-0011
- source section id
- NCT05104866-om-0011
- source outcome index
- 11
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Clinical Outcome Assessment- TTD in Physical Functioning
- measure definition
- Time to deterioration in physical functioning as measured by the physical functioning scale from EORTC QLQ-C30. Deterioration is defined as a 13.3 decrease in score relative to baseline score.
- time frame
- From date of randomization to 18 weeks post-progression. Assessments occur every 3 weeks then every 6 weeks until 18 weeks post-progression and at end of treatment visit. Assessed up to data cut-off (24Jul2024) to a maximum of approximately 33 months.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
EORTC QLQ · Clinical Outcome Assessment- TTD in GHS
Score direction: Not stated by the study. Direction is never inferred from an instrument name.
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- qol key
- qol-0012
- source section id
- NCT05104866-om-0012
- source outcome index
- 12
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Clinical Outcome Assessment- TTD in GHS
- measure definition
- Time to deterioration in global health status/QoL as measured by the global health status/QoL scale from EORTC QLQ-C30. Deterioration is defined as a 16.6 decrease in score relative to baseline score.
- time frame
- From date of randomization to 18 weeks post-progression. Assessments occur every 3 weeks then every 6 weeks until 18 weeks post-progression and at end of treatment visit. Assessed up to data cut-off (24Jul2024) to a maximum of approximately 33 months.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
Full draft applicability and source-link record
- trial
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- trial label
- A Phase-3, Open-Label, Randomized Study of Dato-DXd Versus Investigator's Choice of Chemotherapy (ICC) in Participants With Inoperable or Metastatic HR-Positive, HER2-Negative Brea
- applicability
- unclear
- applicability note
- Attached because the study's own record names HR. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- provenance class
- regulator-cited
- discovery note
- Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
- outcome Count
- 6
- harms Count
- 2
- qol Count
- 3
- outcomes
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0000
- source section id
- NCT05104866-om-0000
- source outcome index
- 0
- endpoint
- Progression-Free Survival
- endpoint definition
- PFS is defined as time from randomization until progression per RECIST 1.1, as assessed by BICR, or death due to any cause. The analysis will include all randomized participants as randomized regardless of whether the participant withdraws from therapy, receives another anti-cancer therapy, or clinically progresses prior to RECIST 1.1.
- time origin
- On-study tumor assessments occur every 6 weeks then every 9 weeks until disease progression, death or withdrawal of consent assessed up to data cut-off (17Jul2023) to a maximum of approximately 21 months
- analysis role
- primary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0001
- source section id
- NCT05104866-om-0001
- source outcome index
- 1
- endpoint
- Overall Survival
- endpoint definition
- OS is defined as time from randomization until the date of death due to any cause. The comparison will include all randomized participants as randomized, regardless of whether the participant withdraws from therapy or receives another anti-cancer therapy. The measure of interest is the hazard ratio of OS.
- time origin
- From date of randomization until death due to any cause. Assessed up to data cut-off (24Jul2024) to a maximum of approximately 33 months.
- analysis role
- primary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0002
- source section id
- NCT05104866-om-0002
- source outcome index
- 2
- endpoint
- Objective Response Rate (ORR)
- endpoint definition
- Objective response rate is defined as the proportion of participants who have a confirmed CR or PR, as determined by the BICR/Investigator assessment, per RECIST 1.1.
- time origin
- From date of randomization until event. Assessed up to data cut-off (17Jul2023) to a maximum of approximately 21 months for BICR assessment and assessed up to data cut-off (24Jul2024) to a maximum of approximately 33 months for investigator assessment.
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0003
- source section id
- NCT05104866-om-0003
- source outcome index
- 3
- endpoint
- Duration of Response (DoR) as Assessed by BICR Assessment
- endpoint definition
- Duration of response is defined as the time from the date of first documented confirmed response until date of documented progression per RECIST 1.1, as assessed by BICR assessment or death due to any cause.
- time origin
- From date of first response until progression or death. Tumor assessments occur every 6 weeks then every 9 weeks until disease progression, death or withdrawal of consent. Assessed up to data cut-off (17Jul2023) to a maximum of approximately 21 months.
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0004
- source section id
- NCT05104866-om-0004
- source outcome index
- 4
- endpoint
- Duration of Response (DoR) as Assessed by Investigator Assessment
- endpoint definition
- Duration of response is defined as the time from the date of first documented confirmed response until date of documented progression per RECIST 1.1, as assessed by Investigator assessment or death due to any cause.
- time origin
- From date of first response until progression or death. Tumor assessments occur every 6 weeks then every 9 weeks until disease progression, death or withdrawal of consent. Assessed up to data cut-off (24Jul2024) to a maximum of approximately 33 months
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0005
- source section id
- NCT05104866-om-0005
- source outcome index
- 5
- endpoint
- Progression-Free Survival by Investigator Assessment
- endpoint definition
- PFS by Investigator assessment will be defined as the time from the date of randomization until the date of PD per RECIST 1.1 (by Investigator assessment) or death (by any cause in the absence of progression), (ie, date of event or censoring - date of randomization + 1).
- time origin
- On-study tumor assessments occur every 6 weeks then every 9 weeks until disease progression, death or withdrawal of consent assessed up to data cut-off (24Jul2024) to a maximum of approximately 33 months
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- arms
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0000
- arm key
- OG000
- arm label
- Dato-DXd
- regimen
- Arm 1: Dato-DXd
- analyzed count
- 365
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT05104866-om-0000#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0000
- arm key
- OG001
- arm label
- Investigator's Choice of Chemotherapy (ICC)
- regimen
- Arm 2: ICC (Capecitabine or Gemcitabine or Eribulin mesylate or Vinorelbine)
- analyzed count
- 367
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT05104866-om-0000#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0001
- arm key
- OG000
- arm label
- Dato-DXd
- regimen
- Arm 1: Dato-DXd
- analyzed count
- 365
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT05104866-om-0001#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0001
- arm key
- OG001
- arm label
- Investigator's Choice of Chemotherapy (ICC)
- regimen
- Arm 2: ICC (Capecitabine or Gemcitabine or Eribulin mesylate or Vinorelbine)
- analyzed count
- 367
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT05104866-om-0001#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0002
- arm key
- OG000
- arm label
- Dato-DXd
- regimen
- Arm 1: Dato-DXd
- analyzed count
- 365
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT05104866-om-0002#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0002
- arm key
- OG001
- arm label
- Investigator's Choice of Chemotherapy (ICC)
- regimen
- Arm 2: ICC (Capecitabine or Gemcitabine or Eribulin mesylate or Vinorelbine)
- analyzed count
- 367
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT05104866-om-0002#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0003
- arm key
- OG000
- arm label
- Dato-DXd
- regimen
- Arm 1: Dato-DXd
- analyzed count
- 133
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT05104866-om-0003#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0003
- arm key
- OG001
- arm label
- Investigator's Choice of Chemotherapy (ICC)
- regimen
- Arm 2: ICC (Capecitabine or Gemcitabine or Eribulin mesylate or Vinorelbine)
- analyzed count
- 84
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT05104866-om-0003#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0004
- arm key
- OG000
- arm label
- Dato-DXd
- regimen
- Arm 1: Dato-DXd
- analyzed count
- 134
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT05104866-om-0004#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0004
- arm key
- OG001
- arm label
- Investigator's Choice of Chemotherapy (ICC)
- regimen
- Arm 2: ICC (Capecitabine or Gemcitabine or Eribulin mesylate or Vinorelbine)
- analyzed count
- 81
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT05104866-om-0004#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0005
- arm key
- OG000
- arm label
- Dato-DXd
- regimen
- Arm 1: Dato-DXd
- analyzed count
- 365
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT05104866-om-0005#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- outcome key
- om-0005
- arm key
- OG001
- arm label
- Investigator's Choice of Chemotherapy (ICC)
- regimen
- Arm 2: ICC (Capecitabine or Gemcitabine or Eribulin mesylate or Vinorelbine)
- analyzed count
- 367
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT05104866-om-0005#groups/OG001
- harms
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- harm key
- EG000
- source section id
- NCT05104866-ae
- event group key
- EG000
- event group label
- Dato-DXd
- serious affected
- 62
- serious at risk
- 360
- other affected
- 348
- other at risk
- 360
- frequency threshold
- 5
- collection period
- Adverse Event data was collected from time of signature of informed consent until the follow-up period is completed (35 days after the last dose of study treatment) (maximum duration of approximately 28 months). All-Cause Mortality was assessed up to data cut-off (24Jul2024) to a maximum of approximately 33 months.
- event definition
- All-Cause Mortality was assessed in the Full Analysis Set (all randomised participants). Serious and Other adverse events were assessed in the Safety Analysis Population (all treated subjects)
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- harm key
- EG001
- source section id
- NCT05104866-ae
- event group key
- EG001
- event group label
- Investigator's Choice of Chemotherapy (ICC)
- serious affected
- 67
- serious at risk
- 351
- other affected
- 329
- other at risk
- 351
- frequency threshold
- 5
- collection period
- Adverse Event data was collected from time of signature of informed consent until the follow-up period is completed (35 days after the last dose of study treatment) (maximum duration of approximately 28 months). All-Cause Mortality was assessed up to data cut-off (24Jul2024) to a maximum of approximately 33 months.
- event definition
- All-Cause Mortality was assessed in the Full Analysis Set (all randomised participants). Serious and Other adverse events were assessed in the Safety Analysis Population (all treated subjects)
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- quality of life
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- qol key
- qol-0010
- source section id
- NCT05104866-om-0010
- source outcome index
- 10
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Clinical Outcome Assessment- TTD in Pain
- measure definition
- Time to deterioration in pain as measured by the pain scale from EORTC QLQ-C30. Deterioration is defined as a 16.6 increase in score relative to baseline score
- time frame
- From date of randomization to 18 weeks post-progression. Assessments occur every 3 weeks then every 6 weeks until 18 weeks post-progression and at end of treatment visit. Assessed up to data cut-off (24Jul2024) to a maximum of approximately 33 months.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- qol key
- qol-0011
- source section id
- NCT05104866-om-0011
- source outcome index
- 11
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Clinical Outcome Assessment- TTD in Physical Functioning
- measure definition
- Time to deterioration in physical functioning as measured by the physical functioning scale from EORTC QLQ-C30. Deterioration is defined as a 13.3 decrease in score relative to baseline score.
- time frame
- From date of randomization to 18 weeks post-progression. Assessments occur every 3 weeks then every 6 weeks until 18 weeks post-progression and at end of treatment visit. Assessed up to data cut-off (24Jul2024) to a maximum of approximately 33 months.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-breast-cancer-femara-ea5f0363
- nct id
- NCT05104866
- qol key
- qol-0012
- source section id
- NCT05104866-om-0012
- source outcome index
- 12
- instrument
- EORTC QLQ
- instrument basis
- matched 'eortc' in the study's own wording
- scale title
- Clinical Outcome Assessment- TTD in GHS
- measure definition
- Time to deterioration in global health status/QoL as measured by the global health status/QoL scale from EORTC QLQ-C30. Deterioration is defined as a 16.6 decrease in score relative to baseline score.
- time frame
- From date of randomization to 18 weeks post-progression. Assessments occur every 3 weeks then every 6 weeks until 18 weeks post-progression and at end of treatment visit. Assessed up to data cut-off (24Jul2024) to a maximum of approximately 33 months.
- analysis role
- secondary
- reporting status
- POSTED
- higher is better
- Source null
- direction quote
- Source null
- population note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- setting source links
Preserved source evidence · Not medical advice
Triangle