RT Journal Article T1 SOLTI-1805 TOT-HER3 Study Concept: A Window-of-Opportunity Trial of Patritumab Deruxtecan, a HER3 Directed Antibody Drug Conjugate, in Patients With Early Breast Cancer. A1 Pascual, Tomás A1 Oliveira, Mafalda A1 Ciruelos, Eva A1 Bellet Ezquerra, Meritxell A1 Saura, Cristina A1 Gavilá, Joaquin A1 Pernas, Sonia A1 Muñoz, Montserrat A1 Vidal, Maria J A1 Margelí Vila, Mireia A1 Cejalvo, Juan M A1 González-Farré, Blanca A1 Espinosa-Bravo, Martin A1 Cruz, Josefina A1 Salvador-Bofill, Francisco Javier A1 Guerra, Juan Antonio A1 Luna Barrera, Ana María A1 Arumi de Dios, Miriam A1 Esker, Stephen A1 Fan, Pang-Dian A1 Martínez-Sáez, Olga A1 Villacampa, Guillermo A1 Paré, Laia A1 Ferrero-Cafiero, Juan M A1 Villagrasa, Patricia A1 Prat, Aleix K1 Breast Cancer K1 CelTIL Score K1 ERBB3 K1 HER3 K1 HER3-DXd K1 U3-1402 K1 patritumab deruxtecan AB Background: Preclinical data support a key role for the human epidermal growth factor receptor 3 (HER3) pathway in hormone receptor (HR)-positive breast cancer. Recently, new HER3 directed antibody drug conjugates have shown activity in breast cancer. Given the need to better understand the molecular biology, tumor microenvironment, and mechanisms of drug resistance in breast cancer, we designed this window-of-opportunity study with the HER3 directed antibody drug conjugate patritumab deruxtecan (HER3-DXd; U3-1402). Trial Design: Based on these data, a prospective, multicenter, single-arm, window-of-opportunity study was designed to evaluate the biological effect of patritumab deruxtecan in the treatment of naïve patients with HR-positive/HER2-negative early breast cancer whose primary tumors are ≥1 cm by ultrasound evaluation. Patients will be enrolled in four cohorts according to the mRNA-based ERBB3 expression by central assessment. The primary endpoint is a CelTIL score after one single dose. A translational research plan is also included to provide biological information and to evaluate secondary and exploratory objectives of the study. Trial Registration Number: EudraCT 2019-004964-23; NCT number: NCT04610528. SN 2234-943X YR 2021 FD 2021-04-23 LK https://hdl.handle.net/10668/27194 UL https://hdl.handle.net/10668/27194 LA en DS RISalud RD Apr 5, 2025