Study of tucatinib and trastuzumab for patients with HER3-mutant and HER2-not amplified metastatic breast cancer

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What is this study about?

This study focuses on treating patients with metastatic breast cancer that has specific genetic characteristics – HER3-mutant and HER2-not amplified. This type of breast cancer has spread to other parts of the body and has particular genetic changes that may make it respond to targeted treatment.

The study will test a combination of two medications: tucatinib (taken as tablets by mouth) and trastuzumab (given through an intravenous infusion into a vein). The purpose is to show that genetic changes in the HER3 protein can be effectively targeted with this treatment combination in breast cancer patients.

During the study, participants will receive treatment for up to 18 months. Before starting treatment, doctors will test tumor tissue samples to confirm the presence of specific genetic changes. Throughout the treatment period, patients will undergo regular health checks and complete quality of life questionnaires. The study will measure how well the tumor responds to treatment and monitor any side effects that may occur.

1 Initial assessment

A medical evaluation will confirm if you meet the study requirements, including having metastatic breast cancer that has been treated with at least 2 previous chemotherapy treatments

Your tumor sample will be tested to confirm it has specific genetic changes in the HER3 gene

Your heart function will be checked using an imaging test to ensure your heart is working at 50% or better

Blood tests will be performed to check your liver and kidney function

2 Treatment initiation

You will receive two medications:

Trastuzumab (Ogivri) – given through an intravenous infusion

Tucatinib (TUKYSA) – taken as tablets by mouth

The treatment will continue as long as it is working and you can tolerate it

3 Regular monitoring

Your response to treatment will be checked regularly using imaging scans

Blood tests will be performed to monitor your organ function

You will complete quality of life questionnaires at the start of treatment, during cycles 1 and 3, and when treatment ends

Side effects will be monitored throughout the treatment period

4 Follow-up assessments

Regular check-ups will continue to monitor your health status

Imaging scans will be performed to assess how the cancer is responding to treatment

The study will continue until May 2029

Who Can Join the Study?

  • Age 18 years or older
  • Must have metastatic or unresectable breast cancer (cancer that has spread or cannot be removed by surgery)
  • Must be HER2-negative breast cancer (confirmed by specific laboratory tests)
  • Must have received at least 2 previous chemotherapy treatments for advanced breast cancer
  • Must have a specific type of ERBB3 mutation (a genetic change) in the tumor
  • Must have a tumor tissue sample that is less than 5 years old with at least 10% tumor content
  • Must have a physical performance status that allows for daily activities (ECOG score of 2 or less)
  • Must have measurable disease that can be evaluated by imaging
  • Heart function must be adequate (pumping strength of at least 50%)
  • Must have adequate kidney function (creatinine clearance of 50 mL/min or higher)
  • Must have adequate liver function (within specified limits for liver tests)
  • Women who can become pregnant must have a negative pregnancy test within 7 days before starting treatment
  • Both men and women who can have children must agree to use effective birth control during the study and for 3 months after
  • Must be covered by health insurance
  • Must be able to understand and sign informed consent documents

Who Cannot Join the Study?

  • Prior treatment with any HER2-targeted therapy (medications that target HER2 protein)
  • Presence of active brain metastases (cancer that has spread to the brain) that are not stable
  • History of other cancers within the past 3 years, except for successfully treated non-melanoma skin cancer or cervical cancer in situ
  • Severe heart conditions, including:
    • Uncontrolled high blood pressure
    • Unstable heart disease
    • Heart attack within the past 6 months
  • Significant liver problems or abnormal liver function tests
  • Severe kidney disease requiring dialysis
  • Active, uncontrolled infections
  • Known allergic reactions to similar medications
  • Pregnancy or breastfeeding
  • Unable to swallow oral medications
  • Participation in another clinical trial within the past 30 days
  • Any condition that, in the opinion of the study doctor, would make participation unsafe

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Oncopole Claudius Regaud Toulouse France
Institut De Cancerologie De Lorraine Vandoeuvre Les Nancy France

Other Sites

Site Name City Country Status
Centre Antoine Lacassagne Nice France
Polyclinique Bordeaux Nord Aquitaine Bordeaux France
Centre De Lutte Contre Le Cancer Eugene Marquis Rennes France
Oncoradio Centre Oncogard Nimes France
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Idtvzmtg Porowfogbkboywa Cffbhc Ctykfr Marseille France
Igjjltge Ckvkc Paris France

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
France France
Not yet recruiting
15.11.2025

Trial locations

Investigated drugs:

Tucatinib is an oral medication that works by blocking a specific protein called HER2. It belongs to a group of drugs called tyrosine kinase inhibitors. This medication specifically targets cancer cells that have mutations in the HER3 gene, helping to slow down or stop cancer growth in breast cancer patients.

Trastuzumab is an antibody treatment given by infusion that targets the HER2 protein on cancer cells. It works by attaching to HER2 receptors on cancer cells and blocking them from receiving growth signals. This helps to slow down or stop the growth of cancer cells. It has been used for many years as a standard treatment for certain types of breast cancer.

Investigated diseases:

HER3-mutant and HER2-negative Metastatic Breast Cancer – A specific type of breast cancer that has spread beyond the breast to other parts of the body (metastatic). This condition is characterized by mutations in the HER3 (ERBB3) gene while not showing amplification of the HER2 gene. The cancer cells in this type have developed changes in the HER3 protein, which is involved in cell growth and survival. This form of breast cancer represents a distinct molecular subtype with specific cellular characteristics. The disease progresses as cancer cells continue to grow and spread to distant organs.

Trial ID:
2024-519624-24-00
Protocol code:
IC 2024-01
Trial Phase:
Therapeutic exploratory (Phase II)

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