Study to Determine the Best Dose of Zongertinib with Trastuzumab Deruxtecan or Trastuzumab Emtansine for Patients with Advanced HER2+ Metastatic Cancer

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What is this study about?

This clinical trial is focused on studying certain types of cancer, specifically HER2-positive metastatic breast cancer and metastatic gastric, gastroesophageal junction, or esophageal adenocarcinoma. These are advanced forms of cancer that have spread to other parts of the body. The study is testing a new treatment approach using a combination of medications. One of the medications being tested is called zongertinib (also known by its code name BI 1810631), which is taken orally as a film-coated tablet. The other medications involved are trastuzumab deruxtecan and trastuzumab emtansine, both of which are given through an intravenous infusion, meaning they are administered directly into the bloodstream.

The purpose of this study is to find a suitable dose of zongertinib when used in combination with either trastuzumab deruxtecan or trastuzumab emtansine, and to see if these combinations can help people with these types of cancer. The study is divided into two main parts. The first part, called Phase Ib, involves gradually increasing the dose of zongertinib to determine the highest dose that can be given safely. The second part, Phase II, aims to find out how effective the treatment is at shrinking tumors or stopping them from growing. Participants will receive the study medications and be monitored for any side effects and how well the treatment is working.

Throughout the study, participants will have regular check-ups and tests to assess their health and the progress of their cancer. The study will help researchers understand the best way to use these medications together and whether they can provide a new treatment option for people with these advanced cancers. The study is expected to continue until 2028, with recruitment starting in 2024.

1 joining the study

Upon joining the study, the patient will begin the treatment process. The study is designed to find a suitable dose of zongertinib in combination with either trastuzumab deruxtecan or trastuzumab emtansine for patients with certain types of cancer that have spread.

2 phase Ib: dose escalation

The initial phase involves determining the safest and most effective dose of zongertinib when used with the other medications. This phase focuses on understanding how the body tolerates the medication and identifying any side effects.

During this phase, the patient will receive zongertinib orally in the form of a film-coated tablet. The patient will also receive either trastuzumab deruxtecan or trastuzumab emtansine intravenously as a solution for infusion.

The first 21 days of the treatment cycle are crucial for evaluating the maximum tolerated dose. The dose may be adjusted based on the patient’s response and any side effects experienced.

3 phase II: dose optimization

In this phase, the focus shifts to assessing the effectiveness of the treatment in reducing tumor size or slowing its growth. The goal is to find the most effective dose for further development.

The patient will continue to receive the combination of zongertinib and either trastuzumab deruxtecan or trastuzumab emtansine as determined in the previous phase.

The patient’s response to the treatment will be monitored through regular assessments, including imaging tests to measure tumor size and progression.

4 monitoring and assessments

Throughout the trial, the patient will undergo regular health assessments to monitor the effects of the treatment. This includes checking for any side effects and evaluating the overall health status.

The patient will also participate in assessments to measure the impact of the treatment on daily life and any changes in symptoms.

5 end of treatment

The trial is expected to continue until 2028. The patient will remain in the study until the treatment is completed or until it is determined that the treatment is no longer beneficial.

At the end of the treatment, the patient will undergo a final assessment to evaluate the overall impact of the treatment on their condition.

Who Can Join the Study?

  • Patients must be 18 years or older or over the legal age of consent in countries where that is greater than 18 years at the time of signing the informed consent form.
  • Must have HER2+ mBC (metastatic breast cancer) or mGEAC (metastatic gastric, esophageal, or gastroesophageal junction adenocarcinoma) that is documented.
  • For dose optimization (Phase II): Patients must provide tumor tissue from areas not treated with radiation before the biopsy, if possible, collected through previously stored tissue.
  • Must have documented progression of the disease as assessed by the investigator.
  • Must have at least one measurable lesion according to RECIST 1.1, which is a standard way to measure how well a tumor responds to treatment.
  • Must have an ECOG score of 0 or 1, which means the patient is fully active or has some symptoms but can still carry out light work.
  • Must have adequate organ function based on laboratory tests.

Who Cannot Join the Study?

  • Patients with other types of cancer not specified in the study.
  • Patients who are unable to follow the treatment plan and schedule.
  • Patients who have started other anti-cancer treatments before the study treatment shows results.
  • Patients who are part of a vulnerable population, meaning they might need special protection or care.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
IRCCS Humanitas Research Hospital Rozzano Italy
Institut Gustave Roussy Villejuif France
Oncopole Claudius Regaud Toulouse France
Centr Georges Francois Leclerc Dijon France
Technische Universitaet Dresden Dresden Germany
Katholieke Universiteit te Leuven Leuven Belgium
Hospital Universitario Hm Sanchinarro Madrid Spain
Hospital Universitario De Navarra Pamplona Spain
Comite Entreprise Paul Papin Angers France

Other Sites

Site Name City Country Status
Ospedale San Raffaele S.r.l. Milan Italy
Istituto Europeo Di Oncologia S.r.l. Milan Italy
IRCCS Istituto Nazionale Tumori Fondazione Pascale Naples Italy
Hospital General Universitario Gregorio Maranon Madrid Spain
Hopital Beaujon Clichy France
Hospital Del Mar Barcelona Spain
Centre Francois Baclesse Caen France
Cvansvgep Ubeqwwrscvivxq Skfqqtvqp Woluwe-Saint-Lambert Belgium
Acvbaaxhi Kswkuhyz Hvaaqen Gttb Hamburg Germany
Iyvrnpys Prayncqvhvtlxqm Cmlaym Ccglpl Marseille France
Hknpkoru Vlby dxhueqbs Barcelona Spain
Hbpxaxzh Uliooaociotnn dl A Cvekcc A Coruna Galicia Spain
Upbzmffwrtskjveltvkun Eqdvfrre Axs Erlangen Germany
Idemlcld Reujvupbi Prj Lw Srzxbp Dgz Tjkwjn Dkpw Adblysp Iwzs Svyxai Meldola Italy
Hmmcodlh Ctciqj Ds Bbhxgeype Barcelona Spain
Uxmtumybwycioghrcpjpk Mmzzrklk Gzed Mannheim Germany
Hilndyai Ueiskupvjyqwz Fbahuqffh Jvgydwh Dwqv Madrid Spain
Ubvgbrzecjszejhjq Pdvykylhoxj Dsebh Mobzaw Ancona Italy
Hhfzejjn Cmtlaku Sdl Csmocw Madrid Spain
Carqlf Lcdk Bieulf Lyon France
Uyicacbujp Oc Aoaxsjx Edegem Belgium
Iuokwluc fdmp Kzbxiapoi Toypekdkjoraasshlpb usc Itaggqzokcya Ucv gojcu Ulm Germany
Hfibeapp Uwjdgsldgfqso 1k Dp Oqsjkgj Madrid Spain
Izexafhn Cfemcd Dvhtjlgyrrrabnior L'hospitalet De Llobregat Spain
Fjzwrsdhx Ppxz Lg Iqzvsxyqwsxlk Byrdkpqrq Djb Halwraqs Uhwqlvxfirwcn Ld Pwg Madrid Spain
Fpmbjkjzc Idrxhvati Vpkjopmqxr Du Ofxfgorlj Valencia Spain
Cwaasb Htmrgfunkej Ugidxfxxewngn Dpurwi Goecxyx Szyihjnokdnmfoggagotqtuxri Namur Belgium
Ikzcpwne Di Cxeffsjipods Srnpfawnxl Eonwrp STRASBOURG, Alsace France
Clctat Dl Llsps Cjnxlm Lh Cijkek Eqsppm Mnycusp Rennes France
Izlvlqdf Dd Ccuicumk Fpepyltcgf Dlq Piiklyew Pqx Leresahakn Igpys Candiolo Italy
Hcmurlqdl Izlhsmdc Crtqhan Culuxpah Sosuhv Misterbianco Italy
Hpmsxgv Da Loifwtoxc Libramont-Chevigny Belgium
Kveukrxw Eiqzkkxxksbfhmkwkyjqwrak Hcsgcppzhwyolzwqq Essen Germany

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

Trial status

Country Status Recruitment Start
Belgium Belgium
Recruiting
19.06.2024
France France
Recruiting
19.06.2024
Germany Germany
Recruiting
19.06.2024
Italy Italy
Recruiting
19.06.2024
Spain Spain
Recruiting
19.06.2024

Trial locations

Zongertinib (BI 1810631) is an oral medication being tested in this trial. It is used in combination with other treatments to help determine the best dose that patients can tolerate. The goal is to find out how safe and effective it is for patients with certain types of advanced cancer, specifically those that are HER2 positive.

Trastuzumab Deruxtecan (T-DXd) is an intravenous medication used in this trial. It is combined with zongertinib to see how well they work together in treating patients with advanced HER2 positive cancers. This medication is designed to target and attack cancer cells.

Trastuzumab Emtansine (T-DM1) is another intravenous medication used in combination with zongertinib in this trial. Like T-DXd, it is used to treat patients with advanced HER2 positive cancers. It works by delivering a chemotherapy drug directly to the cancer cells, helping to stop their growth.

Metastatic Gastric Adenocarcinoma – This is a type of stomach cancer that has spread to other parts of the body. It begins in the glandular cells of the stomach lining and can progress to affect nearby organs and distant sites. As the disease advances, it may cause symptoms like weight loss, stomach pain, and difficulty eating.

Esophageal Adenocarcinoma – This cancer originates in the glandular cells of the esophagus, typically in the lower part. It often develops from a condition called Barrett’s esophagus, where the lining of the esophagus changes due to acid reflux. The disease can progress to cause swallowing difficulties and chest pain.

Gastroesophageal Junction Adenocarcinoma – This cancer occurs where the esophagus meets the stomach. It shares characteristics with both gastric and esophageal adenocarcinomas. As it progresses, it may lead to symptoms such as difficulty swallowing and weight loss.

Metastatic Breast Cancer – This is breast cancer that has spread beyond the breast to other parts of the body, such as bones, liver, or lungs. It begins in the breast tissue and can progress to cause symptoms like bone pain, fatigue, and shortness of breath. The disease is considered advanced and requires ongoing management.

Trial ID:
2023-509566-38-00
Protocol code:
1479-0012
Trial Phase:
Human Pharmacology (Phase I) – Other

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