HERTHENA-PanTumor01 (U31402-277): A Phase 2, Multicenter, Multicohort, Open-Label, Proof of Concept Study of Patritumab Deruxtecan (HER3-DXd; U3-1402) in Subjects With Locally Advanced or Metastatic Solid Tumors

Status: Recruiting
Location: See all (80) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This is a proof-of-concept study designed to investigate HER3-DXd monotherapy in locally advanced unresectable or metastatic solid tumors. The study is enrolling cohorts of participants with melanoma \[cutaneous/acral\], squamous cell carcinomas of the head and neck (SCCHN), HER2-negative gastric cancer ovarian carcinoma, cervical cancer, endometrial cancer, bladder cancer, esophageal carcinoma, pancreatic carcinoma, prostate cancer, second-line gastric cancer, lung cancer, and breast cancer.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
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‣ Participants must meet all of the following criteria to be eligible for enrollment into the study:

• Sign and date the informed consent form prior to the start of any study-specific qualification procedures. A separate tissue screening consent will be obtained from all subjects to meet the baseline tumor tissue requirement.

• Participants aged ≥18 years (follow local regulatory requirements if the legal age of consent for study participation is \>18 years old).

• Has locally advanced unresectable or metastatic disease (not curable by surgery or radiation) as follows:

• Cutaneous (acral and non-acral) melanoma

⁃ Histologically or cytologically confirmed cutaneous (acral or non-acral) melanoma

⁃ Disease progression while on or after having received treatment with ≥1 prior line of anti-programmed cell death protein (PD-1) or anti-programmed death-ligand 1 (PD-L1) based therapy (previous use of other immune checkpoint inhibitors \[ICIs\] \[ie, anti-CTLA4, anti- LAG-3\] is acceptable). Prior anti-PD-(L)1 therapy in the adjuvant setting is allowed if there is recurrence within 12 weeks of the last dose. If the participant had BRAFm melanoma, they must have had disease progression on BRAF/MEK inhibitor therapy as well.

‣ Squamous cell carcinomas of the head and neck

⁃ Squamous cell carcinoma of the head and neck (with a primary location of oral cavity,oropharynx, larynx, hypopharynx) that is human papillomavirus (HPV) positive or negative (as determined by local standard). Excludes tumor location in the nasopharynx, nasal cavity, paranasal sinuses, and unknown primary locations.

⁃ Disease progression after having received treatment with ≥1 and \<3 prior lines of systemic therapy in the unresectable recurrent or metastatic setting.

‣ Must have had disease progression on anti-PD-(L)1 (either as monotherapy or in combination with chemotherapy or other therapies). Must also have had disease progression on a platinum-based chemotherapy (PBC) regimen either in the recurrent or metastatic setting or in the locally advanced setting with curative intent.

‣ Gastric or GEJ adenocarcinoma

⁃ Tumor tissue must be confirmed as negative for HER2 expression (immunohistochemistry \[IHC\] 0/1+ or IHC 2+/in situ hybridization negative) as classified by American Society of Clinical Oncology/College of American Pathologists (ASCO-CAP) guidelines and determined prior to enrollment by assessment in a local laboratory that is Clinical Laboratory Improvement Amendments certified (US sites) or accredited based on specific country regulations.

⁃ Disease progression after having received treatment with ≥2 prior lines of therapy that include PBC with or without anti-PD-1 therapy.

‣ Ovarian Carcinoma

⁃ Pathologically documented high-grade serous epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer.

⁃ Documented disease progression ≥4 weeks after the last dose of PBC and \<6 months of last dose of PBC in the advanced or metastatic setting. Prior use of folate reductase alpha targeting antibody-drug conjugate (ADC) (ie, mirvetuximab soravtansine) is allowed.

‣ Cervical Cancer

⁃ Pathologically or cytologically documented recurrent or persistent squamous, adenosquamous, or adenocarcinoma of the uterine cervix.

‣ Disease progression after having received ≥1 line of systemic therapy in the recurrent or metastatic setting. This may include prior anti-PD-(L)1 treatment and/or tissue factor directed ADC (tisotumab vedotin \[TV\]) per regional standard of care.

∙ Endometrial Cancer

‣ Pathologically or cytologically documented endometrial cancer (carcinoma of any histological sub-type or endometrial carcinosarcoma), irrespective of microsatellite instability (MSI) or mismatch repair (MMR) status.

‣ Documented disease progression after having received ≥1 prior line of therapy (maximum of 3) PBC containing systemic treatment and an anti-PD(L)-1 therapy-containing regimen (combined or sequential) in the advanced/metastatic setting.

∙ Bladder Cancer

‣ Pathologically or cytologically documented locally advanced/unresectable or metastatic urothelial carcinoma of the bladder, renal pelvis, ureter, or urethra. Histological variants are allowed if urothelial histology is predominant. Small cell/neuroendocrine tumors are not allowed even if mixed histology.

‣ Relapsed or progressed after treatment with ≥1 prior line of therapy (maximum of 3) that contains anti-PD-(L)1 therapy in the perioperative or metastatic setting. At least 1 line of therapy must also contain one of the following treatment modalities: chemotherapy or enfortumab vedotin. Prior fibroblast growth factor receptor (FGFR)-inhibitor treatment for those who are eligible are allowed.

⁃ Required treatments can be given in combination or sequentially

• Prior cisplatin-based therapy or PD-(L)1 inhibitor therapy given for the treatment of muscle invasive urothelial carcinoma is counted as 1 line of therapy

• The same regimen administered twice in different disease settings will be counted as 1 line of prior therapy

• Participants in the second-line setting who have previously received enfortumab vedotin and pembrolizumab in combination can be enrolled.

∙ Esophageal Carcinoma

‣ Pathologically or cytologically documented esophageal squamous cell carcinoma.

‣ Must have documented disease progression after having received 2 prior lines of therapy including previous PBC with or without an anti-PD-1 therapy-containing regimen (combined or sequential) in the advanced/metastatic setting.

∙ Pancreatic Carcinoma

‣ Pathologically or cytologically documented unresectable or metastatic pancreatic adenocarcinoma.

‣ Relapsed or disease progression after having received 1 prior line of systemic therapy in the locally advanced/metastatic setting.

∙ Prostate Cancer

‣ Pathologically or cytologically documented unresectable locally advanced or metastatic castration-resistant prostate cancer (CRPC).

‣ Adenocarcinoma of the prostate without neuroendocrine differentiation or small cell histology.

‣ Surgically or medically castrated, with testosterone levels of \<50 ng/dL.

‣ Documented objective progression as determined by radiographic progression for subjects with measurable disease after androgen deprivation.

‣ Relapsed or disease progression after having received treatment with ≥1 of the following novel hormonal agents: abiraterone, enzalutamide, apalutamide, or darolutamide.

‣ Relapsed or disease progression after having received ≥1 cytotoxic chemotherapy regimen that included a taxane.

∙ Gastric Cancer 2L

‣ Must have had gastric or GEJ adenocarcinoma confirmed as negative for HER2 expression (IHC 0/1+ or IHC 2+/in situ hybridization negative) as classified by American Society of Clinical Oncology/College of American Pathologists (ASCO-CAP) guidelines and determined prior to enrollment by assessment in a local laboratory that is Clinical Laboratory Improvement Amendments certified (US sites) or accredited based on specific country regulations.

‣ Disease progression after having received treatment with only 1 prior line of systemic anti-cancer therapy that includes 5-FU-based chemotherapy with or without an anti-PD-1 therapy. For subjects whose tumors are claudin (CLDN) 18.2 positive, treatment with 5-FU based chemotherapy with CLDN18.2 directed therapy in the first-line setting is allowed.

• Non-small Cell Lung Cancer aa. Histologically or cytologically documented metastatic or locally advanced nonsquamous NSCLC not amenable to curative surgery or radiation bb. Documentation of absence of actionable driver mutation (ie, ALK rearrangement, BRAF V600E mutation, EGFR-activating mutations \[exon 19 deletion or L858R mutation\], EGFR exon 20 insertion mutation, HER2 mutation, KRAS G12C mutation, MET exon 14 skipping mutation, NTRK 1/2/3 gene fusion, RET rearrangement, or ROS1 rearrangement). New testing for these genomic alterations is not required for Screening.

• cc. Relapsed or disease progression after receiving only anti-PD-(L)1 and PBC (ie, platinum doublet) administered in combination or sequentially for metastatic disease.

• Breast Cancer dd. Pathologically documented breast cancer that is assessed as HER2 negative (IHC2+/ISH-, IHC1+, or IHC0 per ASCO/CAP guidelines), and HR positive (either ER and/or PgR positive \[ER or PgR ≥1%\] per ASCO/CAP guidelines). The HER2 and HR results must be from a tumor sample obtained in the metastatic setting.

• ee. Participant must have received one line of chemotherapy for mBC, but not more than one line and must have a clinically or radiologically documented evidence of tumor progression on or after CDK 4/6 inhibitor combined with endocrine therapy; previous treatments with phosphoinositide 3-kinase (PI3K) inhibitors, mammalian target of rapamycin (mTOR) inhibitors, protein kinase B (PKB) inhibitors also known as AKT-inhibitors and poly ADP ribose polymerase (PARP)-inhibitors are allowed.

• Has ≥1 measurable lesion on CT or MRI as per RECIST v1.1 by investigator assessment. Prostate cancer participants with bone only disease may be eligible.

• Provides a pretreatment tumor tissue sample that meets 1 of the following collection requirements:

‣ Tumor biopsy from ≥1 lesion not previously irradiated and performed since progression with the most recent systemic cancer therapy regimen and prior to signature of the tissue ICF (ARCHIVAL PRETREATMENT sample).

‣ OR

⁃ Newly obtained pretreatment tumor biopsy from ≥1 lesion not previously irradiated and amenable to sampling, after signature of tissue ICF (FRESH PRETREATMENT sample)

• Has Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or 1 at screening.

Locations
United States
California
City of Hope
RECRUITING
Duarte
Connecticut
Yale Cancer Center
RECRUITING
New Haven
Florida
AdventHealth Medical Group Oncology Research at Celebration
RECRUITING
Kissimmee
Illinois
University of Illinois Cancer Center
RECRUITING
Chicago
Maryland
Johns Hopkins University
RECRUITING
Baltimore
Minnesota
Health Partners Frauenshuh Cancer Center
RECRUITING
Saint Louis Park
Health Partners Cancer Center at Regions Hospital
RECRUITING
Saint Paul
Missouri
Washington University, School of Medicine
RECRUITING
St Louis
New York
Roswell Park Cancer Institute IDS
RECRUITING
Buffalo
Memorial Sloan Kettering Hospital
RECRUITING
New York
Tennessee
SCRI Oncology Partners
RECRUITING
Nashville
Texas
The University of Texas MD Anderson Cancer Center
RECRUITING
Houston
Washington
Fred Hutchinson Cancer Center
RECRUITING
Seattle
Other Locations
Australia
Chris O'Brien Lifehouse
RECRUITING
Camperdown
Icon Cancer Centre Chermside
RECRUITING
Chermside
Monash Medical Centre Clayton
RECRUITING
Clayton
Icon Cancer Centre Hobart
RECRUITING
Hobart
Icon Cancer Centre Townsville
RECRUITING
Hyde Park
Belgium
Cliniques Universitaires Saint-Luc
RECRUITING
Brussels
UZA
RECRUITING
Edegem
Universitair Ziekenhuis Gent
RECRUITING
Ghent
Universitair Ziekenhuis Brussel
RECRUITING
Jette
UZ Leuven
RECRUITING
Leuven
Canada
Cross Cancer Institute
RECRUITING
Edmonton
Princess Margaret Cancer Centre
RECRUITING
Toronto
Sunnybrook Research Institute
RECRUITING
Toronto
BC Cancer - Vancouver
RECRUITING
Vancouver
France
Chu Bordeaux
RECRUITING
Bordeaux
Centre Georges Franăois Leclerc
RECRUITING
Dijon
Hopital Claude Huriez - Chu Lille
RECRUITING
Lille
Centre Léon Bérard
RECRUITING
Lyon
Hăpital de La Timone
RECRUITING
Marseille
Chu Nantes - Hătel Dieu
RECRUITING
Nantes
Institut Claudius Regaud
RECRUITING
Toulouse
Institut Gustave Roussy
RECRUITING
Villejuif
Hungary
Bacs-Kiskun Varmegyei Oktatokorhaz
RECRUITING
Kecskemét
Italy
IRCCS Ospedale Policlinico San Martino
RECRUITING
Genova
AOU Federico II - Oncologia Clinica
RECRUITING
Napoli
Centro Ricerche Cliniche di Verona s.r.l.
RECRUITING
Verona
Japan
Saitama Medical University International Medical Center
RECRUITING
Hidaka
National Cancer Center Hospital East
RECRUITING
Kashiwa-shi
NHO Shikoku Cancer Center
RECRUITING
Matsuyama
Shizuoka Cancer Center
RECRUITING
Nagaizumi-cho
Aichi Cancer Center Hospital
RECRUITING
Nagoya
Kindai University Hospital
RECRUITING
Osakasayama-shi
Cancer Institute Hospital of JFCR
RECRUITING
Tokyo
National Cancer Center Hospital
RECRUITING
Tokyo
Yokohama City University Medical Center
RECRUITING
Yokohama
Netherlands
Amsterdam UMC locatie Vumc
RECRUITING
Amsterdam
Universitair Medisch Centrum Groningen
RECRUITING
Groningen
Leids Universitair Medisch Centrum
RECRUITING
Leiden
Maastricht University Medical Center
RECRUITING
Maastricht
Radboud University Medical Center
RECRUITING
Nijmegen
Norway
Akershus universitetssykehus
RECRUITING
Lørenskog
Haukeland universitetssjukehus
RECRUITING
Lørenskog
Oslo Universitetssykehus HF, Radiumhospitalet
RECRUITING
Oslo
Republic of Korea
Cha Bundang Medical Center, Cha University
RECRUITING
Seongnam
Seoul National University Bundang Hospital
RECRUITING
Seongnam
Asan Medical Center
RECRUITING
Seoul
Samsung Medical Center
RECRUITING
Seoul
Seoul National University Hospital
RECRUITING
Seoul
Severance Hospital, Yonsei University Health System
RECRUITING
Seoul
Spain
Hospital Clinic de Barcelona
RECRUITING
Barcelona
Hospital de La Santa Creu I Sant Pau
RECRUITING
Barcelona
Hospital Universitari Vall D'Hebron
RECRUITING
Barcelona
Hospital General Universitario Gregorio Marañon
RECRUITING
Madrid
Hospital Universitario 12 de Octubre
RECRUITING
Madrid
Hospital Universitario Ramon Y Cajal
RECRUITING
Madrid
HOSPITAL REGIONAL UNIVERSITARIO de MALAGA AVDA.
RECRUITING
Málaga
Hospital Universitario Virgen Macarena
RECRUITING
Seville
Hospital Clinico Universitario de Valencia
RECRUITING
Valencia
Taiwan
Kaohsiung Chang Gung Memorial Hospital
RECRUITING
Kaohsiung City
National Cheng Kung University Hospital
RECRUITING
Tainan City
National Taiwan University Hospital
RECRUITING
Taipei
Taipei Veterans General Hospital
RECRUITING
Taipei
Chang Gung Memorial Hospital
RECRUITING
Taoyuan District
United Kingdom
University Hospital Coventry
RECRUITING
Coventry
Barts Hospital
RECRUITING
London
Royal Free Hospital
RECRUITING
London
Nottingham City Hospital Campus
RECRUITING
Nottingham
Contact Information
Primary
Daiichi Sankyo Contact for Clinical Trial Information
CTRinfo@dsi.com
9089926400
Time Frame
Start Date: 2024-02-26
Estimated Completion Date: 2028-10-10
Participants
Target number of participants: 740
Treatments
Experimental: HER3-DXd Monotherapy
Participants with locally advanced unresectable or metastatic cancer (melanoma, head and neck, gastric cancer, ovarian carcinoma, cervical cancer, endometrial cancer, bladder cancer, esophageal carcinoma, pancreatic carcinoma, prostate cancer, second-line gastric cancer, lung cancer, and breast cancer) will receive an intravenous infusion of HER3-DXd monotherapy 5.6 mg/kg every 3 weeks (Q3W).
Sponsors
Collaborators: Merck Sharp & Dohme LLC
Leads: Daiichi Sankyo

This content was sourced from clinicaltrials.gov