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The safety and efficacy of this agent(s), or use in this setting, has not been established or is subject to confirmation. For an agent(s) whose safety and efficacy has not been established or confirmed, future regulatory approval or commercial availability is not guaranteed.

Clinical Trial Details

Geo Regions

Category

Breast Cancer

Category

Gastrointestinal Cancer

Tucatinib

A Phase 1 Clinical Study to Investigate the Safety and Pharmacokinetics of Tucatinib (MK-7119) in China Participants With HER2+ Advanced Breast Cancer, Gastric or Gastroesophageal Junction Adenocarcinoma and Colorectal Cancer

Phase 1

NCT05382364

Active Not-enrolling

Globe

Locations

China

Study design
Participant Group/Arm

EXPERIMENTAL: Tucatinib Treatment

Chinese participants with HER2+ advanced breast cancer, gastric or gastroesophageal junction adenocarcinoma, or colorectal cancer receive tucatinib 300 mg by mouth twice daily during 21-day cycles. Treatment continues until there is evidence of unacceptable toxicity or documented progression.

Intervention/Treatment

DRUG: Tucatinib

Tucatinib 150 mg and 50 mg tablets taken by mouth at a dose of 300 mg twice daily.

Study design table for Clinical Trial
Key eligibility criteria
Inclusion criteria
  • Histologically or cytologically confirmed HER2+ advanced breast cancer, gastric or GEC, and colorectal cancer
  • Have progressed at least one previous therapeutic regimen and either no longer are candidates for standard therapy, have no standard therapy available, or choose not to pursue standard therapy
  • Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) Performance within 7 days prior to allocation
  • Has life expectancy \>6 months in the opinion of the investigator
  • Have measurable disease per Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 as assessed by the local site investigator/radiologist
  • Must test negative for hepatitis B surface antigen (HBsAg)
  • If there is a history of hepatitis C virus (HCV) infection, has undetectable HCV viral load at screening
  • For males, agree to be abstinent from heterosexual intercourse, or agree to use acceptable contraception, for the duration of study and 1 week after
  • For females, is not pregnant or breastfeeding AND one of the following applies:
  • Is not a woman of childbearing potential (WOCBP)
  • Is a WOCBP and uses highly effective contraception and is not pregnant
Exclusion criteria
  • History of prior cancer within \<3 year, except for adequately treated basal cell or squamous cell carcinoma of the skin, cervical cancer in situ, or other in situ carcinomas which needs discussion between the investigator and the Sponsor
  • Participants with leptomeningeal disease are excluded
  • Has symptomatic central nervous system (CNS) metastases
  • Has active human immunodeficiency virus (HIV), hepatitis B virus, or HCV infection
  • Has had chemotherapy, immunotherapy, radioimmunotherapy, definitive radiation, or biological cancer therapy or treatment with an investigational product within 4 weeks (2 weeks for palliative radiation) before the first dose of study intervention
  • Has an active infection requiring therapy
  • Has refractory nausea/vomiting, chronic gastrointestinal disease, or significant bowel resection
  • Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study
  • Has a QTc prolongation
  • Has uncontrolled illness including but not limited to ongoing symptomatic congestive heart failure (New York Heart Association \[NYHA\] Class III or IV heart failure), unstable angina pectoris, cardiac arrhythmia, and psychiatric illness that would limit compliance with study requirements
  • Has had major surgery within 4 weeks prior to first dose of study intervention
  • Is currently participating in another clinical trial
  • Has psychiatric or substance abuse disorder
Key dates
Study start date
  • June 2022
Estimated Study Completion Date
  • December 2025
Key endpoints
Primary Outcome Measures
Outcome Measure

Percentage of participants with ≥1 adverse event (AE)

Measure Description

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

Time Frame

Up to approximately 2.5 years

Outcome Measure

Percentage of participants discontinuing from study therapy due to AE

Measure Description

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

Time Frame

Up to approximately 2.5 years

Primary Outcome Measures table for Clinical Trial
Secondary Outcome Measures:
Outcome Measure

Maximum plasma concentration (Cmax) of first dose of tucatinib

Measure Description

The Cmax of tucatinib will be determined after the first dose.

Time Frame

Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

Time of maximum plasma concentration (Tmax) of first dose of tucatinib

Measure Description

The Tmax of tucatinib will be determined after the first dose.

Time Frame

Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

Area under the plasma concentration time curve from dosing to 12 hours postdose (AUC0-12) of first dose of tucatinib

Measure Description

The AUC0-12 of tucatinib will be determined after the first dose.

Time Frame

Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

Apparent plasma half-life (t½) of first dose of tucatinib

Measure Description

The t½ of tucatinib will be determined after the first dose.

Time Frame

Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

Apparent clearance (CL/F) of first dose of tucatinib

Measure Description

The CL/F of tucatinib will be determined after the first dose.

Time Frame

Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

Volume of distribution (Vz/F) of first dose of tucatinib

Measure Description

The Vz/F of tucatinib will be determined after the first dose.

Time Frame

Cycle 1, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

Trough concentration (Ctrough) of tucatinib at steady state

Measure Description

The Ctrough of tucatinib will be determined at steady state.

Time Frame

Cycle 1, Days 8 and 15: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

Accumulation ratio of tucatinib at steady state

Measure Description

The accumulation ratio of tucatinib will be determined at steady state.

Time Frame

Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

Cmax at steady state (Cmaxss) of tucatinib

Measure Description

The Cmaxss of tucatinib will be determined at steady state.

Time Frame

Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

Tmax at steady state (Tmaxss) of tucatinib

Measure Description

The Tmaxss of tucatinib will be determined at steady state.

Time Frame

Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

AUC0-12 at steady state (AUC0-12ss) of tucatinib

Measure Description

The AUC0-12ss of tucatinib will be determined at steady state.

Time Frame

Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

t½ of tucatinib at steady state

Measure Description

The t½ of tucatinib will be determined at steady state.

Time Frame

Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

CL/F at steady state (CL/Fss) of tucatinib

Measure Description

The CL/Fss of tucatinib will be determined at steady state.

Time Frame

Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

Vz/F at steady state (Vz/Fss) of tucatinib

Measure Description

The Vz/Fss of tucatinib will be determined at steady state.

Time Frame

Cycle 2, Day 1: predose and 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours postdose

Outcome Measure

Objective Response Rate (ORR) per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1)

Measure Description

ORR is defined as the percentage of participants who have a Complete Response (CR: disappearance of all target lesions) or a Partial Response (PR: at least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1. The percentage of participants who experience a CR or PR based on RECIST 1.1 will be presented.

Time Frame

Up to approximately 19 months

Outcome Measure

Duration of Response (DOR) Per Response Evaluation Criteria In Solid Tumors Version 1.1 (RECIST 1.1)

Measure Description

For participants who demonstrate a confirmed complete response (CR: Disappearance of all target lesions) or confirmed Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until disease progression or death.

Time Frame

Up to approximately 19 months

Secondary Outcome Measures table for Clinical Trial
Number of participants

25

Collaborators and investigators

Sponsor: Pfizer

Collaborator: None

This information is current as of October 29th 2024.

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More Information Close NCT# stands for National Clinical Trial number. This is a unique identification code given to each clinical trial registered on ClinicalTrials.gov. The format is "NCT" followed by an 8-digit number (for example, NCT00000419). Also called the ClinicalTrials.gov identifier. NCT05382364