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Completed

NCT Number: NCT02980341

Phase I/II Study of U3-1402 in Subjects With Human Epidermal Growth Factor Receptor 3 (HER3) Positive Metastatic Breast Cancer

This is an open-label, three-part, multiple-dose study to evaluate safety, tolerability, and efficacy of U3-1402 in patients with HER3-positive metastatic breast cancer. HER3 is a unique member of the human epidermal growth factor receptor, which defines a certain type of cancer.

The number of patients and treatment cycles are not fixed in this study. Subjects who continue to derive clinical benefit from the study treatment in the absence of withdrawal of consent, progressive disease (PD), unacceptable toxicity, or death may continue the study treatment until the end of the trial.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

National Hospital Organization Hokkaido Cancer Center, Sapporo, Hokkaido, Japan

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Is 18 Years and older in the United States or 20 Years and older in Japan
  • Has a pathologically documented advanced/unresectable or metastatic breast cancer
  • Documented HER3-positive disease measured by immunohistochemistry (IHC)
  • Has disease that is refractory to or intolerable with standard treatment, or for which standard treatment no longer is available
  • Has an Eastern Cooperative Oncology Group Performance Status 0-1
  • Has Left Ventricular Ejection Fraction ≥ 50%
  • Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1

Additional Inclusion Criteria for Dose Finding Part and Dose Expansion Part:

  • Has received 2-6 prior chemotherapy regimens for breast cancer, at least 2 of which were administered for treatment of advanced/unresectable or metastatic disease. At least 1 prior chemotherapeutic regimen must have included a taxane, administered in the neoadjuvant, adjuvant, or advanced setting. (With exception of Dose Expansion Part TNBC cohort. See additional inclusion criteria for Dose Expansion Part TNBC cohort.)

Additional Inclusion Criteria for Dose Expansion Part Only:

  • Is able to submit a fresh tumor biopsy sample prior to starting study treatment if not already submitted for HER3 expression
  • Has documented hormone (estrogen and/or progesterone) receptor (HR)-positive and HER2 negative expression according to American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) guidelines. (With exception of Dose Expansion Part TNBC cohort. See additional inclusion criteria for Dose Expansion Part TNBC cohort.)

Additional Inclusion Criteria for Dose Expansion Part TNBC cohort Only:

  • Has documented hormone (estrogen and progesterone) receptor (HR)-negative and HER2 negative expression according to American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) guidelines
  • Has progressed after receiving 1 to 2 prior chemotherapy regimens for advanced/unresectable or metastatic breast cancer.

Key Exclusion Criteria:

  • Prior treatment with a HER3 antibody
  • Prior treatment with an antibody-drug conjugate (ADC) which consists of an exatecan derivative that is a topoisomerase I inhibitor (eg, DS-8201)
  • Has a medical history of symptomatic congestive heart failure (New York Heart Association classes II-IV) or serious cardiac arrhythmia requiring treatment
  • Has a medical history of myocardial infarction or unstable angina
  • Has a corrected QT prolongation to > 450 millisecond (ms) in males and > 470 ms in females
  • Has a medical history of clinically significant lung diseases (eg, interstitial pneumonia, pneumonitis, pulmonary fibrosis, and radiation pneumonitis) or who are suspected to have these diseases by imaging at screening period
  • Has clinically significant corneal disease

Additional Exclusion Criteria for Dose Expansion Part:

  • Prior treatment with an govitecan derivative (eg, IMMU-132).

Treatment and study plan

Patritumab Deruxtecan

Drug

U3-1402 consists of an antibody component (patritumab, U3-1287) covalently conjugated to a drug-linker (MAAA-1162a) containing a drug component (MAAA-1181a)

Other names: U3-1402

Primary outcomes

  1. Number of Participants Reporting Treatment-emergent Adverse Events (TEAEs)

    Time frame: Baseline up to 28 days post last dose, up to approximately 9 months

    AEs will be collected systematically from signing of the informed consent form (ICF) through 28 days after last dose

  2. Number of Participants With Best Overall Tumor Response Using Blinded Independent Central Review Based on Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1

    Time frame: From screening until disease progresses, up to approximately 9 months

    CR was defined as a disappearance of all target and non-target lesions, PR was defined as at least a 30% decrease in the sum of diameters of target and non-target lesions, and stable disease (SD) was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD; at least a 20% increase in the sum of diameters of target and non-target lesions. Objective response rate is the number of patients with confirmed complete response and confirmed partial response.

Secondary outcomes

  1. Dose Escalation Part: Area Under the Serum Concentration Time Curve (AUC) of Anti-HER3-ac-DXd

    Time frame: Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)

    The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.

  2. Dose Finding Part: AUC of Anti-HER3-ac-DXd

    Time frame: Cycle 1, Day 1 to Cycle 4, Day 21 (each cycle is 21 days)

    The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.

  3. Dose Expansion Part: AUC of Anti-HER3-ac-DXd

    Time frame: Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)

    The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.

  4. Dose Escalation Part: Maximum Plasma Concentration (Cmax) of Anti-HER3-ac-DXd

    Time frame: Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)

    The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.

  5. Dose Finding Part: Cmax of Anti-HER3-ac-DXd

    Time frame: Cycle 1, Day 1 to Cycle 4, Day 21 (each cycle is 21 days)

    The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.

  6. Dose Expansion Part: Cmax of Anti-HER3-ac-DXd

    Time frame: Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)

    The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.

  7. Dose Escalation Part: Time to Maximum Plasma Concentration (Tmax) of Anti-HER3-ac-DXd

    Time frame: Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)

    The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.

  8. Dose Finding Part: Tmax of Anti-HER3-ac-DXd

    Time frame: Cycle 1, Day 1 to Cycle 4, Day 21 (each cycle is 21 days)

    The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.

  9. Dose Expansion Part: Tmax of Anti-HER3-ac-DXd

    Time frame: Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)

    The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.

  10. Dose Escalation Part: Area Under the Concentration-Time Curve of Total Anti-HER3 Antibody

    Time frame: Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)

    The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.

  11. Dose Finding Part: Area Under the Concentration-Time Curve in Total Anti-HER3 Antibody

    Time frame: Cycle 1, Day 1 to Cycle 4, Day 21 (each cycle is 21 days)

    The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.

  12. Dose Expansion Part: Area Under the Concentration-Time Curve in Total Anti-HER3 Antibody

    Time frame: Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)

    The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.

  13. Dose Escalation Part: Cmax of Total Anti-HER3 Antibody

    Time frame: Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)

    The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.

  14. Dose Finding Part: Cmax of Anti-HER3 Antibody

    Time frame: Cycle 1, Day 1 to Cycle 4, Day 21 (each cycle is 21 days)

    The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.

  15. Dose Expansion Part: Cmax in Anti-HER3 Antibody

    Time frame: Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)

    The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.

  16. Dose Escalation Part: Tmax of Total Anti-HER3 Antibody

    Time frame: Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)

    The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.

  17. Dose Finding Part: Tmax of Anti-HER3 Antibody

    Time frame: Cycle 1, Day 1 to Cycle 4, Day 21 (each cycle is 21 days)

    The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.

  18. Dose Expansion Part: Tmax in Anti-HER3 Antibody

    Time frame: Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)

    The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.

Sponsors and collaborators

Lead sponsor

Daiichi Sankyo Co., Ltd.

Industry

Collaborators

  • Daiichi Sankyo
  • Merck Sharp & Dohme LLC

Registry information

Official study title

Phase 1/2, Multicenter, Open-label, Multiple-Dose First-in-human Study of U3-1402, in Subjects With HER3 Positive Metastatic Breast Cancer

Important dates

Study start
2016
Primary completion
2021
Study completion
2023
First posted
Dec 2, 2016
Registry last updated
Oct 30, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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