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A Phase 2 Study of Zanidatamab in Patients With HER2-expressing Tumors


2025-01-14


2026-12-31


2027-12-31


200

Study Overview

A Phase 2 Study of Zanidatamab in Patients With HER2-expressing Tumors

The purpose of this study is to evaluate the efficacy and safety of zanidatamab for the treatment of participants with previously treated solid tumors that have Human Epidermal Growth Factor Receptor 2 (HER2) Immunohistochemistry (IHC) 3+ overexpression.

N/A

  • Breast Cancer
  • Gastric Cancer
  • Esophageal Cancer
  • Gastroesophageal Cancer
  • Colorectal Cancer
  • Endometrial Cancer
  • Non-small Cell Lung Cancer
  • Ovarian Cancer
  • Urothelial Carcinoma
  • Salivary Gland Cancer
  • Pancreatic Cancer
  • HER-2 Protein Overexpression
  • DRUG: Zanidatamab
  • JZP598-206
  • 2024-516551-41-00 (CTIS Identifier) (CTIS: )

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2024-11-16  

N/A  

2025-03-18  

2024-11-16  

N/A  

2025-03-20  

2024-11-19  

N/A  

2025-03  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Non Randomized


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Zanidatamab treatment arm

Eligible participants receiving zanidatamab treatment

DRUG: Zanidatamab

  • Administered by intravenous (IV) infusion
Primary Outcome MeasuresMeasure DescriptionTime Frame
Confirmed Objective Response Rate (cORR) per RECIST Version 1.1, as assessed by ICRThe Independent Central Review (ICR) assessed cORR is defined as the proportion of participants who had a best overall response of Complete Response (CR), or Partial Response (PR) based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)Up to 2.5 years
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Duration of Response (DOR) Per RECIST Version 1.1, as assessed by ICRICR assessed DOR is defined as the time in months from the first objective response (CR or PR) that is subsequently confirmed to documented progressive disease (PD) per RECIST v1.1 or death from any cause.Up to 2.5 years
cORR by RECIST Version 1.1, as assessed by InvestigatorInvestigator assessed cORR is defined as the proportion of participants who had a best overall response of Complete Response (CR), or Partial Response (PR) based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)Up to 2.5 years
Duration of Response (DOR) Per RECIST Version 1.1, as assessed by InvestigatorInvestigator assessed DOR is defined as the time in months from the first objective response (CR or PR) that is subsequently confirmed to documented progressive disease (PD) per RECIST v1.1 or death from any cause.Up to 2.5 years
Time to Response (TTR), as assessed by ICRICR assessed TTR is defined as the time from the first dosing date to the first objective response (CR or PR) per RECIST v1.1.Up to 2.5 years
Time to Response (TTR), as assessed by InvestigatorInvestigator assessed TTR is defined as the time from the first dosing date to the first objective response (CR or PR) per RECIST v1.1.Up to 2.5 years
Disease control rate (DCR), as assessed by ICRICR assessed DCR is defined as the proportion of participants whose best overall response (BOR) is confirmed CR, or PR, or stable disease using the RECIST version 1.1 criteriaUp to 2.5 years
Disease control rate (DCR), as assessed by InvestigatorInvestigator assessed DCR is defined as the proportion of participants whose best overall response (BOR) is confirmed CR, or PR, or stable disease using the RECIST version 1.1 criteriaUp to 2.5 years
Progression Free Survival (PFS), as assessed by ICRPFS is defined as the time in months from the first dosing date to the date of first documented disease progression (as assessed by ICR according to RECIST v1.1) or death from any cause, whichever occurs first.Up to 2.5 years
Progression Free Survival (PFS), as assessed by InvestigatorPFS is defined as the time in months from the first dosing date to the date of first documented disease progression (as assessed by Investigator according to RECIST v1.1) or death from any cause, whichever occurs first.Up to 2.5 years
Overall Survival (OS)OS is defined as the time in months from randomization to the date of death due to any cause.Up to 3.5 years
Number of Participants Reporting Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) As Graded by NCI CTCAE Version 5.0Up to 2.5 years
Number of Participants With Dose ReductionsUp to 2.5 years
Number of Participants Discontinuing Study Treatment Due to TEAEsUp to 2.5 years
Serum Concentrations of ZanidatamabUp to 2.5 years
Number of Participants Positive for Anti-drug Antibodies to ZanidatamabUp to 2.5 years
Number of participants reporting Symptomatic Adverse Events based on Patient-reported Outcome-Common Terminology Criteria for AEs (PRO-CTCAE)Up to 2.5 years
Number of participants reporting Symptomatic Adverse Events based on European Organisation for Research and Treatment of Cancer (EORTC) Item LibraryUp to 2.5 years
Percentage of all treated participants reporting overall side-effect bother on the Functional Assessment of Chronic Illness Therapy General Physical Item 5 (FACIT-GP5)Up to 2.5 years
Percentage of time when participants on treatment reported a high side-effect bother on the Functional Assessment of Chronic Illness Therapy General Physical Item 5 (FACIT-GP5)Up to 2.5 years

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Clinical Trial Disclosure & Transparency

Phone Number: 215-832-3750

Email: ClinicalTrialDisclosure@JazzPharma.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Is at least 18 years of age inclusive at the time of signing the informed consent 2. Participants with locally advanced, unresectable, or metastatic solid tumors (except Biliary Tract Cancer (BTC), defined as gallbladder cancer or cholangiocarcinoma) who have progressed following at least 1 prior systemic treatment for metastatic or advanced disease and have no available treatment options that have confirmed benefit. Prior treatment with HER2-targeted therapy is not permitted (Cohort 1 only). For participants with breast cancer (Cohort 2) or GEA (Cohort 3), prior HER2-targeted therapy is permitted and prior therapy with trastuzumab deruxtecan (T-DXd) is required. 3. HER2 overexpression (IHC 3+) via Immunohistochemistry (IHC). 4. All participants must have adequate tumor sample for submission to allow central HER2 testing. 5. Presence of at least 1 measurable lesion as assessed by Independent Central Review (ICR) based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) 6. Has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. 7. Has a life expectancy of at least 3 months, in the opinion of the investigator. 8. Participants with history of treated and stable CNS metastases are eligible, provided the following criteria are met:
    1. Participants also have measurable metastatic disease with HER2 overexpression (IHC 3+) outside the CNS. 2. Prior stereotactic radiosurgery or stereotactic radiotherapy should be completed at least 7 days (≥ 7 days) before the first dose of study intervention. 3. Recovery to no more than Grade 1 or baseline from any acute toxicity associated with the treatment. 9. Adequate organ functions. 10. Females of childbearing potential must have a negative pregnancy test result. 11. Females of childbearing potential and males with a partner of childbearing potential must be willing to use 2 methods of birth control.
    Exclusion Criteria:
    1. Has known or suspected leptomeningeal disease and/or untreated brain metastasis. 2. Has uncontrolled or significant cardiovascular disease 3. Has ongoing toxicity related to prior cancer therapy 4. Has uncontrolled infection or requiring IV antibiotics, antivirals, or antifungals. 5. Has known Human Immunodeficiency Virus (HIV) infection. 6. Has active hepatitis B or C infection. 7. Has an active severe acute respiratory syndrome coronavirus 2 infection. 8. Has a history of life-threatening hypersensitivity to monoclonal antibody (mAbs) or to recombinant proteins or excipients in the drug formulation of zanidatamab. 9. Has any serious underlying medical or psychiatric condition that would impair the ability of the participant to receive or tolerate the planned treatment at the investigational site. 10. Has any issue or condition that, in the opinion of the investigator, would contraindicate the participant's participation in the study or confound the results of the study. 11. Prior treatment with HER2-targeted therapy (Cohort 1 only). 12. Has a history of trauma or major surgery 13. Was treated with systemic antineoplastic therapy, including hormonal therapies for breast cancer, or any investigational therapy within 4 weeks or 5 half-lives (whichever is longer) prior to enrollment. 14. Was treated in a prior clinical study of zanidatamab or received zanidatamab at any time prior to the current study. 15. Colorectal Cancer (CRC) participants with known KRAS/NRAS and BRAF mutations. 16. Non-Small Cell Lung Cancer (NSCLC) participants with known ALK, EGFR mutations and ROS1 fusion. 17. Female participants who are breastfeeding or pregnant, and female and male participants planning a pregnancy.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • Jazz Pharmaceuticals Ireland Limited

  • : ,

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available