HER2-positive Breast CancerPhase 3NCT03975647
A Study of Tucatinib vs. Placebo in Combination With Ado-trastuzumab Emtansine (T-DM1) for Patients With Advanced or Metastatic HER2+ Breast Cancer
A Phase 3 study testing tucatinib and T-DM1 in people with HER2-positive Breast Cancer, run by Seagen, a wholly owned subsidiary of Pfizer at 490 sites in 20 countries.
Trial summary
This study is being done to see if tucatinib with ado-trastuzumab emtansine (T-DM1) works better than T-DM1 alone to help patients who have a specific type of breast cancer called HER2 positive breast carcinoma. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HER2-positive Breast Cancer
- What is being tested?
- tucatinib and T-DM1
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 466 participants
- Where
- 490 sitesin 20 countries
- Study dates
- 2 Oct 2019to 10 Mar 2029
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed HER2+ breast carcinoma as determined by a sponsor-designated central laboratory
- History of prior treatment with a taxane and trastuzumab in any setting, separately or in combination
- Have progression of unresectable locally advanced/metastatic breast cancer after last systemic therapy, or be intolerant of last systemic therapy
- Measurable or non-measurable disease assessable by RECIST v1.1
- ECOG performance status score of 0 or 1
- CNS Inclusion - Based on screening contrast brain magnetic resonance imaging (MRI), participants must have at least one of the following:
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- No evidence of brain metastases
- Untreated brain metastases not needing immediate local therapy
- Previously treated brain metastases
- Brain metastases previously treated with local therapy may either be stable since treatment or may have progressed since prior local CNS therapy, provided that there is no clinical indication for immediate re-treatment with local therapy
- Participants treated with CNS local therapy for newly identified lesions or previously treated and progressing lesions may be eligible to enroll if all of the following criteria are met:
- Time since SRS is at least 7 days prior to first dose of study treatment, time since WBRT is at least 14 days prior to first dose, or time since surgical resection is at least 28 days.
- Other sites of evaluable disease are present
- Relevant records of any CNS treatment must be available to allow for classification of target and non-target lesions
Who cannot join
- Prior treatment with tucatinib, afatinib, trastuzumab deruxtecan (DS-8201a), or any other investigational anti-HER2, anti-EGFR, or HER2 TKI agent. Prior treatment with lapatinib or neratinib within 12 months of starting study treatment (except in cases where they were given for ≤21 days and was discontinued for reasons other than disease progression or severe toxicity). Prior treatment with pyrotinib for recurrent of mBC (except in cases where pyrotinib was given for ≤21 days and was discontinued for reasons other than disease progression or severe toxicity).
- CNS Exclusion - Based on screening contrast brain magnetic resonance imaging (MRI), participants must not have any of the following:
- Any untreated brain lesions >2 cm in size
- Ongoing use of corticosteroids for control of symptoms of brain metastases at a total daily dose of >2 mg of dexamethasone (or equivalent).
- Any brain lesion thought to require immediate local therapy
- Known or concurrent leptomeningeal disease as documented by the investigator
- Poorly controlled generalized or complex partial seizures
Trial locations and contacts
490 sites in 20 countries.
469 sites in 20 countries
United States300 sites
New York Oncology Hematology, P.C.
Albany, New York, 12206
Virginia Cancer Specialists, PC
Alexandria, Virginia, 22304
UCLA Hematology/Oncology - Alhambra
Alhambra, California, 91801
Florida Cancer Specialists
Altamonte Springs, Florida, 32701
Texas Oncology - West Texas
Amarillo, Texas, 79124
University of Michigan
Ann Arbor, Michigan, 48109
Kaiser Permanente Medical Center Lab Drawing Station
Antioch, California, 94509
Kaiser Permanente Medical Center Lab Drawing Station
Antioch, California, 94531
The Center for Cancer and Blood Disorders
Arlington, Texas, 76014
Virginia Cancer Specialists, PC
Arlington, Virginia, 22201
Northside Hospital, Inc. - GCS/ Athens
Athens, Georgia, 30606
Winship Cancer Institute, Emory University.
Atlanta, Georgia, 30322
Atlanta Cancer Care - Atlanta
Atlanta, Georgia, 30342
Northside Hospital, Inc. - Central Research Department
Atlanta, Georgia, 30342
Northside Hospital, Inc. - GCS/Northside
Atlanta, Georgia, 30342
Georgia Cancer Center at Augusta University
Augusta, Georgia, 30912
Rocky Mountain Cancer Centers, LLP
Aurora, Colorado, 80012
Clinical and Translational Research Center (CTRC)
Aurora, Colorado, 80045
University of Colorado Hospital - Anschutz Cancer Pavilion(ACP)
Aurora, Colorado, 80045
University of Colorado Hospital - Anschutz Inpatient Pavilion (AIP)
Aurora, Colorado, 80045
University of Colorado Hospital - Anschutz Outpatient Pavilion (AOP)
Aurora, Colorado, 80045
University of Colorado Hospital
Aurora, Colorado, 80045
Texas Oncology - Austin
Austin, Texas, 78731
Texas Oncology - Austin
Austin, Texas, 78745
University of Maryland, Greenebaum Comprehensive Cancer Center.
Baltimore, Maryland, 21201
Mercy Medical Center -Weinberg Center
Baltimore, Maryland, 21202
Mercy Medical Center.
Baltimore, Maryland, 21202
OHSU Knight Cancer Institute, Beaverton
Beaverton, Oregon, 97006
Texas Oncology - DFWW
Bedford, Texas, 76022
Texas Oncology - DFW
Bedford, Texas, 76022
Summit Medical Group
Berkeley Heights, New Jersey, 07922
Maryland Oncology Hematology, P.A
Bethesda, Maryland, 20817
UCLA Hematology/Oncology- Beverly Hills
Beverly Hills, California, 90212
St. Vincent Healthcare
Billings, Montana, 59101
St. Vincent - Frontier Cancer Center
Billings, Montana, 59102
Oncology & Hematology Associates of Southwest Virginia,Inc.DBA Blue Ridge Cancer Care
Blacksburg, Virginia, 24060
Northside Hospital, Inc. - GCS/Blairsville
Blairsville, Georgia, 30512
Illinois CancerCare- Bloomington
Bloomington, Illinois, 61704
Florida Cancer Specialists
Bonita Springs, Florida, 34135
Brigham & Women's Hospital
Boston, Massachusetts, 02115
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Rocky Mountain Cancer Centers, LLP
Boulder, Colorado, 80303
Florida Cancer Specialists
Brandon, Florida, 33511
Maryland Oncology Hematology, P.A
Brandywine, Maryland, 20613
Brighton Center for Specialty Care
Brighton, Michigan, 48116
The Center for Cancer and Blood Disorders
Burleson, Texas, 76028
Northside Hospital, Inc. - GCS/Canton
Canton, Georgia, 30115
Florida Cancer Specialists
Cape Coral, Florida, 33909
Rocky Mountain Cancer Centers, LLP
Centennial, Colorado, 80112
Carolinas Medical Center (biopsy only)
Charlotte, North Carolina, 28203
Charlotte Radiology Medical Center Plaza Breast Center (biopsy only)
Charlotte, North Carolina, 28203
Carolinas Medical Center Investigational Drug Services
Charlotte, North Carolina, 28204
Levine Cancer Institute
Charlotte, North Carolina, 28204
Carolinas Medical Center - Mercy (biopsy only)
Charlotte, North Carolina, 28207
Atrium Health Pineville (biopsy only)
Charlotte, North Carolina, 28210
Levine Cancer Institute-Pineville
Charlotte, North Carolina, 28210
Atrium Health University City (biopsy only)
Charlotte, North Carolina, 28262
Rush University Medical Center, Professional Office Building Infusion Pharmacy
Chicago, Illinois, 60612
Rush University Medical Center.
Chicago, Illinois, 60612
University of Chicago Medical Center, CCD- Investigational Drug Service Pharmacy
Chicago, Illinois, 60637
University of Chicago Medical Center
Chicago, Illinois, 60637
Siteman Cancer Center - St Peters
City of Saint Peters, Missouri, 63376
Providence Cancer Institute Clackamas Clinic
Clackamas, Oregon, 97015
Florida Cancer Specialists
Clearwater, Florida, 33761
Rocky Mountain Cancer Centers, LLP
Colorado Springs, Colorado, 80907
UCH-MHS Memorial Hospital Central
Colorado Springs, Colorado, 80909
Printers Park Medical Plaza
Colorado Springs, Colorado, 80910
Briargate Medical Campus
Colorado Springs, Colorado, 80920
UCH-MHS Memorial Hospital North
Colorado Springs, Colorado, 80920
Maryland Oncology Hematology, P.A
Columbia, Maryland, 21044
Atrium Health Cabarrus (biopsy only)
Concord, North Carolina, 28025
Levine Cancer Institute Concord
Concord, North Carolina, 28025
Sylvester Comprehensive Cancer Center - The Lennar Foundation Medical Center
Coral Gables, Florida, 33146
UC Irvine Health Cancer Center - Newport
Costa Mesa, California, 92627
Siteman Cancer Center - West County
Creve Coeur, Missouri, 63141
Atlanta Cancer Care - Cumming
Cumming, Georgia, 30041
Texas Oncology - DFWW
Dallas, Texas, 75203
Texas Oncology - DFW
Dallas, Texas, 75203
Parkland Health and Hospital System
Dallas, Texas, 75235
Texas Oncology - DFWW
Dallas, Texas, 75246
Texas Oncology - DFW
Dallas, Texas, 75246
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
UT Southwestern Medical Center - Simmons Cancer Center Pharmacy
Dallas, Texas, 75390
UT Southwestern Medical Center - Simmons Cancer Center
Dallas, Texas, 75390
UT Southwestern University Hospital - William P. Clements, Jr
Dallas, Texas, 75390
UT Southwestern University Hospital - Zale Lipshy
Dallas, Texas, 75390
Florida Cancer Specialists.
Daytona Beach, Florida, 32117
Sylvester Comprehensive Cancer Center- Deerfield Beach
Deerfield Beach, Florida, 33442
UCHealth Cherry Creek Medical Center
Denver, Colorado, 80206
UCHealth IDS Research Pharmacy - Cherry Creek
Denver, Colorado, 80206
Cancer Centers of Colorado at Saint Joseph Hospital
Denver, Colorado, 80218
Rocky Mountain Cancer Centers, LLP
Denver, Colorado, 80218
SCL Health Saint Joseph Hospital
Denver, Colorado, 80218
Rocky Mountain Cancer Centers, LLP
Denver, Colorado, 80220
Henry Ford Hospital
Detroit, Michigan, 48202
Tennessee Oncology PLLC
Dickson, Tennessee, 37055
City of Hope Investigational Drug Services (IDS)
Duarte, California, 91010
City of Hope(City of Hope National Medical Center,City of Hope Medical Center)
Duarte, California, 91010
Kaiser Permanente Medical Center (Radiology)
Dublin, California, 94568
Duke University Medical Center
Durham, North Carolina, 27710
Minnesota Oncology Hematology, P.A.
Edina, Minnesota, 55435
UCLA Hematology/Oncology - Encino
Encino, California, 91436
Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031
Kaiser Permanente Medical Center Lab Drawing Station
Fairfield, California, 94533
University of Utah, Farmington Health Center
Farmington, Utah, 84025
Summit Medical Group
Florham Park, New Jersey, 07932
Siteman Cancer Center - North County
Florissant, Missouri, 63031
Poudre Valley Hospital
Fort Collins, Colorado, 80524
Cancer Care & Hematology - Fort Collins
Fort Collins, Colorado, 80528
Florida Cancer Specialists - South Region
Fort Myers, Florida, 33901
Florida Cancer Specialists
Fort Myers, Florida, 33905
Florida Cancer Specialists
Fort Myers, Florida, 33908
Ft Wayne Medical Oncology and Hematology, Inc TRIO
Fort Wayne, Indiana, 46804
The Center for Cancer and Blood Disorders
Fort Worth, Texas, 76104
UT Southwestern Medical Center - d/b/a Moncrief Cancer Institute - Ft. Worth - Pharmacy
Fort Worth, Texas, 76104
UT Southwestern Medical Center d/b/a Moncrief Cancer Institute - Ft. Worth
Fort Worth, Texas, 76104
Tennessee Oncology PLLC
Franklin, Tennessee, 37067
Maryland Oncology Hematology, P.A
Frederick, Maryland, 21702
Florida Cancer Specialists
Gainesville, Florida, 32605
Virginia Cancer Specialists, PC
Gainesville, Virginia, 20155
Illinois CancerCare - Galesburg
Galesburg, Illinois, 61401
Tennessee Oncology PLLC
Gallatin, Tennessee, 37066
Banner Gateway Medical Center
Gilbert, Arizona, 85234
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
Kaiser Permanente Medical Center Lab Drawing Station
Gilroy, California, 95020
Western Regional Medical Center, LLC
Goodyear, Arizona, 85338
Cancer Care & Hematology - Greeley
Greeley, Colorado, 80634
OHSU Knight Cancer Institute, Gresham
Gresham, Oregon, 97030
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, 89052
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, 89074
Comprehensive Cancer Centers of Nevada Research Department
Henderson, Nevada, 89119
Tennessee Oncology PLLC
Hendersonville, Tennessee, 37075
Tennessee Oncology PLLC
Hermitage, Tennessee, 37076
Hawai'i Pacific Health Research Institute - Administrative Site
Honolulu, Hawaii, 96813
Kaiser Permanente Hawaii.
Honolulu, Hawaii, 96819
Kaiser Permanente Hawaii
Honolulu, Hawaii, 96819
Kapi'olani Medical Center for Women and Children
Honolulu, Hawaii, 96826
Kapi'olani Women's Center
Honolulu, Hawaii, 96826
Oncology Consultants, P.A.
Houston, Texas, 77024
Texas Oncology - Gulf Coast
Houston, Texas, 77024
Baylor College of Medicine Medical center
Houston, Texas, 77030
Baylor St. Luke's Medical Center
Houston, Texas, 77030
Harris Health System - Ben Taub General Hospital
Houston, Texas, 77030
Oncology Consultants, P.A.
Houston, Texas, 77030
Harris Health System - Smith Clinic
Houston, Texas, 77054
MidAmerica Division, Inc. c/o Centerpoint Medical Center
Independence, Missouri, 64057
UCLA Hematology/Oncology- Irvine
Irvine, California, 92604
Swedish Cancer Institute - Issaquah Campus
Issaquah, Washington, 98029
Baptist MD Anderson Cancer Center
Jacksonville, Florida, 32207
Saint Luke's Hospital Investigational Pharmacy
Kansas City, Kansas, 64111
The University of Kansas Cancer Center - West
Kansas City, Kansas, 66112
Saint Luke's Cancer institute
Kansas City, Missouri, 64111
The University of Kansas Cancer Center
Kansas City, Missouri, 64116
MidAmerica Division, Inc., c/o Research Medical Center
Kansas City, Missouri, 64132
The University of Kansas Cancer Center -North
Kansas City, Missouri, 64154
Brig Center for Cancer Care and Survivorship
Knoxville, Tennessee, 37909
SCL Health Good Samaritan Medical Center Cancer Centers of Colorado
Lafayette, Colorado, 80026
SCL Health Good Samaritan Medical Center
Lafayette, Colorado, 80026
Rocky Mountain Cancer Centers, LLP
Lakewood, Colorado, 80228
Florida Cancer Specialists
Largo, Florida, 33770
Maryland Oncology Hematology, P.A
Largo, Maryland, 20774
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89052
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89128
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89144
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89148
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169
Tennessee Oncology PLLC
Lebanon, Tennessee, 37090
Florida Cancer Specialists
Lecanto, Florida, 34461
The University of Kansas Cancer Center - Lee's Summit
Lee's Summit, Missouri, 64064
Virginia Cancer Specialists, PC
Leesburg, Virginia, 20176
CHI Saint Joseph Cancer Care
Lexington, Kentucky, 40509
Saint Joseph Health Infusion Services
Lexington, Kentucky, 40509
Rocky Mountain Cancer Centers, LLP
Littleton, Colorado, 80120
Cooperman Barnabas Medical Center
Livingston, New Jersey, 07039
Rocky Mountain Cancer Centre, LLP
Lone Tree, Colorado, 80124
Drug Management Only: UCLA West Medical Pharmacy, Attn: Steven L Wong, Pharm.D.
Los Angeles, California, 90095
Regulatory Management only: TRIO-US Central Administration
Los Angeles, California, 90095
Ronald Reagan UCLA Medical Center
Los Angeles, California, 90095
UCLA Hematology/Oncology
Los Angeles, California, 90095
UCLA West Medical Pharmacy
Los Angeles, California, 90095
Cancer Care & Hematology - Loveland
Loveland, Colorado, 80538
Oncology and Hematology Associates of Southwest Virginia Inc
Low Moor, Virginia, 24457
Northside Hospital, Inc. - GCS/Macon
Macon, Georgia, 31217
Northside Hospital, Inc. - GCS/Kennestone
Marietta, Georgia, 30060
Kaiser Permanente Medical Center Lab Drawing Station
Martinez, California, 94553
Bascom Palmer Eye Institute
Miami, Florida, 33136
Sylvester Comprehensive Cancer Center
Miami, Florida, 33136
Miami Cancer Institute at Baptist Health, Inc.
Miami, Florida, 33176
Sylvester Comprehensive Cancer Center Kendall
Miami, Florida, 33176
Kaiser Permanente Medical Center Lab Drawing Station
Milpitas, California, 95035
University of South Alabama Health Children's and Women's Hospital
Mobile, Alabama, 36604
University of South Alabama Mitchell Cancer Institute
Mobile, Alabama, 36604
University of South Alabama Health University Hospital
Mobile, Alabama, 36617
Kaiser Permanente Medical Center Lab Drawing Station
Modesto, California, 95356
Atrium Health Union (biopsy only)
Monroe, North Carolina, 28112
Kaiser Permanente Medical Center Lab Drawing Station
Mountain View, California, 94041
Tennessee Oncology PLLC
Murfreesboro, Tennessee, 37129
Kaiser Permanente Medical Center Lab Drawing Station
Napa, California, 94558
Florida Cancer Specialists
Naples, Florida, 34102
Tennessee Oncology PLLC
Nashville, Tennessee, 37203
The Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Tennessee Oncology PLLC
Nashville, Tennessee, 37205
Tennessee Oncology PLLC
Nashville, Tennessee, 37207
Tennessee Oncology PLLC
Nashville, Tennessee, 37211
Texas Oncology - San Antonio
New Braunfels, Texas, 78130
University of Chicago Comprehensive Cancer Center at Silver Cross Hospital
New Lenox, Illinois, 60451
Dana Farber Cancer Institute- Chestnut Hill
Newton, Massachusetts, 02459
Kaiser Permanente Medical Center (clinic+DSL)
Oakland, California, 94611
Kaiser Permanente Medical Center (Radiology)
Oakland, California, 94611
Florida Cancer Specialists
Ocala, Florida, 34474
Oncology Hematology West, PC dba Nebraska Cancer Specialists
Omaha, Nebraska, 68114
Oncology Hematology West, PC dba Nebraska Cancer Specialists
Omaha, Nebraska, 68124
Oncology Hematology West, PC dba Nebraska Cancer Specialists
Omaha, Nebraska, 68130
West Omaha Imaging
Omaha, Nebraska, 68130
Chao Family Comprehensive Cancer Center University of California Irvine
Orange, California, 92868
UC Irvine Medical Center Attn: Trisha Maris
Orange, California, 92868
UCI Medical Center - Chao Family Comprehensive Cancer Center
Orange, California, 92868
Orland Park - University of Chicago Center for Advanced Care
Orland Park, Illinois, 60462
AdventHealth Orlando
Orlando, Florida, 32803
AdventHealth Hematology and Oncology
Orlando, Florida, 32804
AdventHealth Medical Group Orlando
Orlando, Florida, 32804
AdventHealth Orlando Infusion Center
Orlando, Florida, 32804
AdventHealth Orlando, Investigational Drug Services
Orlando, Florida, 32804
Florida Cancer Specialists
Orlando, Florida, 32806
Orlando Health, Inc. TRIO
Orlando, Florida, 32806
MidAmerica Division, Inc. c/o Menorah Medical Center
Overland Park, Kansas, 66209
The University of Kansas Cancer Center - Overland Park
Overland Park, Kansas, 66210
The University of Kansas Cancer Center - Indian Creek Campus
Overland Park, Kansas, 66211
The University of Kansas Cancer Center Breast Surgery Center - Indian Creek Campus
Overland Park, Kansas, 66211
Illinois CancerCare- Pekin
Pekin, Illinois, 61554
Illinois CancerCare, P.C.
Peoria, Illinois, 61615
Illinois CancerCare- Peru
Peru, Illinois, 61354
Hospital of the University of Pennsylvania, Perelman Center for Advanced Medicine
Philadelphia, Pennsylvania, 19104
Sylvester Comprehensive Cancer Center Plantation
Plantation, Florida, 33324
Kaiser Permanente Medical Center Lab Drawing Station
Pleasanton, California, 94588
Florida Cancer Specialists
Port Charlotte, Florida, 33980
UCLA Hematology/Oncology - Porter Ranch
Porter Ranch, California, 91326
OHSU Knight Cancer Institute, Northwest Portland
Portland, Oregon, 97210
Northwest Cancer Specialists P.C.
Portland, Oregon, 97213
Providence Cancer Institute Franz Clinic
Portland, Oregon, 97213
Providence Portland Medical Center
Portland, Oregon, 97213
OHSU Knight Cancer Institute, East Portland
Portland, Oregon, 97216
Northwest Cancer Specialists P.C.
Portland, Oregon, 97227
OHSU Center for Health and Healing 2
Portland, Oregon, 97239
OHSU Center for Health and Healing
Portland, Oregon, 97239
OHSU Research Pharmacy Services
Portland, Oregon, 97239
Oregon Health And Science University
Portland, Oregon, 97239
Kaiser Permanente Medical Center Lab Drawing Station
Redwood City, California, 94063
UT Southwestern Medical Center - Clinical Center Richardson/Plano - Pharmacy
Richardson, Texas, 75080
UT Southwestern Medical Center - Clinical Center Richardson/Plano
Richardson, Texas, 75080
Oncology & Hematology Associates of Southwest Virginia,Inc.DBA Blue Ridge Cancer Care
Roanoke, Virginia, 24014
Maryland Oncology Hematology, P.A
Rockville, Maryland, 20850
Kaiser Permanente Medical Center (clinic+DSL)
Roseville, California, 95661
Kaiser Permanente Sacramento J Street Medical Center (clinic+DSL+Lab Drawing Station)
Sacramento, California, 95814
University of California Davis Medical Center
Sacramento, California, 95817
University of California Davis
Sacramento, California, 95817
Kaiser Permanente Medical Center (Radiology)
Sacramento, California, 95825
Oncology & Hematology Associates of Southwest Virginia,Inc.DBA Blue Ridge Cancer Care
Salem, Virginia, 24153
University of Utah, Sugar House Health Center
Salt Lake City, Utah, 84106
University of Utah, Huntsman Cancer Hospital
Salt Lake City, Utah, 84112
University of Utah, Huntsman Cancer Institute
Salt Lake City, Utah, 84112
Texas Oncology-San Antonio
San Antonio, Texas, 78217
Texas Oncology-San Antonio
San Antonio, Texas, 78240
Texas Oncology-San Antonio
San Antonio, Texas, 78258
Zuckerberg San Francisco General Hospital
San Francisco, California, 94110
Kaiser Permanente Medical Center (clinic+DSL)
San Francisco, California, 94115
University of California, San Francisco (UCSF) Helen Diller Family Comprehensive Cancer Center.
San Francisco, California, 94158
Kaiser Permanente Mission Bay Medical Center Lab Drawing Station
San Francisco, California, 94518
Kaiser Permanente Medical Center Lab Drawing Station
San Jose, California, 95110
Kaiser Permanente Medical Center (clinic+DSL)
San Jose, California, 95119
Kaiser Permanente Medical Center (clinic+DSL)
San Leandro, California, 94577
UCLA Hematology/Oncology - San Luis Obispo
San Luis Obispo, California, 93401
Kaiser Permanente Medical Center (clinic+DSL)
Santa Clara, California, 95051
UCLA Hematology/Oncology - Santa Monica
Santa Monica, California, 90404
UCLA Hematology/Oncology Parkside
Santa Monica, California, 90404
Florida Cancer Specialists
Sarasota, Florida, 34236
Tennessee Oncology PLLC
Shelbyville, Tennessee, 37160
Maryland Oncology Hematology, P.A
Silver Spring, Maryland, 20904
Tennessee Oncology PLLC
Smyrna, Tennessee, 37167
University of Utah, South Jordan Health Center
South Jordan, Utah, 84009
Kaiser Permanente Medical Center (clinic+DSL)
South San Francisco, California, 94080
Barnes-Jewish Hospital
St Louis, Missouri, 63110
Washington University School of Medicine - Siteman Cancer Center.
St Louis, Missouri, 63110
Washington University School of Medicine - St. Louis
St Louis, Missouri, 63110
Siteman Cancer Center - South County
St Louis, Missouri, 63129
Florida Cancer Specialists - North Region
St. Petersburg, Florida, 33705
Florida Cancer Specialists
St. Petersburg, Florida, 33705
Stony Brook Advanced Imaging
Stony Brook, New York, 11794
Stony Brook Cancer Center
Stony Brook, New York, 11794
Stony Brook University Medical Center
Stony Brook, New York, 11794
Florida Cancer Specialists.
Stuart, Florida, 34994
Florida Cancer Specialists
Tampa, Florida, 33607
Moffitt Cancer Center, Richard M, Schulze Family Foundation Outpatient Center at McKinley Campus
Tampa, Florida, 33612
Moffitt Cancer Center
Tampa, Florida, 33612
Moffitt McKinley Hospital
Tampa, Florida, 33612
Florida Cancer Specialists
Tavares, Florida, 32778
Florida Cancer Specialists
The Villages, Florida, 32159
Rocky Mountain Cancer Centers, LLP
Thornton, Colorado, 80260
Northwest Cancer Specialists, P.C.
Tigard, Oregon, 97223
Torrance Memorial Physician Network - Cancer Care
Torrance, California, 90505
France30 sites
University Hospital of Besancon
Besançon, Other, 25030
CHRU Besancon Service Radiologie
Besançon, 25000
CHRU Besancon
Besançon, 25000
Dimeo lmagerie Medicale Polyclinique - Besancon
Besançon, 25000
CHRU Morvan Pharmacie des essais cliniques
Brest, 29200
CHRU Morvan Unité de recherche clinique en cancérologie
Brest, 29200
Service de radiologie Centre Francois Baclesse
Caen, Other, 14076 Cedex 5
Centre Francois Baclesse
Caen, 14076
Department de Radiodiagnostic Centre GF Leclerc
Dijon, Other, 21079 Cedex
Centre GF Leclerc
Dijon, 21079
Clinique du mail
Grenoble, 38100
Departement de radiologie Clinique Victor Hugo
Le Mans, Sarthe, 72000
Clinique Victor Hugo Centre de Cancerologie de la Sarthe
Le Mans, 72000
Centre Leon Berard - Centre regional de lutte contre le cancer Rhone-Alpes
Lyon, Other, 69008
Centre Leon Berard Departement de Medecine
Lyon, 69008
Departement de radiologie Centre Leon Berard
Lyon, 69373 CEDEX 08
Pharmacie des essais cliniques -lnstitut Paoli calmettes
Marseille, 13009
lnstitut Paoli Calmettes, Departement ONCOLOGIE MEDICALE
Marseille, 13273
Groupement hospitalier Portes de Provence Quartier Beausseret
Montélimar, 26216 cedex
Departement d'imagerie medicale Institut Curie - Site Paris
Paris, 75248 Cedex 05
Essais Cliniques- Pharmacie - Institut Curie- Site Paris
Paris, 75248 Cedex 05
lnstitut Curie- Site Paris
Paris, 75248
Centre Paul Strauss - pharmacie
Strasbourg, 67065
lnstitut de cancerologie Strasbourg Europe
Strasbourg, 67200
IUCT-O
Toulouse, 31059 Cedex 9
lnstitut Claudius Regaud - IUCT-O
Toulouse, 31059
Departement de radiologie Hopital Bretonneau - CHRU de Tours
Tours, Other, 37044 Cedex 9
Hopital Bretonneau CHRU de Tours
Tours, Other, 37044 Cedex 9
Pharmacie Hopital Bretonneau - CHRU de Tours
Tours, Other, 37044 Cedex 9
Hopital Nord Franche-Comte Pole imagerie radiologie
Trévenans, 90400
China24 sites
Beijing Hospital
Beijing, 100010
Cancer Hospital Chinese Academy of medical sciences
Beijing, 100021
Peking University People's Hospital
Beijing, 100044
Jilin Cancer Hospital
Changchun, Jilin, 130012
Hunan Cancer Hospital.
Changsha, Hu'nan, 410013
Maternal and child Health Hospital of Guangdong Province
Guangzhou, Guangdong, 511442
Sun Yat-Sen University Cancer Center
Guangzhou, Guangdong
The First Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310002
The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310009
Zhejiang Cancer Hospital
Hangzhou, 310022
Nanchang Third Hospital
Nanchang, Jiangxi
Nanjing Drum Tower Hospital , The Affiliated Hospital of Nanjing University Medical School
Nanjing, Jiangsu, 210008
Guangxi Medical University Affiliated Tumor Hospital
Nanning, 530201
Shengjing Hospital Of China Medical University
Shenyang, Liaoning, 110004
Tianjin Cancer Hospital
Tianjin, Tianjin Municipality, 300060
Tianjin Cancer Hospital
Tianjin
Renmin Hospital of Wuhan University
Wuhan, Hubei, 430060
Hubei Cancer Hospital
Wuhan, Hubei, 430079
The First Affiliated Hospital of Xi'an Jiaotong University
Xi’an, Shanxi, 710061
Xi'an International Medical Center Hospital
Xi’an, Shanxi, 710100
Xuzhou Central Hospital
Xuzhou, Jiangsu, 221009
Affiliated Hospital of Guangdong Medical University
Zhanjiang, Guangdong, 524000
Henan Cancer Hospital
Zhengzhou, Henan, 450003
Zigong First People's Hospital
Zigong, Sichuan, 643000
Japan22 sites
Chiba Cancer Center
Chiba, 260-8717
National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0045
National Hospital Organization Kyushu Cancer Center.
Fukuoka, Fukuoka, 811-1395
Hiroshima City Hiroshima Citizens Hospital
Hiroshima, Chūgoku, 730-8518
Advanced Imaging Center
Ibaraki, 305-8576
Hakuaikai Medical Corporation Sagara Hospital
Kagoshima, Kagoshima-ken, 892-0833
Hakuaikai Medical Corporation Sagara Perth Street Clinic
Kagoshima, Kagoshima-ken, 892-0838
National Cancer Center Hospital East.
Kashiwa, Chiba, 277-8577
Saitama Cancer Center, Breast Oncology
Kitaadachi-gun, Saitama, 362-0806
Kumamoto Shinto General Hospital
Kumamoto, 862-8655
National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280
Shizuoka Cancer Center
Nagaizumi-cho, Shizuoka, 411-8777
Nagoya Radiological Diagnosis Foundation, East Nagoya Imaging Diagnosis Center
Nagoya, Aichi-ken, 464-0044
Aichi Cancer Center Hospital
Nagoya, Aichi-ken, 464-8681
Hyogo college of medicine hospital
Nishinomiya, Hyōgo, 663-8501
National Hospital Organization Osaka National Hospital
Osaka, 540-0006
Osaka Prefectural Hospital Organization Osaka International Cancer Institute
Osaka, 541-8567
National Hospital Organization Hokkaido Cancer Center.
Sapporo, Hokkaido, 003-0804
The Cancer Institute Hospital of JFCR
Tokyo, 135-8550
University of Tsukuba Hospital
Tsukuba, Ibaraki, 305-8576
Koyasu Neurosurgical Clinic
Yokohama, Kanagawa, 241-0821
Kanagawa Cancer Center
Yokohama, Kanagawa, 241-8515
Spain14 sites
Hospital Quiron Barcelona
Barcelona, Other, 08023
Vall d'Hebron University Hospital
Barcelona, 08035
Hospital Universitario Reina Sofia
Córdoba, 14004
Clinica Nuestra Senora del Rosario
Madrid, 28006
Hospital Ruber Internacional
Madrid, 28034
Hospital Universitario Clinico San Carlos
Madrid, 28040
Hospital Universitario HM Sanchinarro
Madrid, 28050
Hospital Universitario Son Espases
Palma de Mallorca, Balearic Islands, 07120
Hospital Universitario de Canarias
San Cristóbal de La Laguna, Santa CRUZ DE Tenerife, 38320
Hospital Moises Broggi- ICO
Sant Joan Despí, 08970
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Clinico Universitario de Valencia
Valencia, 46010
Hospital Quirón Zaragoza
Zaragoza, 50006
Hospital Universitario Miguel Servet
Zaragoza, 50009
Italy10 sites
Azienda Ospedaliero Universitaria di Bologna - IRCCS
Bologna, Emilia-Romagna, 40138
Azienda Ospedaliero-Universitaria di Bologna Policlinico S. Orsola-Malpighi
Bologna, Emilia-Romagna, 40138
AUSL della Romagna. P.O. Ospedale Cervesi. U.O. di Oncologia.
Cattolica, Rimini, 47841
AUSL della Romagna. P.O. Ospedale degli lnfermi. U.O. di Oncologia.
Faenza, Ravenna, 48018
AUSL della Romagna. P.O. Ospedale di Lugo Umberto I. U.O. di Oncologia.
Lugo, Ravenna, 48022
lstituto Europeo di Oncologia
Milan, 20141
AUSL della Romagna. P.O. Ospedale Santa Maria delle Croci. U.O. di Oncologia.
Ravenna, 48121
AUSL della Romagna P.O. Ospedale Infermi U.O. di Oncologia
Rimini, 47923
Fondazione Policlinico Gemelli IRCCS
Rome, Lazio, 00168
A.O.U. Ospedali Riuniti di Ancona.
Torrette, Ancona, 60126
Australia9 sites
Austin Health
Heidelberg, Victoria, 3084
Peter MacCallum Cancer Centre
Melbourne, Victoria, 3000
Epic Pharmacy Hollywood
Nedlands, Western Australia, 6009
Hollywood Private Hospital
Nedlands, Western Australia, 6009
Starcevich Day Clinic, Hollywood Private Hospital
Nedlands, Western Australia, 6009
Breast Cancer Research Centre - WA
Nedlands, 6009
Patricia Ritchie Centre for Cancer Care and Research Mater Hospital Sydney
North Sydney, New South Wales, 2060
The Royal Melbourne Hospital
Parkville, Victoria, 3050
The Crown Princess Mary Cancer Centre, Westmead Hospital
Westmead, New South Wales, 2145
Belgium8 sites
Institut Jules Bordet
Anderlecht, Bruxelles-capitale, Région de, 1070
Clinical Trails Conduct Unit(CTCU) Institut Jules Bordet
Brussels, 1000
GHdC
Charleroi, 6000
University Hospital Antwerp
Edegem, 2650
AZ Groeninge
Kortrijk, 8500
UZ Leuven
Leuven, 3000
CHU de Liege
Liège, 4000
CHU UCL Site Sainte Elisabeth
Namur, 5000
Germany8 sites
Universitätsklinikum Schleswig-Holstein - Campus Kiel
Kiel, Schleswig-Holstein, 24105
InVO-lnstitut für Versorgungsforschung in der Onkologie GbR
Koblenz, 56068
Universitatsmedizin Mainz
Mainz, Other, 55131
Klinikum rechts der Isar, Klinik und Poliklinik fur Frauenheikunde
München, 81675
Sana Klinikum Offenbach GmbH Ambulantes Onkologisches Zentrum
Offenbach/ Main, 63069
Sana Klinikum Offenbach GmbH Institut fur Pathologie
Offenbach/ Main, 63069
Sana Klinikum Offenbach GmbH Klinik fur Kardiologie
Offenbach/ Main, 63069
Sana Klinikum Offenbach GmbH Zentralinstitut fur Diagnostische und Interventionelle Radiologie
Offenbach/ Main, 63069
Denmark7 sites
Herlev og Gentofte Hospital
Herlev, 2730
Radiology: Herlev - og Gentofte Hospital - Radiologisk afdeling
Herlev, E2-2730
Blandecentralen Odense Universitetshospital
Odense C, Other, 5000
Onkologisk Afdeling R, Odense Universitetshospital
Odense C, Other, 5000
Pharmacy.
Vejle, Other, 7100
Radiology.
Vejle, 7100
Vejle Sygehus
Vejle, 7100
South Korea7 sites
National Cancer Center
Goyang-si, Gyeonggi-do, 10408
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
National Cancer Center
Seoul, 02841
Seoul National University Hospital
Seoul, 03080
Severance Hospital Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Canada6 sites
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
London Regional Cancer Program, London Health Sciences Centre
London, Ontario, N6A 5W9
Centre Hospitalier de l'Universite de Motreal (CHUM)
Montreal, Quebec, H2X 3E4
The Ottawa Hospital Cancer Centre
Ottawa, Ontario, K1H 8L6
CHU de Québec-Université Laval, St-Sacrement Hospital
Québec, G1S 4L8
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
United Kingdom6 sites
University Hospitals Birmingham NHS Foundation Trust Queen Elizabeth Hospital
Birmingham, B15 2TH
"Edinburgh Cancer Centre, Western General Hospital,"
Edinburgh, Scotland, EH4 2XU
The Royal Marsden NHS Foundation Trust
London, SW3 6JJ
The Christie NHS Foundation Trust
Manchester, M20 4BX
The Royal Marsden NHS Foundation Trust
Sutton, SM2 5PT
The Royal Cornwall Hospital
Truro, Cornwall, TR1 3LJ
Austria4 sites
Universitatsklinik Innsbruck fur Gynakologie und Geburtshilfe BrustGesundheitzentrum
Innsbruck, 6020
CT/MRIfacility:Diagnosezentrum Urania
Vienna, 1010
Klinik Ottakring.
Vienna, 1160
Wilhelminen Krebsforschung GmbH
Vienna, 1160
Israel3 sites
Oncology Institute, Meir Medical Center
Kfar Saba, 4428164
Institute of Oncology - Davidoff Center, Rabin Medical Center, Beilinson Hospital
Petah Tikva, 4941492
Oncology Institute, Kaplan Medical Center
Rehovot, 7610001
Netherlands3 sites
Amphia Ziekenhuis
Breda, 4818 CK
Martini Ziekenhuis
Groningen, 9728 TN
Erasmus Medisch Centrum Daniel Den Hoed
Rotterdam, 3015 GD
Singapore2 sites
National Cancer Centre Singapore
Singapore, Other, 168583
National University Hospital
Singapore, 119074
Sweden2 sites
Sahlgrenska University Hospital
Gothenburg, 413 45
Onkologkliniken, KPE, Malpunkt K,
J0nkoping, SE-551 85
Switzerland2 sites
Centre Hospitalier Universitaire Vaudois
Lausanne, 1011
Kantonsspital Winterthur Onkologie
Winterthur, 8401
Taiwan2 sites
National Cheng Kung University Hospital
Tainan, 704, R.O.C.
National Taiwan University Hospital
Taipei, 100225
About this study
Official title: Randomized, Double-blind, Phase 3 Study of Tucatinib or Placebo in Combination With Ado-trastuzumab Emtansine (T-DM1) for Subjects With Unresectable Locally-advanced or Metastatic HER2+ Breast Cancer (HER2CLIMB-02)
This study is being done to see if tucatinib with ado-trastuzumab emtansine (T-DM1) works better than T-DM1 alone to help patients who have a specific type of breast cancer called HER2 positive breast carcinoma. The breast cancer in this study is either metastatic (spread into other parts of the body) or cannot be removed completely with surgery.
Patients in this study will be randomly assigned to get either tucatinib or placebo (a pill with no medicine). This is a blinded study, so neither patients nor their doctors will know whether a patient gets tucatinib or placebo. All patients in the study will get T-DM1, a drug that is often used to treat this cancer.
Each treatment cycle lasts 21 days. Patients will swallow tucatinib pills or placebo pills two times every day. Patients will get T-DM1 injections from the study site staff on the first day of every cycle.
Read the detailed description
This study is designed to evaluate the efficacy and safety of tucatinib in combination with T-DM1 in participants with unresectable locally-advanced or metastatic HER2+ breast cancer who have had prior treatment with a taxane and trastuzumab in any setting. Prior pertuzumab treatment is permitted, but not required. Participants will be randomized in a 1:1 manner to receive 21-day cycles of either tucatinib or placebo in combination with T-DM1.
While on study treatment, participants will be assessed for progression every 6 weeks for the first 24 weeks, and every 9 weeks thereafter, irrespective of dose holds or interruptions. Study treatment will continue until unacceptable toxicity, disease progression, withdrawal of consent, or study closure. After completion of study treatment and after occurrence of disease progression, participants in both arms of the study will continue to be followed for survival until study closure or withdrawal of consent.
- Conditions
- HER2-positive Breast Cancer
- Being tested
- tucatinib, placebo, T-DM1
- Keywords
- Seattle Genetics, Seagen
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
tucatinibDrug
Also called ONT-380
300mg given twice per day by mouth (orally)
placeboDrug
Given twice per day orally
T-DM1Drug
Also called Kadcyla
3.6 mg/kg given into the vein (IV; intravenously) every 21 days
| Study group | Role | What they receive |
|---|---|---|
| Tucatinib + T-DM1 | Experimental | Tucatinib + T-DM1 Receives: Drug: tucatinib; Drug: T-DM1 |
| Placebo + T-DM1 | Active comparator | Placebo + T-DM1 Receives: Drug: placebo; Drug: T-DM1 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS) as Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v)1.1 Based on Investigator Assessment
PFS as per investigator was defined as the time from the date of randomization to the investigator assessment of disease progression (PD) as per RECIST v1.1 or death from any cause, whichever occurred first. PD: at least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimiter (mm). Participants without documentation of PD, or death at the time of analysis were censored at the date of the last tumor assessment.
Measured: From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 43 months)
Secondary outcomes (12)
Overall Survival (OS)
OS was defined as the time from randomization to death due to any cause. For a participant who was not known to have died by the end of study follow-up, observation of OS was censored on the date the participant was last known to be alive (i.e., the date of last contact).
Measured: Up to approximately 5 years
Progression-Free Survival as Per RECIST v1.1 in Participants With Brain Metastases at Baseline Based on Investigator Assessment
PFS as per investigator was defined as the time from the date of randomization to the investigator assessment of PD as per RECIST v1.1 or death from any cause, whichever occurred first. PD: at least a 20 % increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Participants without documentation of PD, or death at the time of analysis were censored at the date of the last tumor assessment. PFS was analyzed in participants with presence or history of brain metastases.
Measured: From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 45 months)
Objective Response Rate (ORR) as Per RECIST v1.1 Based on Investigator Assessment
ORR was defined as the percentage of participants with confirmed complete response (CR) or partial response (PR) according to RECIST v1.1. CR: disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to less than (<)10 mm. PR: a greater than equal (>=) 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. For a response to be considered as confirmed, the subsequent response needs to be at least 4 weeks after the initial response. ORR by investigator assessment is based on investigator response assessments. Two-sided 95% exact confidence interval, computed using the Clopper-Pearson method.
Measured: From the date of first CR or PR until the date of the first documentation of PD or death, whichever occurred first (maximum up to 43 months)
Overall Survival in Participants With Brain Metastases at Baseline
OS was defined as the time from randomization to death due to any cause. For a participant who was not known to have died by the end of study follow-up, observation of OS was censored on the date the participant was last known to be alive (i.e., the date of last contact). OS was analyzed in participants with presence or history of brain metastases.
Measured: Up to approximately 5 years
Progression-Free Survival as Per RECIST v1.1 Determined by Blinded Independent Committee Review (BICR)
PFS as per BICR was defined as the time from the date of randomization to the centrally-reviewed documented PD as per RECIST v1.1 or death from any cause, whichever occurred first. PD: at least a 20 % increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Participants without documented progression of PD or death at the time of analysis were censored at the date of the last tumor assessment.
Measured: From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 43 months)
Progression-Free Survival in Participants With Brain Metastases at Baseline as Per RECIST v1.1 Determined by BICR
PFS as per BICR was defined as the time from the date of randomization to the centrally-reviewed documented PD as per RECIST v1.1 or death from any cause, whichever occurred first. PD: at least a 20 % increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. PFS was analyzed in participants with presence or history of brain metastases.
Measured: From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 43 months)
Objective Response Rate as Per RECIST v1.1 Determined by BICR
ORR was defined as the percentage of participants with confirmed CR or PR according to RECIST v1.1. CR: Disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to <10 mm. PR: A >= 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. ORR per BICR is based on BICR response assessments.
Measured: From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 43 months)
Duration of Response (DOR) as Per RECIST v1.1 Based on Investigator Assessment
DOR was defined as the time from first documentation of objective response (CR or PR that is subsequently confirmed) to the first documentation of PD as per RECIST v1.1 PD: at least a 20 % increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Participants without documentation of PD, or death at the time of analysis were censored at the date of the last tumor assessment. CR: disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to <10 mm. PR: A>=30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. DOR per investigator was based on investigator response assessments.
Measured: Up to approximately 5 years
Duration of Response as Per RECIST v1.1 by BICR
DOR was defined as the time from first documentation of objective response (CR or PR that is subsequently confirmed) to the first documentation of PD as per RECIST v1.1 PD: at least a 20 % increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Participants without documentation of PD, or death at the time of analysis were censored at the date of the last tumor assessment. CR: disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to <10 mm. PR: A>=30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. DOR per BICR was based on BICR response assessments.
Measured: Up to approximately 5 years
Clinical Benefit Rate (CBR) Per RECIST v1.1 Based on Investigator Assessment
CBR was defined as the percentage of participants with stable disease (SD) or non-CR or non-PD >= 6 months or best response of CR or PR according to RECIST v1.1. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. CR: disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to <10 mm. PR: A >= 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. CBR was based on investigator assessment.
Measured: Up to approximately 5 years
Clinical Benefit Rate as Per RECIST v1.1 by BICR
CBR was defined as the percentage of participants with SD or non-CR or non-PD >= 6 months or best response of CR or PR according to RECIST v1.1. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. CR: disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to <10 mm. PR: A >= 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. CBR per BICR is based on BICR response assessments.
Measured: Up to approximately 5 years
Number of Participants With Treatment Emergent Adverse Events (AEs)
An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAE was defined as AE that is newly occurred or worsened after the start of study treatment.
Measured: From start of treatment up to 30 days after the last study treatment (approximately 43 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jun 2019
- Study start2 Oct 2019
- Primary completion29 Jun 2023
- Study completion10 Mar 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HER2-positive Breast CancerStudies of the same condition, open and under way.
- More trials run by Seagen, a wholly owned subsidiary of PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 466 participants (actual)
Sponsor and investigators
- Lead sponsor
- Seagen, a wholly owned subsidiary of Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03975647
- Sponsor's protocol ID
- SGNTUC-016
- Other IDs
- C4251001, 2024-514733-38-00
- Status last verified
- Jul 2026
- First submitted
- 4 Jun 2019
- Last updated
- 23 Jul 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Hurvitz SA, Loi S, O'Shaughnessy J, Okines AFC, Tolaney SM, Sohn J, Saura C, Zhu X, Cameron D, Bachelot T, Hamilton E, Curigliano G, Wolff AC, Harbeck N, Masuda N, Vahdat L, Zaman K, Valdes-Albini F, Block M, Pluard T, Tan TJ, Gawryletz C, Chan A, Bedard PL, Yerushalmi R, Xu B, Schmitt M, Xie D, Borges VF; HER2CLIMB-02 study investigators. Tucatinib and trastuzumab emtansine for patients with previously treated HER2-positive locally advanced and metastatic breast cancer: primary analysis of the randomized phase III trial HER2CLIMB-02. Ann Oncol. 2026 Mar;37(3):341-352. doi: 10.1016/j.annonc.2025.11.005. Epub 2025 Nov 17.
PubMed 41260264
Study at a glance
From the registry record, last updated by the sponsor on 23 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Double-blind, Phase 3 Study of Tucatinib or Placebo in Combination With Ado-trastuzumab Emtansine (T-DM1) for Subjects With Unresectable Locally-advanced or Metastatic HER2+ Breast Cancer (HER2CLIMB-02)
- ClinicalTrials.gov ID
- NCT03975647
- Acronym / sponsor ID
- SGNTUC-016
- Conditions
- HER2-positive Breast Cancer
- Keywords
- Seattle Genetics, Seagen
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 466 participants (actual)
- Lead sponsor
- Seagen, a wholly owned subsidiary of PfizerIndustry (pharma, biotech, devices)
- Study start
- 2 Oct 2019 (actual)
- Primary completion
- 29 Jun 2023 (actual)
- Study completion
- 10 Mar 2029 (estimated)
- First posted
- 5 Jun 2019 (actual)
- Results
- Posted 30 Jul 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is being done to see if tucatinib with ado-trastuzumab emtansine (T-DM1) works better than T-DM1 alone to help patients who have a specific type of breast cancer called HER2 positive breast carcinoma. The breast cancer in this study is either metastatic (spread into other parts of the body) or cannot be removed completely with surgery.
Patients in this study will be randomly assigned to get either tucatinib or placebo (a pill with no medicine). This is a blinded study, so neither patients nor their doctors will know whether a patient gets tucatinib or placebo. All patients in the study will get T-DM1, a drug that is often used to treat this cancer.
Each treatment cycle lasts 21 days. Patients will swallow tucatinib pills or placebo pills two times every day. Patients will get T-DM1 injections from the study site staff on the first day of every cycle.
Detailed description
This study is designed to evaluate the efficacy and safety of tucatinib in combination with T-DM1 in participants with unresectable locally-advanced or metastatic HER2+ breast cancer who have had prior treatment with a taxane and trastuzumab in any setting. Prior pertuzumab treatment is permitted, but not required. Participants will be randomized in a 1:1 manner to receive 21-day cycles of either tucatinib or placebo in combination with T-DM1.
While on study treatment, participants will be assessed for progression every 6 weeks for the first 24 weeks, and every 9 weeks thereafter, irrespective of dose holds or interruptions. Study treatment will continue until unacceptable toxicity, disease progression, withdrawal of consent, or study closure. After completion of study treatment and after occurrence of disease progression, participants in both arms of the study will continue to be followed for survival until study closure or withdrawal of consent.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Tucatinib + T-DM1 | Experimental | Drug: tucatinib, Drug: T-DM1Tucatinib + T-DM1 |
| Placebo + T-DM1 | Active comparator | Drug: placebo, Drug: T-DM1Placebo + T-DM1 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
Key exclusion criteria (7 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| tucatinibAlso: ONT-380300mg given twice per day by mouth (orally) | Drug | Tucatinib + T-DM1 |
| placeboGiven twice per day orally | Drug | Placebo + T-DM1 |
| T-DM1Also: Kadcyla3.6 mg/kg given into the vein (IV; intravenously) every 21 days | Drug | Placebo + T-DM1, Tucatinib + T-DM1 |
Primary outcome
Progression-Free Survival (PFS) as Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v)1.1 Based on Investigator Assessment
Time frame: From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 43 months)
PFS as per investigator was defined as the time from the date of randomization to the investigator assessment of disease progression (PD) as per RECIST v1.1 or death from any cause, whichever occurred first. PD: at least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimiter (mm). Participants without documentation of PD, or death at the time of analysis were censored at the date of the last tumor assessment.
12 secondary outcomes
Overall Survival (OS)
Time frame: Up to approximately 5 years
Progression-Free Survival as Per RECIST v1.1 in Participants With Brain Metastases at Baseline Based on Investigator Assessment
Time frame: From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 45 months)
Objective Response Rate (ORR) as Per RECIST v1.1 Based on Investigator Assessment
Time frame: From the date of first CR or PR until the date of the first documentation of PD or death, whichever occurred first (maximum up to 43 months)
Overall Survival in Participants With Brain Metastases at Baseline
Time frame: Up to approximately 5 years
Progression-Free Survival as Per RECIST v1.1 Determined by Blinded Independent Committee Review (BICR)
Time frame: From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 43 months)
Progression-Free Survival in Participants With Brain Metastases at Baseline as Per RECIST v1.1 Determined by BICR
Time frame: From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 43 months)
Objective Response Rate as Per RECIST v1.1 Determined by BICR
Time frame: From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 43 months)
Duration of Response (DOR) as Per RECIST v1.1 Based on Investigator Assessment
Time frame: Up to approximately 5 years
Duration of Response as Per RECIST v1.1 by BICR
Time frame: Up to approximately 5 years
Clinical Benefit Rate (CBR) Per RECIST v1.1 Based on Investigator Assessment
Time frame: Up to approximately 5 years
Clinical Benefit Rate as Per RECIST v1.1 by BICR
Time frame: Up to approximately 5 years
Number of Participants With Treatment Emergent Adverse Events (AEs)
Time frame: From start of treatment up to 30 days after the last study treatment (approximately 43 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jul 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41260264Hurvitz SA, Loi S, O'Shaughnessy J, Okines AFC, Tolaney SM, Sohn J, Saura C, Zhu X, Cameron D, Bachelot T, Hamilton E, Curigliano G, Wolff AC, Harbeck N, Masuda N, Vahdat L, Zaman K, Valdes-Albini F, Block M, Pluard T, Tan TJ, Gawryletz C, Chan A, Bedard PL, Yerushalmi R, Xu B, Schmitt M, Xie D, Borges VF; HER2CLIMB-02 study investigators. Tucatinib and trastuzumab emtansine for patients with previously treated HER2-positive locally advanced and metastatic breast cancer: primary analysis of the randomized phase III trial HER2CLIMB-02. Ann Oncol. 2026 Mar;37(3):341-352. doi: 10.1016/j.annonc.2025.11.005. Epub 2025 Nov 17.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
490 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing tucatinib and T-DM1 in people with HER2-positive Breast Cancer, run by Seagen, a wholly owned subsidiary of Pfizer at 490 sites in 20 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 14 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 23 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 490 sites in United States, France, China, Japan, Spain and 15 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 30 Jul 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS) as Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v)1.1 Based on Investigator Assessment (time frame: From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 43 months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03975647, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jul 2026.