Uterine NeoplasmsPhase 2NCT04579380
Basket Study of Tucatinib and Trastuzumab in Solid Tumors With HER2 Alterations
A Phase 2 study testing tucatinib, trastuzumab and fulvestrant in people with Uterine Neoplasms and Uterine Cervical Neoplasms, run by Seagen, a wholly owned subsidiary of Pfizer at 108 sites in 8 countries.
Trial summary
This trial studies how well tucatinib works for solid tumors that make either more HER2 or a different type of HER2 than usual (HER2 alterations) The solid tumors studied in this trial have either spread to other parts of the body (metastatic) or cannot be removed completely with surgery (unresectable). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Uterine Neoplasms, Uterine Cervical Neoplasms, Biliary Tract Neoplasms
- What is being tested?
- tucatinib, trastuzumab and fulvestrant
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 217 participants
- Where
- 108 sitesin 8 countries
- Study dates
- 11 Jan 2021to 31 Dec 2026
- Phase
- Phase 2
- 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 or cytologically confirmed diagnosis of locally-advanced unresectable or metastatic solid tumor, including primary brain tumors
- Participants with non-squamous NSCLC must have progressed during or after standard treatment or for which no standard treatment is available
- Participants with other disease types must have progressed during or after ≥1 prior line of systemic therapy for locally-advanced unresectable or metastatic disease
- Disease progression during or after, or intolerance of, the most recent line of systemic therapy
- Disease demonstrating HER2 alterations (overexpression/amplification or HER2 activating mutations), as determined by local or central testing processed in a Clinical Laboratory Improvement Amendments (CLIA)- or International Organization for Standardization (ISO) accredited laboratory, according to one of the following:
- HER2 overexpression/amplification from fresh or archival tumor tissue or blood
Show all 9Show fewer
- Known activating HER2 mutations detected in fresh or archival tumor tissue or blood
- Have measurable disease per RECIST v1.1 criteria according to investigator assessment
- Have Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
Who cannot join
- Participants with breast cancer, gastric or gastroesophageal junction adenocarcinoma, or CRC whose disease shows HER2 amplification/overexpression.
- Previous treatment with HER2-directed therapy; participants with uterine serous carcinoma or HER2-mutated gastric or gastroesophageal junction adenocarcinoma without HER2-overexpression/amplification may have received prior trastuzumab
- Known hypersensitivity to any component of the drug formulation of tucatinib or trastuzumab (drug substance, excipients, murine proteins), or any component of the drug formulation of fulvestrant in participants with HR+ HER2-mutated breast cancer
- History of exposure to a 360 mg/m² doxorubicin-equivalent or >720 mg/m^2 epirubicin-equivalent cumulative dose of anthracyclines
- Treatment with any systemic anti-cancer therapy, radiation therapy, major surgery, or experimental agent within ≤3 weeks of first dose of study treatment or are currently participating in another interventional clinical trial.
- There are additional inclusion and exclusion criteria. The study center will determine if criteria for participation are met.
Trial locations and contacts
108 sites in 8 countries.
108 sites in 8 countries
United States76 sites
Texas oncology-West Texas
Abilene, Texas, 79606
Virginia Cancer Specialists, PC
Alexandria, Virginia, 22304
Virginia Cancer Specialists, PC
Arlington, Virginia, 22205
Rocky Mountain Cancer Centers
Aurora, Colorado, 80012
Prisma Health Cancer Institute
Boiling Springs, South Carolina, 29316
Rocky Mountain Cancer Centers
Boulder, Colorado, 80303
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
OSU Wexner Medical Center, CarePoint East
Columbus, Ohio, 43203
OSU Wexner Medical Center, Ohio State University Hospital East
Columbus, Ohio, 43203
OSU Wexner Medical Center, Arther G. James Cancer Hospital, and Solove Research Institute
Columbus, Ohio, 43210
OSU Wexner Medical Center, Investigational Drug Services(IP Ship to)
Columbus, Ohio, 43210
Osu Wexner Medical Center, The Ohio State University Hospital
Columbus, Ohio, 43210
OSU Wexner Medical Center, Stephanie Spielman Comprehensive Breast Center
Columbus, Ohio, 43212
OSU Wexner Medical Center, Martha Morehouse Medical Plaza
Columbus, Ohio, 43221
OSU Wexner Medical Center, OutPatient Care Upper Arlington
Columbus, Ohio, 43221
Minnesota Oncology Hematology, PA
Coon Rapids, Minnesota, 55433
Duke University Medical Center/Duke Cancer Center
Durham, North Carolina, 27710
Prisma Health Cancer Institute
Easley, South Carolina, 29640
Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031
OSU Wexner Medical Center, CarePoint Gahanna
Gahanna, Ohio, 43230
Virginia Cancer Specialists, PC
Gainesville, Virginia, 20155
Tennessee Oncology, PLLC
Gallatin, Tennessee, 37066
Prisma Health Cancer Institute
Greenville, South Carolina, 29605
Prisma Health Cancer Institute
Greenville, South Carolina, 29615
Prisma Health Cancer Institute
Greer, South Carolina, 29650
Tennessee Oncology, PLLC
Hendersonville, Tennessee, 37075
OSU Wexner Medical Center, Gynecologic Oncology at Mill Run
Hilliard, Ohio, 43026
City of Hope at Huntington Beach
Huntington Beach, California, 92648
City of Hope at Irvine Sand Canyon
Irvine, California, 92618
US Oncology Investigational Product Center (IPC)
Irving, Texas, 75063
US Oncology Investigational Products Center (IPC)
Irving, Texas, 75063
US Oncology lnvestigational Products Center (IPC)
Irving, Texas, 75063
Koman Family Outpatient Pavilion
La Jolla, California, 92037
UC San Diego Medical Center - La Jolla (Jacobs Medical Center / Thornton Pavilion)
La Jolla, California, 92037
UC San Diego Moores Cancer Center- Investigational Drug Services
La Jolla, California, 92037
UC San Diego Moores Cancer Center
La Jolla, California, 92037
OSU Wexner Medical Center, Outpatient Care Lewis Center
Lewis Center, Ohio, 43035
City of Hope at Long Beach Worsham
Long Beach, California, 90808
City of Hope at Long Beach Elm
Long Beach, California, 90813
1 S Park St Medical Center
Madison, Wisconsin, 53715
University of Wisconsin Clinical Science Center
Madison, Wisconsin, 53792
NYU Langone Health - Long Island (Winthrop Hospital)
Mineola, New York, 11501
Perlmutter Cancer Center at NYU Langone GYN Oncology Associates
Mineola, New York, 11501
Perlmutter Cancer Center at NYU Langone Hospital - Long Island
Mineola, New York, 11501
Tennessee Oncology, PLLC
Nashville, Tennessee, 37203
Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York, New York, 10016
NYU Langone Medical Center
New York, New York, 10016
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
City of Hope at Newport Beach Lido
Newport Beach, California, 92663
Oncology Hematology West P.C. dba Nebraska Cancer Specialists
Omaha, Nebraska, 68114
Oncology Hematology West P.C. dba Nebraska Cancer Specialists
Omaha, Nebraska, 68130
UH Minoff Health Center at Chagrin Highlands
Orange, Ohio, 44122
HonorHealth
Phoenix, Arizona, 85016
Northwest Cancer Specialists, P.C.
Portland, Oregon, 97213
Northwest Cancer Specialists, P.C.
Portland, Oregon, 97227
Drug Storage and Regulatory location: MMCORC
Saint Louis Park, Minnesota, 55426
Metro Minnesota Community Oncology Research Consortium (MMCORC)
Saint Louis Park, Minnesota, 55426
Huntsman Cancer Institute, University of Utah
Salt Lake City, Utah, 84112
Fred Hutchinson Cancer Center
Seattle, Washington, 98109
University of Washington Medical Center
Seattle, Washington, 98195
Prisma Health Cancer Institute
Seneca, South Carolina, 29672
Tennessee Oncology, PLLC
Shelbyville, Tennessee, 37160
Washington University School of Medicine - Obstetrics & Gynecology [Academic Offices)
St Louis, Missouri, 63108
Barnes-Jewish Hospital Investigational Drug Pharmacy (IDS)
St Louis, Missouri, 63110
Washington University School of Medicine - Obstetrics & Gynecology
St Louis, Missouri, 63110
Washington University School of Medicine [Patient Clinics]
St Louis, Missouri, 63110
Moffitt Cancer Center
Tampa, Florida, 33612
HonorHealth
Tempe, Arizona, 85284
Rocky Mountain Cancer Centers
Thornton, Colorado, 80260
Northwest Cancer Specialists, P.C.
Tigard, Oregon, 97223
City of Hope Torrance
Torrance, California, 90505
The University of Arizona Cancer Center-North Campus
Tucson, Arizona, 85719
Northwest Cancer Specialists, P.C.
Vancouver, Washington, 98684
Texas Oncology - Central South
Waco, Texas, 76712
UPMC Hillman Cancer Center - Washington
Washington, Pennsylvania, 15301
OSU Wexner Medical Center, Outpatient Care New Albany
Westerville, Ohio, 43081
United Kingdom9 sites
Sarah Cannon Research Institute UK
London, Budapest, W1G 6AD
Diagnostic Centre
London, Others, W1G 7AF
Guy's Hospital
London, SE1 9RT
Jonathan Poon
London, SE1 9RT
The Royal Marsden NHS Foundation Trust
London, SW3 6JJ
The Harley Street Clinic
London, W1G 8BJ
Radiology
London, W1G 8PP
Royal Marsden NHS Foundation Trust
Sutton, Surrey, SM2 5PT
The Royal Marsden NHS Foundation Trust
Sutton, Surrey, SM2 5PT
Belgium6 sites
Cliniques Universitaires Saint-Luc
Brussels, 1200
Grand Hopital de Charleroi
Charleroi, Hainaut, B- 6060
Universitair Ziekenhuis Antwerpen
Edegem, 2650
AZ Groeninge
Kortrijk, 8500
CHU de Liege
Liège, 4000
AZ Sint-Maarten
Mechelen, 2800
Japan6 sites
National Cancer Center Hospital
Cho-ku, Tokyo, 104-0045
National Cancer Center Hospital East
Kashiwa-shi, Chiba, 277-8577
St. Marianna University School of Medicine Hospital
Kawasaki, Kanagawa, 216-8511
Aichi Cancer Center Hospital
Nagoya, Aichi-ken, 464-8681
Kindai University Hospital
Osakasayama-shi, Osaka, 589-8511
The Cancer Institute Hospital of JFCR
Tokyo, 135-8550
Spain5 sites
Cetir Centre Medic
Barcelona, 08029
Institut Catala d'Oncologia Hospitalet
L'Hospitalet de Llobregat, Other, 8908
Hospital Clínico Universitario de Valencia. Fundación Investigación Clínico de Valencia.
Valencia, 46010
Ascires Eresa Campanar
Valencia, 46015
Hospital Vithas Valencia 9 de Octubre
Valencia, 46015
South Korea4 sites
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Severance Hospital Yonsei University Health System
Seoul, Other, 03722
Seoul National University Hospital
Seoul, 03080
Samsung Medical Center
Seoul, 06351
Italy1 site
Divisione di Sviluppo di Nuovi Farmaci per Terapie Innovative lstituto Europeo di Oncologia
Milan, Milan, 20141
About this study
Official title: A Phase 2 Basket Study of Tucatinib in Combination With Trastuzumab in Subjects With Previously Treated, Locally Advanced Unresectable or Metastatic Solid Tumors Driven by HER2 Alterations
This trial studies how well tucatinib works for solid tumors that make either more HER2 or a different type of HER2 than usual (HER2 alterations) The solid tumors studied in this trial have either spread to other parts of the body (metastatic) or cannot be removed completely with surgery (unresectable).
All participants will get both tucatinib and trastuzumab. People with hormone-receptor positive breast cancer will also get a drug called fulvestrant.
The trial will also look at what side effects happen. A side effect is anything a drug does besides treating cancer.
Read the detailed description
There are multiple cohorts in this trial:
- 5 tumor specific cohorts with HER2 overexpression/amplification (cervical cancer, uterine cancer, biliary tract cancer, urothelial cancer, and non-squamous non-small cell lung cancer [NSCLC])
- 2 tumor specific cohorts with HER2 mutations (non-squamous NSCLC and breast cancer)
- 2 cohorts which will enroll all other HER2 amplified/overexpressed solid tumor types (except breast cancer, gastric or gastroesophageal junction adenocarcinoma [GEC], and colorectal cancer [CRC]) or HER2-mutated solid tumor types.
- Conditions
- Uterine Neoplasms, Uterine Cervical Neoplasms, Biliary Tract Neoplasms, Urologic Neoplasms, Carcinoma, Non-Small-Cell Lung, HER2 Mutations Breast Neoplasms
- Being tested
- tucatinib, trastuzumab, fulvestrant
- Keywords
- Cervical cancer, Uterine cancer, Biliary tract cancer, Urothelial cancer, Non-squamous non-small cell lung cancer, Non-squamous NSCLC, Breast cancer, Colorectal cancer, Ampullary cancer, Solid tumors, Solid tumors harboring somatic HER2 mutations, Seattle Genetics
- Medical subject headings
- Uterine Neoplasms, Uterine Cervical Neoplasms, Biliary Tract Neoplasms, Urologic Neoplasms, Carcinoma, Non-Small-Cell Lung, Breast Neoplasms, Colorectal Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
tucatinibDrug
Also called TUKYSA, ARRY-380, ONT-380
300 mg orally twice daily
trastuzumabDrug
Also called Herceptin
Given into the vein (intravenously; IV). 8mg/kg IV on Cycle 1 Day 1, and 6mg/kg every 21 days starting on Cycle 2 Day 1
fulvestrantDrug
Also called Faslodex
Given into the muscle (intramuscular; IM) once every 4 weeks starting from Cycle 1 Day 1, plus one dose on Cycle 1 Day 15. Only administered to participants with hormone-receptor positive breast cancer.
| Study group | Role | What they receive |
|---|---|---|
| Tucatinib + Trastuzumab (+ Fulvestrant) | Experimental | Tucatinib + trastuzumab (+ fulvestrant in hormone-receptor positive HER2-mutant breast cancer only) Receives: Drug: tucatinib; Drug: trastuzumab; Drug: fulvestrant |
What is being measured
The primary outcome is the main question the study is designed to answer.
Confirmed Objective Response Rate (cORR) as Assessed by Investigator
Confirmed ORR was defined as the percentage of participants with best overall response of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria version (v)1.1 as assessed by investigator and was considered as confirmed when subsequent response was at least 4 weeks after initial response. As per RECIST v1.1, CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeter (mm). PR: at least a greater than or equal to (>=)30 % decrease in the sum of diameters (SOD) of target lesions (longest for non-nodal target lesions and the short axes for nodal target lesions), taking as reference the baseline sum diameters. Disease progression (PD): at least >=20% relative increase in SOD of target lesion taking as reference the smallest sum on study (including baseline sum if that is the smallest on study).
Measured: From the first dose of study treatment until the first documented CR or PR on or before the first documented PD or new anti-cancer therapies or death, whichever occurred first (up to 28.3 months)
Secondary outcomes (10)
Confirmed Disease Control Rate (DCR) as Assessed by Investigator
DCR was defined as the percentage of participants with confirmed CR, PR, or stable disease (SD or non-CR/non-PD) according to RECIST v1.1 as assessed by investigator. As per RECIST v1.1, CR: disappearance of all target (T) lesions and non-target (NT) lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: at least >=30 % decrease in the SOD of target lesions (longest for non-nodal target lesions and the short axes for nodal target lesions), taking as reference the baseline sum diameters. PD: at least >=20% relative increase in SOD of target lesions taking as reference the smallest sum on study (including baseline sum if that is the smallest on study). SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest SOD while on study and cannot have met criteria for PD previously.
Measured: From the first dose study treatment until PD or death, whichever occurred first (approximately 52.7 months)
Duration of Response (DOR) as Assessed by Investigator
DOR: time from first documentation of confirmed CR/PR to first documentation of PD according to RECIST v1.1 or death from any cause, whichever occurred earlier. Per RECIST v1.1, CR: disappearance of all T/NT lesions(L). Any pathological lymph nodes (whether T/NT) must have reduction in short axis to <10 mm. PR: at least >=30 % decrease in SOD of TL, taking reference baseline sum diameters. PD: at least >=20% relative increase in SOD of TL taking reference smallest sum on study. Participants who do not have PD \& were still on study at time of an analysis/ who have started new anticancer treatment/discontinue prior to documentation of PD were censored at date of last adequate response assessment documenting absence of PD. Participants who had PD/death occurred after two/more consecutive missing scheduled response assessments were censored at date of last adequate response assessment of CR, PR, SD,/non-CR/non-PD. Kaplan-Meier method was used for evaluation.
Measured: From the first documented CR or PR until the first documentation of PD or death or censoring date, whichever occurred first (approximately 52.7 months)
Progression-Free Survival (PFS) as Assessed by Investigator
PFS was defined as time from the date of treatment initiation to date of PD as per RECIST v1.1 or death from any cause, whichever occurred first . As per RECIST v1.1, PD: least >=20% relative increase in SOD of target lesions taking as reference the smallest sum on study (including baseline sum if that is smallest on study). Participants who do not have PD and were still on study at time of an analysis/ who have started new anticancer treatment/discontinue prior to documentation of PD were censored at date of last adequate response assessment documenting absence of PD. Participants who had PD or death occurred after two or more consecutive missing scheduled response assessments were censored at date of last adequate response assessment of CR, PR, SD,/non-CR/non-PD. Kaplan-Meier method was used for evaluation.
Measured: From the first documented CR or PR until the first documentation of PD or death or censoring date, whichever occurred first (approximately 52.7 months)
Overall Survival (OS)
OS was defined as the time from treatment initiation 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). Participants lacking data beyond the day of treatment initiation were censored on the date of treatment initiation (i.e., OS duration of 1 day). Kaplan-Meier method was used for evaluation.
Measured: From date of start of study treatment until date of death or censoring date (approximately 52.7 months)
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
An AE was any untoward medical occurrence in a participant or clinical investigational participant administered a medicinal product and which did not necessarily have a causal relationship with this treatment. A TEAE was defined as a newly occurring or worsening AE after the first dose of study treatment.
Measured: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment (approximately 52.7 months)
Number of Participants With Treatment Emergent Laboratory Test Abnormalities
Treatment-emergent laboratory abnormalities were defined as abnormalities that are new or worsened on or after receiving the first dose of study treatment up to 30 days after the last dose of study treatment. The following laboratory abnormalities were assessed: A-) Hematology: hemoglobin decreased, leukocytes decreased, lymphocytes decreased and increased, neutrophils decreased and platelets decreased; B-) Chemistry: alanine aminotransferase increased, albumin decreased, alkaline phosphatase increased, aspartate aminotransferase increased, calcium corrected for albumin decreased and increased, creatinine increased, glomerular filtration rate estimated decreased, glucose decreased, lactate dehydrogenase increased, magnesium increased and decreased, potassium increased and decreased, sodium increased and decreased and total bilirubin increased.
Measured: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment (approximately 52.7 months)
Number of Participants With Any Dose Modifications Due to AEs
Dose modification included dose hold, dose reduction, or discontinuation of drugs. Dose reductions or treatment interruption/discontinuation were made at the discretion of the investigator.
Measured: From first dose of the study treatment (Day 1) up to the last dose of study treatment (approximately 52.7 months)
Number of Participants With TEAEs of Special Interest
An adverse event of special interest (AESI) were any serious or nonserious AE that were of scientific or medical concern as defined by the sponsor and specific to the program, for which ongoing monitoring and rapid communication to the sponsor were appropriate. A TEAE was defined as a newly occurring or worsening AE after the first dose of study treatment (tucatinib, trastuzumab or fulvestrant). AESIs for this study were related to hepatoxicity.
Measured: From first dose of the study treatment (Day 1) up to the last dose of study treatment (approximately 52.7 months)
Maximum Concentration (Cmax) of Tucatinib
Measured: Cycle 3 Day 1: anytime within 1-4 hours post-dose
Trough Concentration (Ctrough) of Tucatinib
Measured: Cycle 3 Day 1: Predose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Oct 2020
- Study start11 Jan 2021
- Primary completion1 Nov 2023
- Study completion31 Dec 2026 (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 (2)Papers the sponsor has linked to this study.
- Other trials for Uterine NeoplasmsStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 217 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
- NCT04579380
- Sponsor's protocol ID
- SGNTUC-019
- Status last verified
- Aug 2026
- First submitted
- 1 Oct 2020
- Last updated
- 21 Aug 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Okines AFC, Curigliano G, Mizuno N, Oh DY, Rorive A, Soliman H, Takahashi S, Bekaii-Saab T, Burkard ME, Chung KY, Debruyne PR, Fox JR, Gambardella V, Gil-Martin M, Hamilton EP, Monk BJ, Nakamura Y, Nguyen D, O'Malley DM, Olawaiye AB, Pothuri B, Reck M, Sudo K, Sunakawa Y, Van Marcke C, Yu EY, Ramos J, Tan S, Bieda M, Stinchcombe TE, Pohlmann PR. Tucatinib and trastuzumab in HER2-mutated metastatic breast cancer: a phase 2 basket trial. Nat Med. 2025 Mar;31(3):909-916. doi: 10.1038/s41591-024-03462-0. Epub 2025 Jan 17.
PubMed 39825152Nakamura Y, Mizuno N, Sunakawa Y, Canon JL, Galsky MD, Hamilton E, Hayashi H, Jerusalem G, Kim ST, Lee KW, Kankeu Fonkoua LA, Monk BJ, Nguyen D, Oh DY, Okines A, O'Malley DM, Pohlmann P, Reck M, Shin SJ, Sudo K, Takahashi S, Van Marcke C, Yu EY, Groisberg R, Ramos J, Tan S, Stinchcombe TE, Bekaii-Saab T. Tucatinib and Trastuzumab for Previously Treated Human Epidermal Growth Factor Receptor 2-Positive Metastatic Biliary Tract Cancer (SGNTUC-019): A Phase II Basket Study. J Clin Oncol. 2023 Dec 20;41(36):5569-5578. doi: 10.1200/JCO.23.00606. Epub 2023 Sep 26.
PubMed 37751561
Study at a glance
From the registry record, last updated by the sponsor on 21 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Basket Study of Tucatinib in Combination With Trastuzumab in Subjects With Previously Treated, Locally Advanced Unresectable or Metastatic Solid Tumors Driven by HER2 Alterations
- ClinicalTrials.gov ID
- NCT04579380
- Acronym / sponsor ID
- SGNTUC-019
- Conditions
- Uterine Neoplasms, Uterine Cervical Neoplasms, Biliary Tract Neoplasms, Urologic Neoplasms, Carcinoma, Non-Small-Cell Lung, HER2 Mutations Breast Neoplasms
- Keywords
- Cervical cancer, Uterine cancer, Biliary tract cancer, Urothelial cancer, Non-squamous non-small cell lung cancer, Non-squamous NSCLC, Breast cancer, Colorectal cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 217 participants (actual)
- Lead sponsor
- Seagen, a wholly owned subsidiary of PfizerIndustry (pharma, biotech, devices)
- Study start
- 11 Jan 2021 (actual)
- Primary completion
- 1 Nov 2023 (actual)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 8 Oct 2020 (actual)
- Results
- Posted 13 Nov 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This trial studies how well tucatinib works for solid tumors that make either more HER2 or a different type of HER2 than usual (HER2 alterations) The solid tumors studied in this trial have either spread to other parts of the body (metastatic) or cannot be removed completely with surgery (unresectable).
All participants will get both tucatinib and trastuzumab. People with hormone-receptor positive breast cancer will also get a drug called fulvestrant.
The trial will also look at what side effects happen. A side effect is anything a drug does besides treating cancer.
Detailed description
There are multiple cohorts in this trial:
- 5 tumor specific cohorts with HER2 overexpression/amplification (cervical cancer, uterine cancer, biliary tract cancer, urothelial cancer, and non-squamous non-small cell lung cancer [NSCLC])
- 2 tumor specific cohorts with HER2 mutations (non-squamous NSCLC and breast cancer)
- 2 cohorts which will enroll all other HER2 amplified/overexpressed solid tumor types (except breast cancer, gastric or gastroesophageal junction adenocarcinoma [GEC], and colorectal cancer [CRC]) or HER2-mutated solid tumor types.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Tucatinib + Trastuzumab (+ Fulvestrant) | Experimental | Drug: tucatinib, Drug: trastuzumab, Drug: fulvestrantTucatinib + trastuzumab (+ fulvestrant in hormone-receptor positive HER2-mutant breast cancer only) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Histologically or cytologically confirmed diagnosis of locally-advanced unresectable or metastatic solid tumor, including primary brain tumors
- Participants with non-squamous NSCLC must have progressed during or after standard treatment or for which no standard treatment is available
- Participants with other disease types must have progressed during or after ≥1 prior line of systemic therapy for locally-advanced unresectable or metastatic disease
- Disease progression during or after, or intolerance of, the most recent line of systemic therapy
- Disease demonstrating HER2 alterations (overexpression/amplification or HER2 activating mutations), as determined by local or central testing processed in a Clinical Laboratory Improvement Amendments (CLIA)- or International Organization for Standardization (ISO) accredited laboratory, according to one of the following:
Key exclusion criteria (6 listed)
- Participants with breast cancer, gastric or gastroesophageal junction adenocarcinoma, or CRC whose disease shows HER2 amplification/overexpression.
- Previous treatment with HER2-directed therapy; participants with uterine serous carcinoma or HER2-mutated gastric or gastroesophageal junction adenocarcinoma without HER2-overexpression/amplification may have received prior trastuzumab
- Known hypersensitivity to any component of the drug formulation of tucatinib or trastuzumab (drug substance, excipients, murine proteins), or any component of the drug formulation of fulvestrant in participants with HR+ HER2-mutated breast cancer
- History of exposure to a 360 mg/m² doxorubicin-equivalent or >720 mg/m^2 epirubicin-equivalent cumulative dose of anthracyclines
- Treatment with any systemic anti-cancer therapy, radiation therapy, major surgery, or experimental agent within ≤3 weeks of first dose of study treatment or are currently participating in another interventional clinical trial.
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: TUKYSA, ARRY-380, ONT-380300 mg orally twice daily | Drug | Tucatinib + Trastuzumab (+ Fulvestrant) |
| trastuzumabAlso: HerceptinGiven into the vein (intravenously; IV). 8mg/kg IV on Cycle 1 Day 1, and 6mg/kg every 21 days starting on Cycle 2 Day 1 | Drug | Tucatinib + Trastuzumab (+ Fulvestrant) |
| fulvestrantAlso: FaslodexGiven into the muscle (intramuscular; IM) once every 4 weeks starting from Cycle 1 Day 1, plus one dose on Cycle 1 Day 15. Only administered to participants with hormone-receptor positive breast cancer. | Drug | Tucatinib + Trastuzumab (+ Fulvestrant) |
Primary outcome
Confirmed Objective Response Rate (cORR) as Assessed by Investigator
Time frame: From the first dose of study treatment until the first documented CR or PR on or before the first documented PD or new anti-cancer therapies or death, whichever occurred first (up to 28.3 months)
Confirmed ORR was defined as the percentage of participants with best overall response of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria version (v)1.1 as assessed by investigator and was considered as confirmed when subsequent response was at least 4 weeks after initial response. As per RECIST v1.1, CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeter (mm). PR: at least a greater than or equal to (>=)30 % decrease in the sum of diameters (SOD) of target lesions (longest for non-nodal target lesions and the short axes for nodal target lesions), taking as reference the baseline sum diameters. Disease progression (PD): at least >=20% relative increase in SOD of target lesion taking as reference the smallest sum on study (including baseline sum if that is the smallest on study).
10 secondary outcomes
Confirmed Disease Control Rate (DCR) as Assessed by Investigator
Time frame: From the first dose study treatment until PD or death, whichever occurred first (approximately 52.7 months)
Duration of Response (DOR) as Assessed by Investigator
Time frame: From the first documented CR or PR until the first documentation of PD or death or censoring date, whichever occurred first (approximately 52.7 months)
Progression-Free Survival (PFS) as Assessed by Investigator
Time frame: From the first documented CR or PR until the first documentation of PD or death or censoring date, whichever occurred first (approximately 52.7 months)
Overall Survival (OS)
Time frame: From date of start of study treatment until date of death or censoring date (approximately 52.7 months)
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment (approximately 52.7 months)
Number of Participants With Treatment Emergent Laboratory Test Abnormalities
Time frame: From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment (approximately 52.7 months)
Number of Participants With Any Dose Modifications Due to AEs
Time frame: From first dose of the study treatment (Day 1) up to the last dose of study treatment (approximately 52.7 months)
Number of Participants With TEAEs of Special Interest
Time frame: From first dose of the study treatment (Day 1) up to the last dose of study treatment (approximately 52.7 months)
Maximum Concentration (Cmax) of Tucatinib
Time frame: Cycle 3 Day 1: anytime within 1-4 hours post-dose
Trough Concentration (Ctrough) of Tucatinib
Time frame: Cycle 3 Day 1: Predose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Aug 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39825152Okines AFC, Curigliano G, Mizuno N, Oh DY, Rorive A, Soliman H, Takahashi S, Bekaii-Saab T, Burkard ME, Chung KY, Debruyne PR, Fox JR, Gambardella V, Gil-Martin M, Hamilton EP, Monk BJ, Nakamura Y, Nguyen D, O'Malley DM, Olawaiye AB, Pothuri B, Reck M, Sudo K, Sunakawa Y, Van Marcke C, Yu EY, Ramos J, Tan S, Bieda M, Stinchcombe TE, Pohlmann PR. Tucatinib and trastuzumab in HER2-mutated metastatic breast cancer: a phase 2 basket trial. Nat Med. 2025 Mar;31(3):909-916. doi: 10.1038/s41591-024-03462-0. Epub 2025 Jan 17.
- Derived from this study: PubMed 37751561Nakamura Y, Mizuno N, Sunakawa Y, Canon JL, Galsky MD, Hamilton E, Hayashi H, Jerusalem G, Kim ST, Lee KW, Kankeu Fonkoua LA, Monk BJ, Nguyen D, Oh DY, Okines A, O'Malley DM, Pohlmann P, Reck M, Shin SJ, Sudo K, Takahashi S, Van Marcke C, Yu EY, Groisberg R, Ramos J, Tan S, Stinchcombe TE, Bekaii-Saab T. Tucatinib and Trastuzumab for Previously Treated Human Epidermal Growth Factor Receptor 2-Positive Metastatic Biliary Tract Cancer (SGNTUC-019): A Phase II Basket Study. J Clin Oncol. 2023 Dec 20;41(36):5569-5578. doi: 10.1200/JCO.23.00606. Epub 2023 Sep 26.
- Individual participant dataSharing planned: No
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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
108 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing tucatinib, trastuzumab and fulvestrant in people with Uterine Neoplasms and Uterine Cervical Neoplasms, run by Seagen, a wholly owned subsidiary of Pfizer at 108 sites in 8 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 9 inclusion and 6 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 21 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 108 sites in United States, United Kingdom, Belgium, Japan, Spain and 3 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 13 Nov 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?
Confirmed Objective Response Rate (cORR) as Assessed by Investigator (time frame: From the first dose of study treatment until the first documented CR or PR on or before the first documented PD or new anti-cancer therapies or death, whichever occurred first (up to 28.3 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 NCT04579380, which also lists 2 linked publications.
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 21 Aug 2026.