Metastatic Breast CancerPhase 1/2TRACY-1NCT06590857
Trial of 225Ac-DOTATATE (RYZ101) in Subjects With ER+, HER2-negative Unresectable or Metastatic Breast Cancer Expressing SSTRs.
A Phase 1/2 study testing RYZ101 in people with Metastatic Breast Cancer and HER2-negative Breast Cancer, run by RayzeBio, Inc. at 31 sites in 3 countries.
Trial summary
Phase 1b/2 open-label trial of 225Ac-DOTATATE (RYZ101) in subjects with ER+, HER2-negative unresectable or metastatic breast cancer expressing SSTRs. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Metastatic Breast Cancer, HER2-negative Breast Cancer, ER+ Breast Cancer
- What is being tested?
- RYZ101
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 64 participants
- Where
- 31 sitesin 3 countries
- Study dates
- 19 Jul 2024to Nov 2033
- Phase
- Phase 1/2
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 Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Subjects must meet all the following criteria for enrollment in the study:
- Histologically confirmed, ER+, HER2-negative, locally advanced and unresectable or metastatic breast cancer not amenable to treatment with curative intent.
- Adequate renal, hematologic, and hepatic function
- Additional inclusion criteria for Monotherapy arm:
- Measurable disease with at least 80% SSTR-positive lesions by SSTR-PET imaging
- Eastern Cooperative Oncology Group (ECOG) performance status ≤2
Show all 12Show fewer
- Documented radiologic progression after at least 2 and no more than 4 prior chemotherapy or ADC regimens in the metastatic setting
- Additional inclusion criteria for ET Combination arms:
- Prior treatment with CDK4/6 inhibitors in combination with endocrine therapy in the advanced or metastatic setting.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤1
- Bone only or bone dominant disease. At least 1 bone lesion must be SSTR-positive on SSTR-PET imaging. For bone dominant disease, at least 50% of soft tissue measurable lesions must be SSTR-positive on SSTR-PET imaging. At least one bone lesion must be positive on both SSTR-PET and on FDG-PET imaging
- Brain metastases are allowed if definitively treated and clinically stable as confirmed by interval imaging
Who cannot join
- Subjects who meet any of the following criteria will be excluded from the study:
- Prior radiopharmaceutical therapy, including radioembolization.
- Any toxicities from prior treatments that have not recovered to CTCAE Grade ≤1, except for alopecia.
- Significant cardiovascular disease
- Known active uncontrolled or symptomatic central nervous system (CNS) metastases, carcinomatous meningitis, spinal cord compression, or leptomeningeal disease.
- History of hypersensitivity or allergy to 225Ac, 68Ga, 64Cu, octreotate, or any of the excipients of DOTATATE imaging agents.
Show all 11Show fewer
- Prior or concurrent malignancy whose natural history or treatment has the potential to interfere with the study safety or efficacy assessments.
- Pregnancy or breastfeeding
- Additional exclusion criteria for ET Combination arms:
- Presence of liver metastases or symptomatic metastatic visceral disease
- Prior PARPi exposure or are candidates for PARPi per local guidelines
Trial locations and contacts
31 sites in 3 countries. Contact the study team or a site near you to ask about taking part.
31 sites in 3 countries
United States25 sites, 25 recruiting
- Not yet recruiting
Research Facility
Albuquerque, New Mexico, 87109
Site Contact
- Not yet recruiting
Research Facility
Atlanta, Georgia, 30322
Site Contact
- Not yet recruiting
Research Facility
Boston, Massachusetts, 02215
Site Contact
- Not yet recruiting
Research Facility
Buffalo, New York, 14203
Site Contact
- Not yet recruiting
Research Facility
Cleveland, Ohio, 44195
Site Contact
- Not yet recruiting
Research Facility
Dallas, Texas, 75246
Site Contact
- Not yet recruiting
Research Facility
Detroit, Michigan, 48202
Site Contact
- Not yet recruiting
Research Facility
Houston, Texas, 77024
Site Contact
- Not yet recruiting
Research Facility
Indianapolis, Indiana, 46202
Site Contact
- Not yet recruiting
Research Facility
Irvine, California, 92618
Site Contact
- Not yet recruiting
Research Facility
Jacksonville, Florida, 32224
Site Contact
- Not yet recruiting
Research Facility
Longmont, Colorado, 80504
Site Contact
- Not yet recruiting
Research Facility
New York, New York, 10016
Site Contact
- Not yet recruiting
Research Facility
New York, New York, 10021
Site Contact
- Not yet recruiting
Research Facility
Norfolk, Virginia, 23502
Site Contact
- Recruiting
Research Facility
Omaha, Nebraska, 68124
Site Contact
- Not yet recruiting
Research Facility
Philadelphia, Pennsylvania, 19104
Site Contact
- Not yet recruiting
Research Facility
Phoenix, Arizona, 85054
Site Contact
- Not yet recruiting
Research Facility
Pittsburgh, Pennsylvania, 15213
Site Contact
- Not yet recruiting
Research Facility
Rochester, Minnesota, 55905
Site Contact
- Not yet recruiting
Research Facility
Salt Lake City, Utah, 84132
Site Contact
- Not yet recruiting
Research Facility
San Diego, California, 92093
Site Contact
- Not yet recruiting
Research Facility
Santa Monica, California, 90404
Site Contact
- Not yet recruiting
Research Facility
Seattle, Washington, 98109
Site Contact
- Not yet recruiting
Research Facility
St Louis, Missouri, 63130
Site Contact
Canada4 sites, 4 recruiting
- Not yet recruiting
Research Facility
Québec, Quebec, G1S 4L8
Site Contact
- Not yet recruiting
Research Facility
Toronto, Ontario, M4N 3M5
Site Contact
- Not yet recruiting
Research Facility
Toronto, Ontario, M5G 2M9
Site Contact
- Not yet recruiting
Research Facility
Victoria, British Columbia, V8R 6V5
Site Contact
South Korea2 sites
- Active, not recruiting
Research Facility
Seoul, Seoul, 03080
- Active, not recruiting
Research Facility
Seoul, Seoul, 05505
About this study
Official title: Phase 1b/2 Open-label Trial of 225Ac-DOTATATE (RYZ101) in Subjects With Estrogen Receptor-positive (ER+), Human Epidermal Growth Factor Receptor 2 (HER2)-Negative, Locally Advanced and Unresectable or Metastatic Breast Cancer Expressing Somatostatin Receptors (SSTRs) (TRACY-1).
Phase 1b/2 open-label trial of 225Ac-DOTATATE (RYZ101) in subjects with ER+, HER2-negative unresectable or metastatic breast cancer expressing SSTRs.
- Conditions
- Metastatic Breast Cancer, HER2-negative Breast Cancer, ER+ Breast Cancer, Advanced Breast Cancer, Metastatic Breast Cancer With Bone Involvement, Bone Metastases in Subjects With Advanced Breast Cancer
- Being tested
- RYZ101, Standard of Care Endocrine Therapy
- Keywords
- Actinium, Alpha-Emitter, SSTR+ MBC, ER+, HER2-, MBC, RYZ101, 225Ac, Targeted Radiotherapy, Radiopharmaceutical, SSTR+ ABC, ER+, HER2-, ABC
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RYZ101Drug
Ac-225
Standard of Care Endocrine TherapyDrug
Investigator's choice of endocrine therapy, such as, anastrozole, elacestrant, exemestane, fulvestrant, imlunestrant, letrozole, tamoxifen, or vepdegestrant
| Study group | Role | What they receive |
|---|---|---|
| Monotherapy Dose Escalation | Experimental | Escalating doses of RYZ101 administered intravenously (IV) Receives: Drug: RYZ101 |
| Endocrine Therapy Combination Dose Escalation and Expansion | Experimental | RYZ101 in combination with investigator's choice of standard of care endocrine therapy Receives: Drug: RYZ101; Drug: Standard of Care Endocrine Therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dose Escalation
Incidence rate of DLTs during the first 6 weeks of RYZ101 treatment
Measured: 6 weeks of RYZ101 treatment
Endocrine Therapy Combination Dose Escalation
Incidence rate of DLTs during the first 6 weeks of study treatment
Measured: [Time Frame: 6 weeks of study treatment]
Endocrine Therapy Combination Dose Escalation
Incidence and severity of treatment emergent AEs by NCI-CTCAE v5.0
Measured: Up to approximately 5 years after the last subject has completed RYZ101 treatment
Endocrine Therapy Combination Dose Escalation and Expansion
Progression Free Survival, defined as the time between first dose of study treatment and progression or death, as assessed by the investigator per RECIST v1.1 criteria
Measured: Up to approximately 5 years after the last subject has completed RYZ101 treatment
Endocrine Therapy Combination Dose Escalation and Expansion
Time from the first dose of study treatment to first occurrence of Skeletal Related Events
Measured: Up to approximately 5 years after the last subject has completed RYZ101 treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2024
- Study start19 Jul 2024
- Primary completionOct 2028 (estimated)
- Study completionNov 2033 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Metastatic Breast CancerStudies of the same condition, open and under way.
- 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 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 64 participants (estimated)
Sponsor and investigators
- Lead sponsor
- RayzeBio, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Petrus de Jong, MD, PhD, Study director, RayzeBio, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06590857
- Sponsor's protocol ID
- RYZ101-201
- Acronym
- TRACY-1
- Status last verified
- Oct 2026
- First submitted
- 3 Sep 2024
- Last updated
- 6 Oct 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No