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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.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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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
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
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  • 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.
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  • 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.

RayzeBio Clinical Trials contact

1-619-657-0057

clinicaltrials@rayzebio.com

31 sites in 3 countries

United States25 sites, 25 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

    Not yet recruiting
  • Research Facility

    Omaha, Nebraska, 68124

    Site Contact

    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

    Not yet recruiting

Other trials in United States

Canada4 sites, 4 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

    Not yet recruiting

Other trials in Canada

South Korea2 sites
  • Research Facility

    Seoul, Seoul, 03080

    Active, not recruiting
  • Research Facility

    Seoul, Seoul, 05505

    Active, not recruiting

Other trials in South Korea

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.

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 groups in NCT06590857
Study groupRoleWhat they receive
Monotherapy Dose EscalationExperimentalEscalating doses of RYZ101 administered intravenously (IV)
Receives: Drug: RYZ101
Endocrine Therapy Combination Dose Escalation and ExpansionExperimentalRYZ101 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.

  1. Dose Escalation

    Incidence rate of DLTs during the first 6 weeks of RYZ101 treatment

    Measured: 6 weeks of RYZ101 treatment

  2. 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]

  3. 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

  4. 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

  5. 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.

  1. First posted19 Sep 2024
  2. Study start19 Jul 2024
  3. Primary completionOct 2028 (estimated)
  4. Study completionNov 2033 (estimated)

Resources

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)
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

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