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Advanced Breast CancerPhase 2OASISNCT07259226

Optimal Methods to Characterize ADC Resistance in Solid Tumors and Identify Clinically Useful Biomarkers

A Phase 2 study testing Biological samples collection and questionnaires to collect patient reported outcomes in people with Advanced Breast Cancer and Advanced Gastric Cancer, run by UNICANCER at 1 site in France.

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

International study that will evaluate the association of prespecified biomarkers with resistance to Antibody-drug conjugates (ADCs), a type of targeted cancer treatment currently used in clinical practice for treating different tumor types. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Biological samples collection and questionnaires to collect patient reported outcomes
Could I receive a placebo?
No, everyone receives an active treatment
How many people
400 participants
Where
1 siteFrance
Study dates
14 Nov 2025to 1 Nov 2030
Phase
Phase 2
Are there results?
Not yet: the study is under way

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

  • Patients must have signed a written informed consent form prior to any trial specific procedures;
  • Patients must be ≥18 years old;
  • Histologically confirmed or radiologically documented unresectable locally advanced or metastatic cancer (Breast, Urothelial, Non small Cell Lung or Gastric) with an indication to receive an Antibody-Drug Conjugate (ADC) approved or accessible through an early access program;
  • Patients must have at least 2 tumor lesions (primary tumor can be included): at least one measurable tumor lesion for tumor evaluation according to response evaluation criteria in solid tumors (RECIST) V1.1 and at least one tumor lesion other than bone and brain for biopsy;
  • Patients must have a metastatic or locally advanced tumor site easily accessible to biopsy (with exception of bone and brain metastasis) and must have agreed to perform pretreatment and post-treatment biopsies; an archival pre-treatment biopsy may be used if it was collected within one month of enrolment, if no anticancer therapy was administered after the biopsy and if sufficient material is available for research;
  • Life expectancy must be ≥12 weeks according to the discretion of the investigator;
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  • ECOG performance status ≤ 2;
  • Patients must have adequate hematologic and organ function, compatible with ADC administration, as per drug-specific recommendations;
  • Women of childbearing potential and male patient must agree to use adequate contraception for the duration of trial participation and up to 7 months after completing treatment for women and up to 4 months for men;
  • Patients must be affiliated to a social security system (or equivalent);
  • Patients must be willing and able to comply with the protocol for the duration of the trial;
  • Patients must consent to the use of their collected tumor specimen, as well as, blood samples as detailed in the protocol for future scientific research, which includes but is not limited to DNA, RNA, and protein-based biomarker analysis.

Who cannot join

  • Patients treated with an antibody drug conjugate in a curative setting;
  • Patients who did not consent to sample use;
  • Presence of another progressive pathology with short-term life-threatening prognosis;
  • Patients undergoing concurrent treatment for a malignancy or hematologic disorder distinct from the indication for which the ADC is being administered.
  • Patients with inadequate washout period prior to Cycle 1 Day 1, defined as:
  • Whole brain radiation therapy <14 days or stereotactic brain radiation therapy <7 days.
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  • Any cytotoxic chemotherapy, investigational agents or other anticancer drug(s) (including another ADC) from a previous cancer treatment regimen or clinical study (other than epidermal growth factor receptor tyrosine kinase inhibitor (EGFR TKI)), <14 days or 5 half-lives, whichever is longer.
  • Immune checkpoint inhibitor therapy <21 days.
  • Hormonal therapy <21 days.
  • Major surgery (excluding placement of vascular access) <28 days.
  • Radiotherapy treatment to more than 30% of the bone marrow or with a wide field of radiation <28 days or palliative radiation therapy <14 days.
  • Female participant who is pregnant, breastfeeding, or planning to become pregnant while enrolled in this study or within 90 days after the final administration of study treatment;
  • Person deprived of their liberty or under protective custody or guardianship.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Marjorie Mauduit contact

+33 6 30481792

m-mauduit@unicancer.fr

Jérôme Lemonnier contact

j-lemonnier@unicancer.fr

France1 site, 1 recruiting
  • Gustave Roussy Cancer Center

    Villejuif, 94805

    Barbara PISTILLI, MD, +33 (0)1 42 11 61 62, barbara.pistilli@gustaveroussy.fr

    Noemie CORCOS, PhD, + 33 (0) 1 42 11 51 58, Noemie.CORCOS@gustaveroussy.fr

    Recruiting

Other trials in France

About this study

Official title: International Multicenter Multicohort Open-label Phase II Trial Aiming to Define Optimal Methods for Predicting Response/Resistance to Antibody-drug Conjugates in Patients With Solid Tumors Treated According to Current Standard Indications.

International study that will evaluate the association of prespecified biomarkers with resistance to Antibody-drug conjugates (ADCs), a type of targeted cancer treatment currently used in clinical practice for treating different tumor types.

Read the detailed description

Over the past five years, antibody-drug conjugates (ADCs) have dramatically improved survival in solid and hematologic malignancies. Among 14 ADCs approved worldwide, nine are now available in Europe, and over 370 others are in clinical development. This expanding landscape indicates that ADCs could soon replace conventional chemotherapy across multiple tumor types. Given this rapid evolution, clinicians will need to select the most suitable ADC for each patient, considering tumor biology, microenvironment (TME) and patient-specific factors. Yet, despite remarkable efficacy, resistance to ADCs eventually arises. Understanding resistance mechanisms is therefore essential to guide therapeutic sequencing and optimize next-generation ADCs.

ADCs are complex molecules combining an antibody, a linker, and a cytotoxic payload. Their activity depends on factors such as antigen expression, internalization, linker stability, and payload sensitivity. Resistance can result from altered vascular perfusion, antigen downregulation, defective internalization or trafficking, impaired linker cleavage, drug efflux, or payload target modifications. These multifactorial processes differ from those driving resistance to traditional chemotherapies. Existing preclinical and clinical tools (Patient-Derived Xenograft(PDX)/Cell-line-Derived Xenograft (CDX) models, standard imaging, Immunohistochemistry (IHC), genomic profiling) fail to capture this complexity or predict ADC efficacy and resistance. Furthermore, ADCs often cause significant toxicities-on-target or off-target-affecting the ocular surface, skin, lungs, and peripheral nerves. Patient factors such as age, comorbidities, and weight influence these events. Understanding the determinants of toxicity is critical to maintain quality of life and treatment adherence.

The OASIS program aims to identify predictive biomarkers of ADC response and toxicity to enable personalized ADC selection and toxicity prevention. This multicenter study will integrate advanced technologies-digital pathology, liquid biopsy, and Patient-derived organoids (PDOs)-to generate comprehensive biological and clinical data. Using these datasets, a multimodal machine-learning model (OASIS Multiparametric Score) will be developed to predict both efficacy and key toxicities of ADCs. The project will prospectively include patients receiving ADCs in standard practice, with longitudinal tumor and blood sampling to investigate biomarkers of resistance and toxicity. In parallel, preclinical models derived from patient tumors will explore resistance mechanisms and screen ADC sensitivity.

A retrospective cohort of patients previously treated with ADCs will first be analyzed to prioritize biomarker candidates based on published data and prior findings. From this, five binary biomarkers will be selected for the primary objective. Combined with prospective data, this retrospective work will expand the translational biobank and support the construction of the OASIS score.

Being tested
Biological samples collection, questionnaires to collect patient reported outcomes
Keywords
ADC, resistance

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Biological samples collectionProcedure or surgery

    Also called Blood sample collection, Sputum sample collection, Tumor tissue sample collection

    Biological samples collection (tumor tissue, blood, sputum) before initiation of treatment, during treatment, and at treatment discontinuation.

  • questionnaires to collect patient reported outcomesBehavioural

    QLQ-C30, QLQ-FA12, HADS, EQ-5D 5L

Study groups in NCT07259226
Study groupRoleWhat they receive
T-DXd (trastuzumab deruxtecan)OtherStandard of care T-DXd indication
Receives: Procedure: Biological samples collection; Behavioral: questionnaires to collect patient reported outcomes
T-DM1 (trastuzumab emtansine)OtherStandard of care T-DM1 indication
Receives: Procedure: Biological samples collection; Behavioral: questionnaires to collect patient reported outcomes
SG (sacituzumab govitecan)OtherStandard of care SG indication
Receives: Procedure: Biological samples collection; Behavioral: questionnaires to collect patient reported outcomes
EV (enfortumab vedotin)OtherStandard of care EV indication
Receives: Procedure: Biological samples collection; Behavioral: questionnaires to collect patient reported outcomes

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Biomarkers of resistance to ADC

    Resistance is defined by differences in the frequency (higher or lower) of molecular aberrations detected between paired baseline samples and progression samples (i.e., samples collected at the time of disease progression under ADC treatment)

    Measured: Through study completion, an average of 3 years

Secondary outcomes (12)
  1. Additional biomarkers of resistance characterised by histology

    Differences in the frequency of molecular aberrations characterised by histologic/proteomic/genomic/transcriptomic analysis between samples of patients progressing on ADC and paired pre-treatment samples (beyond biomarkers of primary outcome)

    Measured: Through study completion, an average of 3 years

  2. Biomarkers of ADC outcome

    Progression-Free Survival (PFS) defined as the time from start of treatment and radiological progression or death, whichever occurs first. Tumor assessments are made by local investigators as per standard practice (RECIST 1.1.). Patients still alive at the cut-off time without documented progression (including lost to follow-up) will be censored at the time of latest evaluable efficacy assessment.

    Measured: From first day of cycle 1 (each cycle is 21 to 28 days) to date of first documented progression or date of death from any cause, whichever came first, assessed up to 60 months

  3. Biomarkers of ADC outcome

    Objective Response Rate (ORR) defined as the proportion of patients with a confirmed complete response (CR) or partial response (PR) assessed by investigators after 6 months of treatment.

    Measured: From first day of cycle 1 (each cycle is 21 to 28 days) to date of 6 months of treatment completion

  4. Biomarkers of ADC outcome

    Clinical Benefit Rate (CBR) defined as the proportion of patients who had a CR, PR, or stable disease for 6 months or more.

    Measured: From first day of cycle 1 (each cycle is 21 to 28 days) to date of first documented progression or date of death from any cause, whichever came first, assessed up to 60 months

  5. Biomarkers of resistance to ADC

    Duration of response (DOR) defined as the time from treatment initiation to disease progression or death for patients who achieve CR or PR.

    Measured: From first day of cycle 1 (each cycle is 21 to 28 days) to date of first documented progression or date of death from any cause, whichever came first, assessed up to 60 months

  6. Biomarkers of ADC outcome

    Overall Survival (OS) defined as the time from inclusion to death due to any cause. Patients still alive at the cut-off time (including lost to follow-up) will be censored at the last known alive date.

    Measured: From first day of cycle 1 (each cycle is 21 to 28 days) to date of death from any cause, assessed up to 60 months

  7. Expression of ADC target measured on CTC and within tumor tissue

    Concordance between ADC target expression (HER2, TROP-2, Nectin-4) on pre- and post-treatment tumor biopsy (IHC) and antigen expression on Circulating Tumor Cells (CTCs).

    Measured: Through study completion, an average of 3 years

  8. Patients' reported outcomes (PROs)

    Overall quality of life will be assessed using the EORTC-QLQ-C30 and EQ-5D-5L at Baseline, after 3 months of treatment completion, at treatment discontinuation (for progression or any other reason)

    Measured: Through study completion, an average of 3 years

  9. Patients' reported outcomes (PROs)

    Fatigue will be assessed using QLQ-FA12 at Baseline, after 3 months of treatment completion, at treatment discontinuation (for progression or any other reason).

    Measured: Through study completion, an average of 3 years

  10. Patients' reported outcomes (PROs)

    Anxiety and depression will be assessed using HADS questionnaire at Baseline, after 3 months of treatment completion, at treatment discontinuation (for progression or any other reason)

    Measured: Through study completion, an average of 3 years

  11. Treatment cost

    Number of resources consumed in terms of treatment, hospitalization (for drug administration and toxicity), biological and radiological exams during the ADC treatment, in order to calculated the corresponding management cost.

    Measured: Through study completion, an average of 3 years

  12. ADC-related specific toxicities

    Safety as measured by the frequency and severity of key ADC toxicity (Interstitial Lung Disease, skin toxicity, ocular toxicity, peripheral neuropathy) as measured by NCI-CTCAE v 5.0.

    Measured: Through study completion, an average of 3 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Dec 2025
  2. Study start14 Nov 2025
  3. Primary completion1 Nov 2030 (estimated)
  4. Study completion1 Nov 2030 (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 2
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
400 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07259226
Sponsor's protocol ID
UC-TRA-2507
Other IDs
ID RCB 2025-A01462-47
Acronym
OASIS
Status last verified
Aug 2025
First submitted
26 Sep 2025
Last updated
2 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Biological samples collection and questionnaires to collect patient reported outcomes in people with Advanced Breast Cancer and Advanced Gastric Cancer, run by UNICANCER at 1 site in France.

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 12 inclusion and 13 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: looking for participants now, as of the sponsor's last update on 2 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Marjorie Mauduit (+33 6 30481792, m-mauduit@unicancer.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Biomarkers of resistance to ADC (time frame: Through study completion, an average of 3 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 2 Dec 2025.

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