Brief Summary
This is an open-label, three-part, multiple-dose study to evaluate safety, tolerability, and efficacy of U3-1402 in patients with HER3-positive metastatic breast cancer. HER3 is a unique member of the human epidermal growth factor receptor, which defines a certain type of cancer.
The number of patients and treatment cycles are not fixed in this study. Subjects who continue to derive clinical benefit from the study treatment in the absence of withdrawal of consent, progressive disease (PD), unacceptable toxicity, or death may continue the study treatment until the end of the trial.
The number of patients and treatment cycles are not fixed in this study. Subjects who continue to derive clinical benefit from the study treatment in the absence of withdrawal of consent, progressive disease (PD), unacceptable toxicity, or death may continue the study treatment until the end of the trial.
Brief Title
Phase I/II Study of U3-1402 in Subjects With Human Epidermal Growth Factor Receptor 3 (HER3) Positive Metastatic Breast Cancer
Categories
Completion Date
Completion Date Type
Actual
Conditions
Metastatic Breast Cancer
Eligibility Criteria
Key Inclusion Criteria:
1. Is 18 Years and older in the United States or 20 Years and older in Japan
2. Has a pathologically documented advanced/unresectable or metastatic breast cancer
3. Documented HER3-positive disease measured by immunohistochemistry (IHC)
4. Has disease that is refractory to or intolerable with standard treatment, or for which standard treatment no longer is available
5. Has an Eastern Cooperative Oncology Group Performance Status 0-1
6. Has Left Ventricular Ejection Fraction ≥ 50%
7. Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Additional Inclusion Criteria for Dose Finding Part and Dose Expansion Part:
8. Has received 2-6 prior chemotherapy regimens for breast cancer, at least 2 of which were administered for treatment of advanced/unresectable or metastatic disease. At least 1 prior chemotherapeutic regimen must have included a taxane, administered in the neoadjuvant, adjuvant, or advanced setting. (With exception of Dose Expansion Part TNBC cohort. See additional inclusion criteria for Dose Expansion Part TNBC cohort.)
Additional Inclusion Criteria for Dose Expansion Part Only:
9. Is able to submit a fresh tumor biopsy sample prior to starting study treatment if not already submitted for HER3 expression
10. Has documented hormone (estrogen and/or progesterone) receptor (HR)-positive and HER2 negative expression according to American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) guidelines. (With exception of Dose Expansion Part TNBC cohort. See additional inclusion criteria for Dose Expansion Part TNBC cohort.)
Additional Inclusion Criteria for Dose Expansion Part TNBC cohort Only:
11. Has documented hormone (estrogen and progesterone) receptor (HR)-negative and HER2 negative expression according to American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) guidelines
12. Has progressed after receiving 1 to 2 prior chemotherapy regimens for advanced/unresectable or metastatic breast cancer.
Key Exclusion Criteria:
1. Prior treatment with a HER3 antibody
2. Prior treatment with an antibody-drug conjugate (ADC) which consists of an exatecan derivative that is a topoisomerase I inhibitor (eg, DS-8201)
3. Has a medical history of symptomatic congestive heart failure (New York Heart Association classes II-IV) or serious cardiac arrhythmia requiring treatment
4. Has a medical history of myocardial infarction or unstable angina
5. Has a corrected QT prolongation to \> 450 millisecond (ms) in males and \> 470 ms in females
6. Has a medical history of clinically significant lung diseases (eg, interstitial pneumonia, pneumonitis, pulmonary fibrosis, and radiation pneumonitis) or who are suspected to have these diseases by imaging at screening period
7. Has clinically significant corneal disease
Additional Exclusion Criteria for Dose Expansion Part:
8. Prior treatment with an govitecan derivative (eg, IMMU-132).
1. Is 18 Years and older in the United States or 20 Years and older in Japan
2. Has a pathologically documented advanced/unresectable or metastatic breast cancer
3. Documented HER3-positive disease measured by immunohistochemistry (IHC)
4. Has disease that is refractory to or intolerable with standard treatment, or for which standard treatment no longer is available
5. Has an Eastern Cooperative Oncology Group Performance Status 0-1
6. Has Left Ventricular Ejection Fraction ≥ 50%
7. Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Additional Inclusion Criteria for Dose Finding Part and Dose Expansion Part:
8. Has received 2-6 prior chemotherapy regimens for breast cancer, at least 2 of which were administered for treatment of advanced/unresectable or metastatic disease. At least 1 prior chemotherapeutic regimen must have included a taxane, administered in the neoadjuvant, adjuvant, or advanced setting. (With exception of Dose Expansion Part TNBC cohort. See additional inclusion criteria for Dose Expansion Part TNBC cohort.)
Additional Inclusion Criteria for Dose Expansion Part Only:
9. Is able to submit a fresh tumor biopsy sample prior to starting study treatment if not already submitted for HER3 expression
10. Has documented hormone (estrogen and/or progesterone) receptor (HR)-positive and HER2 negative expression according to American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) guidelines. (With exception of Dose Expansion Part TNBC cohort. See additional inclusion criteria for Dose Expansion Part TNBC cohort.)
Additional Inclusion Criteria for Dose Expansion Part TNBC cohort Only:
11. Has documented hormone (estrogen and progesterone) receptor (HR)-negative and HER2 negative expression according to American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) guidelines
12. Has progressed after receiving 1 to 2 prior chemotherapy regimens for advanced/unresectable or metastatic breast cancer.
Key Exclusion Criteria:
1. Prior treatment with a HER3 antibody
2. Prior treatment with an antibody-drug conjugate (ADC) which consists of an exatecan derivative that is a topoisomerase I inhibitor (eg, DS-8201)
3. Has a medical history of symptomatic congestive heart failure (New York Heart Association classes II-IV) or serious cardiac arrhythmia requiring treatment
4. Has a medical history of myocardial infarction or unstable angina
5. Has a corrected QT prolongation to \> 450 millisecond (ms) in males and \> 470 ms in females
6. Has a medical history of clinically significant lung diseases (eg, interstitial pneumonia, pneumonitis, pulmonary fibrosis, and radiation pneumonitis) or who are suspected to have these diseases by imaging at screening period
7. Has clinically significant corneal disease
Additional Exclusion Criteria for Dose Expansion Part:
8. Prior treatment with an govitecan derivative (eg, IMMU-132).
Inclusion Criteria
Inclusion Criteria:
1. Is 18 Years and older in the United States or 20 Years and older in Japan
2. Has a pathologically documented advanced/unresectable or metastatic breast cancer
3. Documented HER3-positive disease measured by immunohistochemistry (IHC)
4. Has disease that is refractory to or intolerable with standard treatment, or for which standard treatment no longer is available
5. Has an Eastern Cooperative Oncology Group Performance Status 0-1
6. Has Left Ventricular Ejection Fraction ≥ 50%
7. Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Additional Inclusion Criteria for Dose Finding Part and Dose Expansion Part:
8. Has received 2-6 prior chemotherapy regimens for breast cancer, at least 2 of which were administered for treatment of advanced/unresectable or metastatic disease. At least 1 prior chemotherapeutic regimen must have included a taxane, administered in the neoadjuvant, adjuvant, or advanced setting. (With exception of Dose Expansion Part TNBC cohort. See additional inclusion criteria for Dose Expansion Part TNBC cohort.)
Additional Inclusion Criteria for Dose Expansion Part Only:
9. Is able to submit a fresh tumor biopsy sample prior to starting study treatment if not already submitted for HER3 expression
10. Has documented hormone (estrogen and/or progesterone) receptor (HR)-positive and HER2 negative expression according to American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) guidelines. (With exception of Dose Expansion Part TNBC cohort. See additional inclusion criteria for Dose Expansion Part TNBC cohort.)
Additional Inclusion Criteria for Dose Expansion Part TNBC cohort Only:
11. Has documented hormone (estrogen and progesterone) receptor (HR)-negative and HER2 negative expression according to American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) guidelines
12. Has progressed after receiving 1 to 2 prior chemotherapy regimens for advanced/unresectable or metastatic breast cancer.
1. Is 18 Years and older in the United States or 20 Years and older in Japan
2. Has a pathologically documented advanced/unresectable or metastatic breast cancer
3. Documented HER3-positive disease measured by immunohistochemistry (IHC)
4. Has disease that is refractory to or intolerable with standard treatment, or for which standard treatment no longer is available
5. Has an Eastern Cooperative Oncology Group Performance Status 0-1
6. Has Left Ventricular Ejection Fraction ≥ 50%
7. Has measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Additional Inclusion Criteria for Dose Finding Part and Dose Expansion Part:
8. Has received 2-6 prior chemotherapy regimens for breast cancer, at least 2 of which were administered for treatment of advanced/unresectable or metastatic disease. At least 1 prior chemotherapeutic regimen must have included a taxane, administered in the neoadjuvant, adjuvant, or advanced setting. (With exception of Dose Expansion Part TNBC cohort. See additional inclusion criteria for Dose Expansion Part TNBC cohort.)
Additional Inclusion Criteria for Dose Expansion Part Only:
9. Is able to submit a fresh tumor biopsy sample prior to starting study treatment if not already submitted for HER3 expression
10. Has documented hormone (estrogen and/or progesterone) receptor (HR)-positive and HER2 negative expression according to American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) guidelines. (With exception of Dose Expansion Part TNBC cohort. See additional inclusion criteria for Dose Expansion Part TNBC cohort.)
Additional Inclusion Criteria for Dose Expansion Part TNBC cohort Only:
11. Has documented hormone (estrogen and progesterone) receptor (HR)-negative and HER2 negative expression according to American Society of Clinical Oncology - College of American Pathologists (ASCO-CAP) guidelines
12. Has progressed after receiving 1 to 2 prior chemotherapy regimens for advanced/unresectable or metastatic breast cancer.
Gender
All
Gender Based
false
Keywords
Oncology
HER3
Antibody drug conjugate
Developmental Phase I/II
Healthy Volunteers
No
Last Update Post Date
Last Update Post Date Type
Actual
Last Update Submit Date
Minimum Age
18 Years
NCT Id
NCT02980341
Org Class
Industry
Org Full Name
Daiichi Sankyo
Org Study Id
U31402-A-J101
Overall Status
Completed
Phases
Phase 1
Phase 2
Primary Completion Date
Primary Completion Date Type
Actual
Official Title
Phase 1/2, Multicenter, Open-label, Multiple-Dose First-in-human Study of U3-1402, in Subjects With HER3 Positive Metastatic Breast Cancer
Primary Outcomes
Outcome Description
AEs will be collected systematically from signing of the informed consent form (ICF) through 28 days after last dose
Outcome Measure
Number of Participants Reporting Treatment-emergent Adverse Events (TEAEs)
Outcome Time Frame
Baseline up to 28 days post last dose, up to approximately 9 months
Outcome Description
CR was defined as a disappearance of all target and non-target lesions, PR was defined as at least a 30% decrease in the sum of diameters of target and non-target lesions, and stable disease (SD) was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD; at least a 20% increase in the sum of diameters of target and non-target lesions. Objective response rate is the number of patients with confirmed complete response and confirmed partial response.
Outcome Measure
Number of Participants With Best Overall Tumor Response Using Blinded Independent Central Review Based on Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1
Outcome Time Frame
From screening until disease progresses, up to approximately 9 months
Secondary Ids
Secondary Id
JapicCTI-163401
Secondary Outcomes
Outcome Description
The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Escalation Part: Area Under the Serum Concentration Time Curve (AUC) of Anti-HER3-ac-DXd
Outcome Description
The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 4, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Finding Part: AUC of Anti-HER3-ac-DXd
Outcome Description
The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Expansion Part: AUC of Anti-HER3-ac-DXd
Outcome Description
The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Escalation Part: Maximum Plasma Concentration (Cmax) of Anti-HER3-ac-DXd
Outcome Description
The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 4, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Finding Part: Cmax of Anti-HER3-ac-DXd
Outcome Description
The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Expansion Part: Cmax of Anti-HER3-ac-DXd
Outcome Description
The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Escalation Part: Time to Maximum Plasma Concentration (Tmax) of Anti-HER3-ac-DXd
Outcome Description
The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 4, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Finding Part: Tmax of Anti-HER3-ac-DXd
Outcome Description
The serum concentrations for anti-HER3-ac-DXd were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Expansion Part: Tmax of Anti-HER3-ac-DXd
Outcome Description
The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Escalation Part: Area Under the Concentration-Time Curve of Total Anti-HER3 Antibody
Outcome Description
The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 4, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Finding Part: Area Under the Concentration-Time Curve in Total Anti-HER3 Antibody
Outcome Description
The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Expansion Part: Area Under the Concentration-Time Curve in Total Anti-HER3 Antibody
Outcome Description
The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Escalation Part: Cmax of Total Anti-HER3 Antibody
Outcome Description
The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 4, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Finding Part: Cmax of Anti-HER3 Antibody
Outcome Description
The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Expansion Part: Cmax in Anti-HER3 Antibody
Outcome Description
The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Escalation Part: Tmax of Total Anti-HER3 Antibody
Outcome Description
The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 4, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Finding Part: Tmax of Anti-HER3 Antibody
Outcome Description
The serum concentrations for total anti-HER3 antibody LC/MS were quantified using the IC-LC/MS assay.
Outcome Time Frame
Cycle 1, Day 1 to Cycle 3, Day 21 (each cycle is 21 days)
Outcome Measure
Dose Expansion Part: Tmax in Anti-HER3 Antibody
Start Date
Start Date Type
Actual
Status Verified Date
First Post Date
First Post Date Type
Estimated
First Submit Date
First Submit QC Date
Std Ages
Adult
Older Adult
Maximum Age Number (converted to Years and rounded down)
999
Minimum Age Number (converted to Years and rounded down)
18
Investigators
Investigator Type
Principal Investigator
Investigator Name
Sun Young Oh
Investigator Email
suyoung@montefiore.org
Investigator Phone
918-405-8404