Actively Recruiting
Phase 2 Study of Zanidatamab for Previously Treated HER2-Expressing Solid Tumors Evaluating Safety and Effectiveness in Advanced Cancer
Led by Jazz Pharmaceuticals · Updated on 2026-07-10
200
Participants Needed
28
Research Sites
52 weeks
Total Duration
On this page
Sponsors
J
Jazz Pharmaceuticals
Lead Sponsor
J
Jazz Pharmaceuticals Ireland Limited
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating zanidatamab for treating adults with previously treated solid tumors that overexpress the HER2 protein at a high level IHC 3. This Phase 2 study focuses on participants whose tumors have progressed after at least one prior systemic treatment and who have no other confirmed beneficial treatment options. The study excludes certain cancers like biliary tract cancer and considers prior HER2 therapy differently across tumor cohorts. Participants receive zanidatamab through intravenous infusion. The study includes a single treatment group with no placebo comparison. Treatment continues as per protocol with monitoring for responses and safety. The study collects tumor samples centrally to confirm HER2 status and requires measurable disease for evaluation. Various cohorts have specific prior treatment requirements. During the study, participants undergo assessments including tumor response evaluation by independent review and investigators using standard criteria RECIST 1.1. The trial monitors treatment safety, side effects, drug levels in the blood, and immune reactions to the drug. Participants will be followed for up to 2.5 years for response and safety, and overall survival is tracked for up to 3.5 years, with regular visits to assess health status and treatment effects.
CONDITIONS
Brief Title
A Phase 2 Study of Zanidatamab in Patients With HER2-expressing Tumors
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 18 years or older at the time of consent
- Locally advanced, unresectable, or metastatic solid tumors (excluding biliary tract cancer) with progression after at least one prior systemic treatment
- No prior HER2-targeted therapy for Cohort 1; prior HER2 therapy allowed for breast and GEA cohorts with required prior trastuzumab deruxtecan
- HER2 overexpression (IHC 3+) confirmed by central lab
- Adequate tumor sample for central HER2 testing
- At least one measurable lesion by RECIST 1.1
- ECOG performance status of 0 or 1
- Life expectancy of at least 3 months
- Treated and stable CNS metastases allowed if meeting specific recovery and timing criteria
- Adequate organ function
- Negative pregnancy test for females of childbearing potential
- Agreement to use two methods of birth control for females of childbearing potential and males with partners of childbearing potential
You will not qualify if you...
- Known or suspected leptomeningeal disease or untreated brain metastasis
- Uncontrolled or significant cardiovascular disease
- Ongoing toxicity related to prior cancer therapy
- Uncontrolled infection or requiring intravenous antibiotics, antivirals, or antifungals
- Known HIV infection
- Active hepatitis B or C infection
- Active SARS-CoV-2 infection
- History of life-threatening hypersensitivity to monoclonal antibodies or zanidatamab components
- Serious medical or psychiatric conditions impairing treatment tolerance
- Conditions that contraindicate participation or confound study results as judged by investigator
- Prior HER2-targeted therapy in Cohort 1
- History of trauma or major surgery
- Systemic antineoplastic therapy within 4 weeks or 5 half-lives before study start
- Previous zanidatamab treatment
- Colorectal cancer with KRAS/NRAS and BRAF mutations
- NSCLC with ALK, EGFR mutations or ROS1 fusion
- Breastfeeding, pregnant, or planning pregnancy
- Prior or concurrent invasive malignancy other than study disease interfering with safety or efficacy assessment
Research Team
C
Clinical Trial Disclosure & Transparency
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