Anti-HER2 Bispecific Antibody ZW25 Activity in Combination With Chemotherapy With/Without Tislelizumab

  • STATUS
    Recruiting
  • End date
    Aug 31, 2025
  • participants needed
    50
  • sponsor
    BeiGene
Updated on 19 February 2024
cancer
drug evaluation
breast cancer
epidermal growth factor receptor
measurable disease
metastasis
docetaxel
glomerular filtration rate
growth factor
oxaliplatin
adenocarcinoma
ejection fraction
human epidermal growth factor
cancer treatment
capecitabine
adenocarcinoma of the breast
gastric cancer
gastric adenocarcinoma
metastatic adenocarcinoma
drug test
epidermal growth factor
cancer therapy
erbb2
cytotoxic chemotherapy
recurrent disease
adenocarcinoma of the gastroesophageal junction
her1
bispecific antibody
tislelizumab
breast cancer, treatment
HER2
EGFR

Summary

The purpose of the study is to assess the safety, tolerability and preliminary antitumor activity of ZW25 in combination with docetaxel in participants with human epidermal growth factor receptor 2 (HER2)-positive breast cancer, and ZW25 in combination with tislelizumab and chemotherapy in participants with HER2-positive gastric/gastroesophageal Junction (GEJ) adenocarcinoma

Details
Condition Breast Cancer, Breast Cancer, Gastropathy, Gastric Cancer, Gastric Cancer, Gastroesophageal Junction Cancer
Age 18-100 years
Treatment Capecitabine, ZW25, tislelizumab, Oxaliplatin, Docetaxel
Clinical Study IdentifierNCT04276493
SponsorBeiGene
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Disease diagnosis and prior treatment
Cohort 1 (the first-line breast cancer treatment cohort)
Female participants with histologically or cytologically confirmed unresectable, locally advanced, recurrent or metastatic adenocarcinoma of the breast and candidate for chemotherapy. Locally recurrent disease must not be amenable to resection with curative intent
Human epidermal growth factor receptor 2 (HER2) IHC 3+ or in situ hybridization positive on the archival tumor tissue or fresh biopsy sample
Have not received previous systemic anticancer therapy for locally advanced unresectable or metastatic disease
Cohort 2 (the first-line gastric/gastroesophageal junction adenocarcinoma treatment cohort)
Histologically or cytologically confirmed unresectable, locally advanced, recurrent or metastatic adenocarcinoma of the stomach or gastroesophageal junction
HER2 IHC 3+ or HER2 IHC 2+ together with in situ hybridization positive on the archival tumor tissue or fresh biopsy sample
Have not received previous systemic anticancer therapy for locally advanced unresectable or metastatic disease, including any approved or investigational estimated glomerular filtration rate (EGFR) or anti-HER2 agents or vaccines, cytotoxic chemotherapy or checkpoint inhibitors
At least 1 measurable lesion as defined per RECIST Version 1.1
Eastern Cooperative Oncology Group (ECOG) Performance Status 1
Adequate organ function as indicated by the following laboratory values during
screening
Left ventricular ejection fraction (LVEF) 50% at baseline as determined by either echocardiogram or multigated acquisition scan (MUGA) (echocardiogram is the preferred method) within 28 days before the first dose of study drug

Exclusion Criteria

Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2 or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
History of approved or investigative tyrosine kinase/HER inhibitors in any treatment setting
except trastuzumab with or without pertuzumab used in neoadjuvant or adjuvant setting for Cohort 1
Active leptomeningeal disease or uncontrolled brain metastasis. Participants with equivocal findings or with confirmed brain metastases are eligible for enrollment provided that they are asymptomatic and radiologically stable without the need for corticosteroid treatment for 4 weeks before the first dose of study drug
Any active malignancy 2 years before the first dose of study drug, except for the specific cancer under investigation in this trial and any localized cancer that has been treated curatively (eg, resected basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast)
Any condition that required systemic treatment with either corticosteroids (> 10 mg daily of prednisone or equivalent) or other immunosuppressive medication 14 days before the first dose of study drug
Note: Participants who are currently or have previously been on any of the
following steroid regimens are not excluded
Adrenal replacement steroid (dose 10 mg daily of prednisone or equivalent)
Topical, ocular, intra-articular, intranasal, or inhaled corticosteroid with minimal systemic absorption
Short course ( 7 days) of corticosteroid prescribed prophylactically (eg, for contrast dye allergy) or for the treatment of a non-autoimmune condition (eg, delayed-type hypersensitivity reaction caused by contact allergen)
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply
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