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Trial Title: Testing Trastuzumab and Pertuzumab in Patients With Higher Than Normal Copies of the HER2 Gene Found in Their Tumors (MATCH - Subprotocol J)

NCT ID: NCT06136897

Condition: Malignant Solid Neoplasm

Conditions: Official terms:
Trastuzumab
Pertuzumab
Trastuzumab biosimilar HLX02
Antibodies
Immunoglobulins
Antibodies, Monoclonal

Study type: Interventional

Study phase: Phase 2

Overall status: Active, not recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: Biopsy
Description: Undergo biopsy
Arm group label: Treatment (pertuzumab, trastuzumab)

Other name: BIOPSY_TYPE

Other name: Bx

Intervention type: Procedure
Intervention name: Biospecimen Collection
Description: Undergo collection of blood samples
Arm group label: Treatment (pertuzumab, trastuzumab)

Other name: Biological Sample Collection

Other name: Biospecimen Collected

Other name: Specimen Collection

Intervention type: Procedure
Intervention name: Echocardiography
Description: Undergo ECHO
Arm group label: Treatment (pertuzumab, trastuzumab)

Other name: EC

Intervention type: Biological
Intervention name: Pertuzumab
Description: Given IV
Arm group label: Treatment (pertuzumab, trastuzumab)

Other name: 2C4

Other name: 2C4 Antibody

Other name: BCD-178

Other name: EG1206A

Other name: HLX11

Other name: HS627

Other name: MoAb 2C4

Other name: Monoclonal Antibody 2C4

Other name: Omnitarg

Other name: Perjeta

Other name: Pertuzumab Biosimilar BCD-178

Other name: Pertuzumab Biosimilar EG1206A

Other name: Pertuzumab Biosimilar HLX11

Other name: Pertuzumab Biosimilar HS627

Other name: Pertuzumab Biosimilar TQB2440

Other name: Rhumab 2C4

Other name: rhuMAb2C4

Other name: RO4368451

Other name: TQB 2440

Other name: TQB-2440

Other name: TQB2440

Intervention type: Procedure
Intervention name: Radiologic Examination
Description: Undergo radiologic evaluation
Arm group label: Treatment (pertuzumab, trastuzumab)

Other name: Radiologic Evaluation

Other name: Radiologic Exam

Intervention type: Biological
Intervention name: Trastuzumab
Description: Given IV
Arm group label: Treatment (pertuzumab, trastuzumab)

Other name: ABP 980

Other name: ALT02

Other name: Biceltis

Other name: CANMab

Other name: CT-P06

Other name: CT-P6

Other name: Herceptin

Other name: Herceptin Biosimilar PF-05280014

Other name: Herceptin Trastuzumab Biosimilar PF-05280014

Other name: Hercessi

Other name: Herclon

Other name: Hertraz

Other name: Herwenda

Other name: Herzuma

Other name: Kanjinti

Other name: Ogivri

Other name: Ontruzant

Other name: PF-05280014

Other name: QL 1701

Other name: QL-1701

Other name: QL1701

Other name: rhuMAb HER2

Other name: RO0452317

Other name: SB3

Other name: Trastuzumab Biosimilar ABP 980

Other name: Trastuzumab Biosimilar ALT02

Other name: Trastuzumab Biosimilar CT-P6

Other name: trastuzumab biosimilar EG12014

Other name: Trastuzumab Biosimilar HLX02

Other name: Trastuzumab Biosimilar PF-05280014

Other name: Trastuzumab Biosimilar QL1701

Other name: Trastuzumab Biosimilar SB3

Other name: Trastuzumab Biosimilar SIBP-01

Other name: Trastuzumab-anns

Other name: Trastuzumab-dkst

Other name: Trastuzumab-dttb

Other name: Trastuzumab-herw

Other name: Trastuzumab-pkrb

Other name: Trastuzumab-qyyp

Other name: Trastuzumab-strf

Other name: Trastuzumab-zerc

Other name: Trazimera

Other name: Zercepac

Summary: This phase II MATCH treatment trial tests how well trastuzumab and pertuzumab work in treating patients with HER2-amplified non-breast, non-gastric/gastroesophageal junction, and non-colorectal cancers. Pertuzumab and trastuzumab are monoclonal antibodies and forms of targeted therapy that attach to a receptor protein called HER2. HER2 is found on some cancer cells. When pertuzumab or trastuzumab attach to HER2, the signals that tell the cells to grow are blocked and the tumor cell may be marked for destruction by the body's immune system. Trastuzumab is approved for the treatment of certain types of HER2-amplified cancers such as breast and gastric cancers. Research has shown that treatment with two anti-HER2 therapies in combination may be more effective at treating HER2-positive patients than giving one anti-HER2 therapy alone. Giving trastuzumab and pertuzumab in combination may be effective at treating patients with HER2-amplified cancers that aren't breast, gastric, or colorectal.

Detailed description: PRIMARY OBJECTIVE: I. To evaluate the proportion of patients with objective response (OR) to targeted study agent(s) in patients with advanced refractory cancers/lymphomas/multiple myeloma. SECONDARY OBJECTIVES: I. To evaluate the proportion of patients alive and progression free at 6 months of treatment with targeted study agent in patients with advanced refractory cancers/lymphomas/multiple myeloma. II. To evaluate time until death or disease progression. III. To identify potential predictive biomarkers beyond the genomic alteration by which treatment is assigned or resistance mechanisms using additional genomic, ribonucleic acid (RNA), protein and imaging-based assessment platforms. IV. To assess whether radiomic phenotypes obtained from pre-treatment imaging and changes from pre- through post-therapy imaging can predict objective response and progression free survival and to evaluate the association between pre-treatment radiomic phenotypes and targeted gene mutation patterns of tumor biopsy specimens. OUTLINE: Patients receive pertuzumab intravenously (IV) over 30-60 minutes and trastuzumab IV over 30 minutes on day 1 of each cycle. Cycles repeat every 3 weeks in the absence of disease progression or unacceptable toxicity. Patients also undergo radiologic evaluation throughout the trial, echocardiography (ECHO) at screening and end of treatment, and biopsy and collection of blood samples on trial and at end of treatment. After completion of study treatment, patients are followed up every 3 months for 2 years and then every 6 months for 1 year. THE MATCH SCREENING TRIAL: Please see NCT02465060 for information on the MATCH Screening Protocol and applicable documents.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Patients must have met applicable eligibility criteria in the Master MATCH Protocol EAY131/ NCI-2015-00054 prior to registration to treatment subprotocol - Patients must fulfill all eligibility criteria outlined the MATCH Master Protocol at the time of registration to treatment step (step 1, 3, 5, 7) - Patients must have HER2 amplification, or another aberration, as determined via the MATCH Master Protocol - Patients must have an electrocardiogram (ECG) within 8 weeks prior to treatment assignment and must have no clinically important abnormalities in rhythm, conduction or morphology of resting ECG (e.g. complete left bundle branch block, third degree heart block) - Patients must have ECHO or multigated acquisition scan (MUGA) within 4 weeks prior to treatment assignment and must not have a left ventricular ejection fraction (LVEF) < institutional lower limit of normal (LLN). If the LLN is not defined at a site, the LVEF must be >= 50% for the patient to be eligible - Patients must not have breast cancer, gastric/gastroesophageal junction (GEJ)/esophageal adenocarcinoma or mixed histology, gastric/GEJ not otherwise specified (NOS) tumors, or colorectal adenocarcinoma - Patients must not have known hypersensitivity to trastuzumab or pertuzumab or compounds of similar chemical or biologic composition - Patients must not have received prior anti-HER2 therapies, including trastuzumab, pertuzumab, trastuzumab emtansine (T-DM1), lapatinib, afatinib, neratinib, dacomitinib, canertinib - Women of childbearing potential (WOCBP) and men who are sexually active with WOCBP must agree to use adequate contraception (hormonal or double barrier method of birth control, abstinence) from one week prior to study treatment starting, during treatment, and for a period of 7 months after the last dose of study treatment

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: ECOG-ACRIN Cancer Research Group

Address:
City: Philadelphia
Zip: 19103
Country: United States

Start date: March 23, 2017

Completion date: December 31, 2025

Lead sponsor:
Agency: National Cancer Institute (NCI)
Agency class: NIH

Source: National Cancer Institute (NCI)

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06136897

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