drugset / Trial / NCT05274048

Neratinib and Fam-Trastuzumab Deruxtecan in Advanced Gastro-esophageal Cancer Patients

NCT05274048

NaSequentialOpen-labelTreatment

Summary

This is Phase 1 dose finding trial with potential dose expansion to evaluate the safety, toxicity, recommended phase 2 dose (RP2D), and maximum tolerated dose (MTD) of Neratinib plus TDxD using a standard 3+3 dose escalation design in patients with metastatic or unresectable gastro-esophageal cancer that are HER2-overexpressing (IHC 3+ or IHC2+/ISH+) and any other gastrointestinal cancer with HER2 expression with IHC3+. Patients must have progressed or been intolerant of at least one prior line of chemotherapy + HER2 directed therapy.

Timeline

Start
2022-06-24
Primary completion
2026-06
Completion
2027-06

Drugs

EvaluationDrugModalityDoseRoute
Subject Neratinib Small molecule 120 mg Oral
Subject Neratinib Small molecule 160 mg Oral
Subject Neratinib Small molecule 200 mg Oral
Subject Trastuzumab deruxtecan Monoclonal antibody 5.4 mg/m2 Intravenous

Indications