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Metastatic Breast CancerPhase 2NCT04699630

A Study of U3-1402 (Patritumab Deruxtecan) in Subjects With Metastatic Breast Cancer

A Phase 2 study testing U3-1402 in people with Metastatic Breast Cancer and Locally Advanced Breast Cancer, run by SCRI Development Innovations, LLC at 11 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study is to evaluate safety and efficacy of an antibody drug conjugate U3-1402 (patritumab deruxtecan) in patients with locally advanced or metastatic breast cancer (MBC). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
U3-1402
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
121 participants
Where
11 sitesUnited States
Study dates
3 May 2021to 9 Apr 2025
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

None listed.

Who cannot join

  • Patients who meet any of the following criteria will be excluded from study entry:
  • Exclusion criteria for Parts A and B (HER2-negative) and Part Z (HER2-positive) cohorts:
  • Treatment with any of the following:
  • Any systemic anti-cancer chemotherapy, small molecule, biologic, hormonal agent, or immune checkpoint inhibitor therapy from a previous treatment regimen or clinical study within 21 days prior to the first dose of patritumab deruxtecan
  • Prior treatment with any HER3-targeting agent
  • Major surgery (excluding placement of vascular access) within 4 weeks of the first dose of study drug treatment
Show all 42Show fewer
  • Radiotherapy treatment to more than 30% of the bone marrow or with a wide field of radiation within 4 weeks of the first dose of study drug treatment, or palliative radiation therapy within 2 weeks of the first dose of study drug treatment
  • Chloroquine /hydroxychloroquine ≤14 days prior to the first dose of study drug treatment
  • Has any hypersensitivity to drug substances or inactive ingredients in drug product
  • Has any history of ILD (including pulmonary fibrosis or radiation pneumonitis), has clinically significant ILD, or is suspected to have such disease by imaging during screening. If imaging findings are unlikely to indicate a history of pneumonitis, then the Investigator should discuss the considerations with the Medical Monitor about potential enrollment and record the reasoning in the source documentation.
  • Clinically severe pulmonary compromise (based on Investigator's assessment) resulting from intercurrent pulmonary illnesses including, but not limited to:
  • Any underlying pulmonary disorder (e.g., pulmonary emboli, severe asthma, severe chronic obstructive pulmonary disease, restrictive lung disease, pleural effusion)
  • Any autoimmune, connective tissue or inflammatory disorder with pulmonary involvement (e.g., rheumatoid arthritis, Sjögren's syndrome, sarcoidosis)
  • OR prior pneumonectomy
  • With the exception of alopecia, any unresolved toxicities from prior therapy greater than Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 or baseline at the time of starting study treatment. Note: patients with chronic Grade 2 toxicities who are asymptomatic or adequately managed with stable medication may be eligible with approval by the Medical Monitor.
  • Leptomeningeal metastases or evidence of spinal cord compression or brain metastases, defined as being clinically active and symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms. Patients with clinically inactive or treated brain metastases who are asymptomatic (i.e., without neurologic signs or symptoms and do not require treatment with corticosteroids or anticonvulsants) may be included in the study. Patients must have a stable neurologic status for at least 2 weeks prior to Cycle 1 Day 1.
  • Women who are pregnant, nursing, or plan to become pregnant while in the study and for at least 7 months after the last administration of study treatment
  • Men who plan to father a child while in the study and for at least 7 months after the last administration of study treatment
  • Uncontrolled or significant cardiovascular disorder prior to Cycle 1 Day 1, including:
  • Mean resting corrected QT interval using Fridericia's formula (QTcF) prolongation to >470 ms for females and >450 ms for males in three successive screening measurements
  • Patients with a left ventricular ejection fraction (LVEF) <50%
  • Resting systolic blood pressure >180 mmHg or diastolic blood pressure >110 mmHg).
  • Documented myocardial infarction within 6 months
  • Congestive heart failure (New York Heart Association ≥ Grade 2 within 28 days
  • Has known clinically significant corneal disease from prior therapies such as drug-induced keratitis
  • Is receiving chronic systemic corticosteroids dosed at >10 mg prednisone or equivalent anti-inflammatory activity or any form of immunosuppressive therapy prior to Cycle 1 Day 1. Patients who require use of bronchodilators, inhaled or topical steroids, or local steroid injections may be included in the study.
  • As judged by the Investigator, any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension, uncontrolled diabetes mellitus, active bleeding diatheses, or active infection, including hepatitis B, hepatitis C, and human immunodeficiency virus. Screening for chronic conditions is not required.
  • Presence of other active invasive cancers other than the one treated in this study within 3 years prior to screening, except appropriately treated basal cell carcinoma of the skin, in situ carcinoma of uterine cervix, or other local tumors considered cured by local treatment
  • Psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol and/or follow-up procedures outlined in the protocol
  • Additional exclusion criteria only for Parts A and B (HER2-negative) cohorts:
  • Patients with HER2+ breast cancer per ASCO-CAP guidelines
  • Part A only: Prior treatment with an antibody drug conjugate that consists of an exatecan derivative that is a topoisomerase I inhibitor (e.g., trastuzumab deruxtecan, DS-1062a [datopotamab deruxtecan], and DS-7300a [B7-H3 DXd-ADC])
  • Part B patients only: Prior treatment with trastuzumab deruxtecan, sacituzumab govitecan, and/or datopotamab deruxtecan with any of the following:
  • A severe reaction or severe tolerability issues that necessitated stopping treatment with the therapy
  • Any unresolved toxicities from the prior therapy greater than Grade 1, with the exception of alopecia
  • Additional exclusion criteria only for Part Z (HER2-positive) cohort:
  • Treatment with any of the following:
  • Prior treatment with an antibody drug conjugate that consists of an exatecan derivative that is a topoisomerase I inhibitor except trastuzumab deruxtecan
  • Prior treatment with trastuzumab deruxtecan within 4 weeks prior to the first dose of patritumab deruxtecan
  • Uncontrolled or significant cardiovascular disease, including history of myocardial infarction within 6 months before enrollment
  • A severe reaction or severe tolerability issues that necessitated stopping treatment with trastuzumab deruxtecan
  • Any unresolved toxicities from prior therapy with trastuzumab deruxtecan

Trial locations and contacts

11 sites in 1 country.

11 sites in 1 country

United States11 sites
  • University of Alabama at Birmingham

    Birmingham, Alabama, 35249

  • Levine Cancer Institute

    Charlotte, North Carolina, 28204

  • City of Hope

    Duarte, California, 91010

  • Florida Cancer Specialists-South

    Fort Myers, Florida, 33901

  • SCRI Oncology Partners

    Nashville, Tennessee, 37203

  • Tennessee Oncology

    Nashville, Tennessee, 37203

  • Rutgers-Cancer Institute of New Jersey

    New Brunswick, New Jersey, 08903

  • Fred Hutchinson Cancer Center

    Seattle, Washington, 98109

  • Highlands Oncology Group

    Springdale, Arkansas, 72762

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Florida Cancer Specialists-North

    St. Petersburg, Florida, 33705

Other trials in United States

About this study

Official title: A Phase II Study of U3-1402 (Patritumab Deruxtecan) in Patients With Metastatic Breast Cancer

This study is to evaluate safety and efficacy of an antibody drug conjugate U3-1402 (patritumab deruxtecan) in patients with locally advanced or metastatic breast cancer (MBC).

Read the detailed description

U3-1402 (Patritumab Deruxtecan) is an antibody drug conjugate comprising a recombinant fully human anti HER3 monoclonal antibody linked to a linker containing topoisomerase I inhibitor. This is a phase II study of U3-1402 (patritumab deruxtecan) in subjects with MBC. The study will be conducted in 3 parts (Part A , Part B, and Part Z). All enrolled subjects in Part A will undergo pretreatment biopsies to determine if subjects with particular biomarker expression (ER/PR/HER2/HER3) show preliminary efficacy. Part B will enroll subgroups of participants that are metastatic, hormone receptor-positive (HR+) HER2-negative or triple-negative (mTNBC) regardless of HER3 expression that were defined from Part A analysis. Part Z will enroll participants with HER2- positive (HER2+) MBC.

Being tested
U3-1402
Keywords
Breast Neoplasm, HER3 Expression, Hormone Receptor Positive Breast Cancer, Triple Negative Breast Cancer, Metastatic breast cancer, locally advanced breast cancer
Medical subject headings
Breast Neoplasms, Triple Negative Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • U3-1402Drug

    Also called Patritumab Deruxtecan

    All subjects will receive 5.6 mg/kg U3-1402 (Patritumab Deruxtecan) intravenously on day 1 of every 3 weeks. One cycle is defined as 3 weeks.

Study groups in NCT04699630
Study groupRoleWhat they receive
Part AExperimentalParticipants will receive 5.6 mg/kg U3-1402 (Patritumab Deruxtecan) intravenously on day 1 every 3 weeks. All participants will undergo pre-treatment biopsies. (An archival tissue sample taken within two months of treatment should be provided if it is not medically feasible to provide a pre-treatment biopsy). Up to 60 HER2-negative participants will be enrolled into this arm.
Receives: Drug: U3-1402
Part BExperimentalParticipants will receive 5.6 mg/kg U3-1402 intravenously on day 1 every 3 weeks. Part B will enroll 20 participants with metastatic hormone-receptor positive (HR+) HER2-negative cancer and 20 participants with metastatic triple-negative breast cancer (mTNBC), regardless of HER3 expression.
Receives: Drug: U3-1402
Part ZExperimentalParticipants will receive 5.6 mg/kg U3-1402 (Patritumab Deruxtecan) intravenously on day 1 every 3 weeks. Part Z will enroll an additional 21 participants with HER2+ MBC.
Receives: Drug: U3-1402

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Response Rate (ORR) in Participants With HER2-negative MBC (Part A and Part B)

    Overall Response Rate (ORR) is defined as the percentage of participants with confirmed complete response (CR) or partial response (PR) out of all treated participants. Confirmed response is two consecutive CR or PR at least 4 weeks apart according to RECIST v1.1 criteria. CR=disappearance of all target and non-target lesions. PR=at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of lesion diameters.

    Measured: Assessed every 6 weeks for the first 6 months then every 9 weeks thereafter until disease progression or death or study discontinuation, up to 45 months.

  2. Progression-Free Survival at 6 Months (PFS-6) in Participants With HER2-negative MBC (Part A and Part B)

    Progression-Free Survival at 6 months (PFS-6) is defined as the rate of patients who survive progression-free for at least 6 months per RECIST version (v) 1.1. Per RECIST V1.1, progressive disease is defined as a ≥20% increase in target lesions and ≥5mm increase in size from smallest sum, appearance of any new lesions, or unequivocal progression of non-target lesions.

    Measured: Assessed every 6 weeks for the first 6 months then every 9 weeks thereafter until disease progression or death or study discontinuation, up to 45 months.

Secondary outcomes (6)
  1. Incidence of Treatment- Emergent Adverse Events to Assess Safety and Tolerability

    The safety and tolerability of U3-1402 (Patritumab Deruxtecan) was assessed through the analysis of the reported incidence of treatment-emergent AEs. Treatment-emergent AEs are those with an onset on or after the initiation of study therapy up to 40 days after last day of treatment, and will be graded according to NCI CTCAE 5.0.

    Measured: Every 3 weeks, up to 45 months.

  2. Duration of Response (DOR)

    Duration of response (DOR) is calculated only for participants who experienced a Complete Response (CR) or Partial Response (PR) per RECIST V1.1 and is defined as the median number of months of duration from the first documented response [complete response (CR) or partial response (PR)] to the date of disease progression (PD) according to the RECIST V1.1 criteria or death due to any cause. Per RECIST V1.1, CR=disappearance of all target lesions, PR=at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of target lesion diameters, PD is ≥20% increase in target lesions and ≥5mm from smallest sum, appearance of any new lesions, or unequivocal progression of non-target lesions. Kaplan-Meier estimates were used to calculate the 95% confidence intervals for duration of response.

    Measured: Assessed every 6 weeks for the first 6 months then every 9 weeks thereafter until disease progression or death or study discontinuation, up to 45 months.

  3. Progression-Free Survival (PFS)

    Progression Free Survival (PFS) is defined as the time from start of study treatment to the date of the first documented disease progression (PD) according to the RECIST V1.1 criteria or death due to any cause. Per RECIST V1.1, PD is ≥20% increase in target lesions and ≥5mm increase from smallest sum, appearance of any new lesions, or unequivocal progression of non-target lesions.

    Measured: Assessed every 6 weeks for the first 6 months then every 9 weeks thereafter until disease progression or death or study discontinuation, up to 45 months.

  4. Clinical Benefit Rate (CBR)

    CBR is defined as the rate of participants with complete response (CR), partial response (PR), or best overall response of stable disease (SD) for ≥ 6 months according to the RECIST v 1.1 criteria. Per RECIST V1.1: A CR is defined as the disappearance of all target and non-target lesions. A PR is defined as ≥30% decrease in the sum of diameters of target lesions from the baseline sum. A SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD).

    Measured: Assessed every 6 weeks for the first 6 months then every 9 weeks thereafter until disease progression or death or study discontinuation, up to 45 months.

  5. Overall Response Rate (ORR) in Participants With HER2-positive (HER2+) MBC After Progression on Trastuzumab Deruxtecan: Part Z

    Overall Response Rate (ORR) is defined as the percentage of participants with confirmed complete response (CR) or partial response (PR) out of all treated participants. Confirmed response is two consecutive CR or PR at least 4 weeks apart according to RECIST v1.1 criteria. CR=disappearance of all target and non-target lesions. PR=at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of lesion diameters.

    Measured: Assessed every 6 weeks for the first 6 months then every 9 weeks thereafter until disease progression or death or study discontinuation, up to 45 months.

  6. Progression-Free Survival at 6 Months (PFS-6) in Participants With HER2-positive (HER2+) MBC: Part Z

    Progression-Free Survival at 6 months (PFS-6) is defined as the rate of patients who survive progression-free for at least 6 months per RECIST version (v) 1.1. Per RECIST V1.1, progressive disease is defined as a ≥20% increase in target lesions and ≥5mm increase in size from smallest sum, appearance of any new lesions, or unequivocal progression of non-target lesions.

    Measured: Assessed every 6 weeks for the first 6 months then every 9 weeks thereafter until disease progression or death or study discontinuation, up to 45 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jan 2021
  2. Study start3 May 2021
  3. Primary completion9 Apr 2025
  4. Study completion9 Apr 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
121 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04699630
Sponsor's protocol ID
BRE 354
Status last verified
May 2026
First submitted
5 Jan 2021
Last updated
22 May 2026
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing U3-1402 in people with Metastatic Breast Cancer and Locally Advanced Breast Cancer, run by SCRI Development Innovations, LLC at 11 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 42 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 May 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Response Rate (ORR) in Participants With HER2-negative MBC (Part A and Part B) (time frame: Assessed every 6 weeks for the first 6 months then every 9 weeks thereafter until disease progression or death or study discontinuation, up to 45 months.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 May 2026.

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