Breast CancerPhase 1/2NCT06966453
A Study of Disitamab Vedotin in Adults With HER2 Expressing Advanced Breast Cancer
A Phase 1/2 study testing Disitamab vedotin in people with Breast Cancer and Breast Neoplasms, run by Pfizer at 145 sites in 9 countries.
Trial summary
The purpose of this clinical study is to learn about the safety and effects of the study medicine (called disitamab vedotin) for the possible treatment of people with breast cancer that is hard to treat and has spread in the body (advanced cancer). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Cancer, Breast Neoplasms
- What is being tested?
- Disitamab vedotin
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 74 participants
- Where
- 145 sitesin 9 countries
- Study dates
- 30 Jun 2025to 27 Jan 2030
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
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
- Histologically or cytologically confirmed diagnosis of locally-advanced, unresectable, or metastatic breast carcinoma.
- Human epidermal growth factor receptor 2 (HER2) and hormone receptor (HR) status appropriate for enrollment in cohort.
- HER2 status determined by most recent local assessment based on American Society of Clinical Oncology (ASCO) and College of American Pathologists (CAP) guidelines for assessment of HER2 in BC for interpretation of HER2 expression and amplification
- HER2+: immunohistochemistry (IHC) 3+ or IHC 2+/in situ hybridization (ISH)+
- HER2-low: IHC 1+/ISH-negative or untested or IHC 2+/ISH-negative
- HER2-ultralow: IHC 0 with membrane staining (any staining of the membrane in >0 and ≤10% of cancer cells) o HR+ disease is determined as either estrogen receptor (ER) and/or progesterone receptor (PgR) positive [ER or PgR ≥1%]) and HR negative disease is determined as both ER and PR negative [ER and PgR <1%]) per ASCO/CAP guidelines in the advanced disease setting. If a patient has had multiple ER/PgR results for advanced disease, the most recent test result will be used to confirm eligibility.
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- Prior therapy requirements for Cohort 1 (HER2+, HR+ or HR- participants):
- Received prior trastuzumab, pertuzumab and a taxane if available as local first line standard of care therapy for advanced disease.
- Prior tucatinib based therapy is allowed.
- Must have progression on or after, or be intolerant to, T-DXd in any line advanced disease setting.
- No more than 3 prior systemic cytotoxic therapy regimens (including antibody drug conjugates [ADCs]) for Locally Advanced (LA)/metastatic breast cancer (mBC). Participants previously treated with (neo)adjuvant cytotoxic therapy and have disease relapsed within 6 months of cytotoxic treatment is considered to have received 1 line of cytotoxic therapy for LA/mBC.
- Prior therapy requirements for Cohort 2 (HR+/HER2-low participants):
- No more than 3 prior systemic cytotoxic therapy regimens (including ADCs) for LA/mBC. Participants previously treated with (neo)adjuvant cytotoxic therapy and have disease relapsed within 6 months of cytotoxic treatment is considered to have received 1 line of cytotoxic therapy for LA/mBC.
- Participants with known germline breast cancer gene (BRCA) mutation must have received a poly-ADP ribose polymerase (PARP) inhibitor, where available and not medically contraindicated.
- Must have progression on or after, or be intolerant to, trastuzumab deruxtecan (T-DXd) in any line advanced disease setting.
- Must have intolerance to endocrine therapy (ET) or ET refractory disease:
- Progressed on ≥2 lines of ET for LA/mBC AND had received a cyclin-dependent kinase (CDK)4/6 inhibitor in the adjuvant or metastatic setting if available as local standard of care and not contraindicated.
- OR
- Progressed on 1 line of ET for LA/mBC AND had a relapse while on adjuvant ET after definitive surgery for primary tumor AND had received a cyclin-dependent kinase (CDK) 4/6 inhibitor in the adjuvant or advanced setting if available as local standard of care and not contraindicated.
- Prior therapy requirements for Cohort 3 (HR+/HER2-ultralow or HR-/HER2-low [HER2 low TNBC] participants):
- No more than 4 prior systemic cytotoxic chemotherapy regimens (including ADCs) for advanced or mBC. Participants previously treated with (neo)adjuvant cytotoxic therapy and have disease relapsed within 6 months of cytotoxic treatment is considered to have received 1 line of cytotoxic therapy for LA/mBC.
- Known germline BRCA mutation must have received a PARP-inhibitor if available as local standard of care therapy and not medically contraindicated.
- Prior sacituzumab govitecan is allowed.
- Prior T-DXd is allowed.
- Participants with HR negative (TNBC), HER2-low and programmed cell death receptor ligand 1 (PD-L1)-positive (combined positive score [CPS] ≥10) tumors must have received pembrolizumab (or other PD-L1 inhibitor) with chemotherapy if available as local standard of care therapy and not medically contraindicated.
- Participants with HR+/HER2-ultra low tumors must have received at least 1 antihormonal therapy in any setting or be ineligible for ET.
- Participants with HR+/HER2-ultra low tumors must have had prior therapy with a CDK4/6 inhibitor in the adjuvant or advanced setting.
Who cannot join
- Known hypersensitivity to any excipient contained in the drug formulation of disitamab vedotin.
- Active central nervous system (CNS) and/or leptomeningeal metastasis.
- Participants with a history of other invasive malignancy within 3 years before the Cycle 1 Day 1 (C1D1) of study intervention, or any evidence of residual disease from a previously diagnosed malignancy.
- Prior therapy with ADCs with MMAE payload.
- Participants who have received prior systemic anticancer treatment or radiotherapy within 2 weeks, or 5 half-lives, whichever is shorter, prior to C1D1 of study intervention. Note: If the last immediate anticancer treatment contained an antibody-based agent(s), then an interval of 28 days or 5 half-lives (whichever is shorter) of the agent(s) prior to receiving the study intervention treatment is required.
- Participants must have recovered from all adverse events due to previous therapies.
Trial locations and contacts
145 sites in 9 countries.
145 sites in 9 countries
United States120 sites
Oncology Associates of Oregon, P.C.
Albany, Oregon, 97321
Texas Oncology-Northeast Texas
Allen, Texas, 75013
Oncura Health - Anaheim
Anaheim, California, 92805
Texas Oncology - DFW
Arlington, Texas, 76012
Texas Oncology - DFW
Arlington, Texas, 76014
Virginia Cancer Specialists, PC
Arlington, Virginia, 22201
Rocky Mountain Cancer Centers, LLP
Aurora, Colorado, 80012
Texas Oncology - DFW
Bedford, Texas, 76022
Alliance Cancer Specialists, PC
Bensalem, Pennsylvania, 19020
Rocky Mountain Cancer Centers, LLP
Boulder, Colorado, 80303
Rocky Mountain Cancer Centers, LLP
Centennial, Colorado, 80112
Virginia Oncology Associates
Chesapeake, Virginia, 23320
Florida Cancer Specialists
Clearwater, Florida, 33761
Rocky Mountain Cancer Centers, LLP
Colorado Springs, Colorado, 80907
Rocky Mountain Cancer Centers, LLP
Colorado Springs, Colorado, 80923
Sylvester Comprehensive Cancer Center - The Lennar Foundation Medical Center
Coral Gables, Florida, 33146
Sylvester Comprehensive Cancer Center - Coral Springs
Coral Springs, Florida, 33065
Texas Oncology - DFW
Dallas, Texas, 75203
Texas Oncology - DFW
Dallas, Texas, 75230
Texas Oncology - DFW
Dallas, Texas, 75231
Texas Oncology - DFW
Dallas, Texas, 75237
Texas Oncology - DFW
Dallas, Texas, 75246
Southern Cancer Center, PC
Daphne, Alabama, 36526
University of Miami Hospital and Clinics - Deerfield Beach
Deerfield Beach, Florida, 33442
Texas Oncology-Northeast Texas
Denison, Texas, 75020
Texas Oncology-Northeast Texas
Denton, Texas, 76201
Rocky Mountain Cancer Centers, LLP
Denver, Colorado, 80220
Smilow Cancer Hospital - Derby
Derby, Connecticut, 06418
Sylvester Comprehensive Cancer Center- Doral
Doral, Florida, 33166
Alliance Cancer Specialists, PC
Doylestown, Pennsylvania, 18901
City of Hope National Medical Center
Duarte, California, 91010
Rocky Mountain Cancer Centers, LLP
Englewood, Colorado, 80113
Oncology Associates of Oregon, P.C.
Eugene, Oregon, 97401
Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031
Smilow Cancer Hospital - Fairfield
Fairfield, Connecticut, 06824
Texas Oncology-Northeast Texas
Flower Mound, Texas, 75028
Southern Cancer Center, PC
Foley, Alabama, 36535
Texas Oncology - DFW
Fort Worth, Texas, 76104
Oncura Health - Fountain Valley
Fountain Valley, California, 92708
Florida Cancer Specialists
Gainesville, Florida, 32605
Banner Gateway Medical Center
Gilbert, Arizona, 85234
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
Smilow Cancer Hospital - Glastonbury
Glastonbury, Connecticut, 06033
Oncura Health - Corporate
Glendale, California, 91204
Texas Oncology - DFW
Grapevine, Texas, 76051
Smilow Cancer Hospital - Greenwich
Greenwich, Connecticut, 06830
Smilow Cancer Hospital - Guilford
Guilford, Connecticut, 06437
Smilow Cancer Hospital at St. Francis
Hartford, Connecticut, 06105
Sylvester Comprehensive Cancer Center - Hollywood
Hollywood, Florida, 33021
Alliance Cancer Specialists, PC
Horsham, Pennsylvania, 19044
City of Hope at Irvine Lennar
Irvine, California, 92618
US Oncology Investigation Products Center(IPC)
Irving, Texas, 75063
US Oncology Investigational Product Center (IPC)
Irving, Texas, 75063
Rocky Mountain Cancer Centers, LLP
Lakewood, Colorado, 80228
Alliance Cancer Specialists, PC
Langhorne, Pennsylvania, 19047
Florida Cancer Specialists
Largo, Florida, 33770
Florida Cancer Specialists
Lecanto, Florida, 34461
Texas Oncology-Northeast Texas
Lewisville, Texas, 75056
Rocky Mountain Cancer Centers, LLP
Littleton, Colorado, 80120
Rocky Mountain Cancer Centers, LLP
Lone Tree, Colorado, 80124
Rocky Mountain Cancer Centers, LLP
Longmont, Colorado, 80504
Texas Oncology-Northeast Texas
Longview, Texas, 75601
Oncura Health - Good Samaritan
Los Angeles, California, 90017
Valkyrie Clinical Trials
Los Angeles, California, 90067
Mission Community Hospital (Satellite Site)
Los Angeles, California, 91402
Virginia Cancer Specialists, PC
Manassas, Virginia, 20110
Texas Oncology-Northeast Texas
McKinney, Texas, 75071
Alliance Cancer Specialists, PC
Media, Pennsylvania, 19063
Sylvester Comprehensive Cancer Center
Miami, Florida, 33136
University of Miami Hospital and Clinics
Miami, Florida, 33136
Sylvester Comprehensive Cancer Center - Kendall
Miami, Florida, 33176
Southern Cancer Center, PC
Mobile, Alabama, 36608
Sarah Cannon Research Institute - Pharmacy
Nashville, Tennessee, 37203
SCRI Oncology Partners
Nashville, Tennessee, 37203
Smilow Cancer Hospital - Yale New Haven Health
New Haven, Connecticut, 06510
Yale-New Haven Hospital
New Haven, Connecticut, 06510
Yale University - Smilow Cancer Hospital; C/O Thomas Ferencz, RPh, BCOP
New Haven, Connecticut, 06511
Yale School of Medicine
New Haven, Connecticut, 06520
Virginia Oncology Associates
Newport News, Virginia, 23606
Virginia Oncology Associates
Norfolk, Virginia, 23502
Smilow Cancer Hospital - North Haven
North Haven, Connecticut, 06473
Sylvester Comprehensive Cancer Center - Sole Mia
North Miami, Florida, 33181
Florida Cancer Specialists
Ocala, Florida, 34474
Florida Cancer Specialists
Orange City, Florida, 32763
Florida Cancer Specialists
Orlando, Florida, 32806
Texas Oncology-Northeast Texas
Palestine, Texas, 75801
Clinical and Translational Research Unit (CTRU)
Palo Alto, California, 94304
Stanford Cancer Center
Palo Alto, California, 94304
Stanford Women's Cancer Center
Palo Alto, California, 94304
Texas Oncology-Northeast Texas
Paris, Texas, 75460
Texas Oncology - DFW
Plano, Texas, 75075
Texas Oncology - DFW
Plano, Texas, 75093
Sylvester Comprehensive Cancer Center - Plantation
Plantation, Florida, 33324
Rocky Mountain Cancer Centers, LLP
Pueblo, Colorado, 81003
Virginia Cancer Specialists, PC
Reston, Virginia, 20190
Alliance Cancer Specialists, PC
Sellersville, Pennsylvania, 18960
Oncology Associates of Oregon, P.C.
Springfield, Oregon, 97477
Florida Cancer Specialists
St. Petersburg, Florida, 33701
Florida Cancer Specialists
St. Petersburg, Florida, 33705
Smilow Cancer Hospital - Long Ridge
Stamford, Connecticut, 06902
Stanford Health Care, Investigational Drug Service
Stanford, California, 94305
Florida Cancer Specialists
Tallahassee, Florida, 32308
Florida Cancer Specialists
Tampa, Florida, 33607
Florida Cancer Specialists
Tavares, Florida, 32778
Florida Cancer Specialists
The Villages, Florida, 32159
Rocky Mountain Cancer Centers, LLP
Thornton, Colorado, 80260
Smilow Cancer Hospital - Torrington
Torrington, Connecticut, 06790
Florida Cancer Specialists
Trinity, Florida, 34655
Smilow Cancer Hospital - Trumbull
Trumbull, Connecticut, 06611
Texas Oncology-Northeast Texas
Tyler, Texas, 75702
Oncura Health -Valley Presbyterian
Van Nuys, California, 91405
Virginia Oncology Associates
Virginia Beach, Virginia, 23456
Georgetown University Medical Center - Department of Pharmacy, Oncology Pharmacy
Washington D.C., District of Columbia, 20007
Medstar Georgetown University Hospital
Washington D.C., District of Columbia, 20007
Smilow Cancer Hospital - Waterbury
Waterbury, Connecticut, 06708
Smilow Cancer Hospital - Waterford
Waterford, Connecticut, 06385
Virginia Oncology Associates
Williamsburg, Virginia, 23188
Florida Cancer Specialists
Winter Park, Florida, 32789
Virginia Cancer Specialists, PC
Woodbridge, Virginia, 22191
Alliance Cancer Specialists, PC
Wynnewood, Pennsylvania, 19096
Italy5 sites
Cro-Irccs
Aviano, Pordenone, 33081
Azienda USL Toscana Nord Ovest_Ospedale Civile di Livorno
Livorno, Tuscany, 57124
IRCCS - Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori"
Meldola, Emilia-Romagna, 47014
Istituto Nazionale Tumori IRCCS Fondazione Pascale
Naples, Campania, 80131
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Roma, 00168
Germany4 sites
Charité University Hospital Berlin
Berlin, 10117
University Hospital Carl Gustav Carus, Technical University Dresden
Dresden, Saxony, 01307
Kliniken Essen-Mitte, Evangelische Huyssens-Stiftung
Essen, North Rhine-Westphalia, 45136
Universitätsklinikum Leipzig
Leipzig, 04103
Japan4 sites
National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0045
The Cancer Institute Hospital of JFCR
Koto, Tokyo, 135-8550
Aichi Cancer Center
Nagoya, Aichi-ken, 464-8681
The University of Osaka Hospital
Suita, Osaka, 565-0871
Spain4 sites
Hospital Universitari Vall d'Hebron
Barcelona, Barcelona [barcelona], 08035
Hospital Universitario La Paz
Madrid, Madrid, Comunidad de, 28046
Hospital Beata María Ana
Madrid, 28007
Hospital Clinico de Valencia
Valencia, Valenciana, Comunitat, 46010
Australia3 sites
Blacktown Hospital
Blacktown, New South Wales, 2148
Royal Brisbane and Women's Hospital
Brisbane, Queensland, 4029
Western Health-Sunshine & Footscray Hospitals
St Albans, Victoria, 3021
Brazil2 sites
ANIMI - Unidade de Tratamento Oncologico
Lages, Santa Catarina, 88501001
Centro de Oncologia - CEON+ - Unidade São Caetano do Sul
São Caetano do Sul, São Paulo, 09541-270
Canada2 sites
Arthur J.E. Child Comprehensive Cancer Centre
Calgary, Alberta, T2N 5G2
Waterloo Regional Health Network
Kitchener, Ontario, N2G 1G3
Puerto Rico1 site
Pan American Center for Oncology Trials, LLC
Rio Piedras, 00935
About this study
Official title: A PHASE 1B/2, OPEN-LABEL, MULTICOHORT STUDY OF DISITAMAB VEDOTIN IN ADULTS WITH HER2 EXPRESSING ADVANCED BREAST CANCER
The purpose of this clinical study is to learn about the safety and effects of the study medicine (called disitamab vedotin) for the possible treatment of people with breast cancer that is hard to treat and has spread in the body (advanced cancer).
This study is seeking participants who:
Read more
- have breast cancer that is hard to treat and has spread in the body (advanced cancer)
- have tumors that have HER2 on them
- have received previous treatment for their advanced breast cancer
All participants in this study will receive disitamab vedotin at the study clinic once every 2 weeks as an intravenous (IV) infusion (given directly into a vein).
Participants will take the study medicine until they or their doctor decides to stop. This might be because their cancer is getting worse, the study medicine is no longer helping, they have bad side effects, or they wish to stop taking the study medicine. During this time, the participants will have study visits every 2 weeks. After the participants have stopped taking the study medicine, they will have follow-up visits about every 6 weeks unless their cancer gets worse. After that, they will have follow-up phone calls about every 12 weeks.
The study team will look at the experiences of people receiving the study medicine. This will help the study team decide if the study medicine is safe and effective.
- Conditions
- Breast Cancer, Breast Neoplasms
- Being tested
- Disitamab vedotin
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Disitamab vedotinDrug
Also called RC48, RC48-ADC
Given into the vein (IV; intravenous) every 2 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 2: HR+, HER2-low locally advanced or metastatic breast cancer | Experimental | disitamab vedotin monotherapy Receives: Drug: Disitamab vedotin |
| Cohort 1: HER2+ locally advanced or metastatic breast cancer | Experimental | disitamab vedotin monotherapy Receives: Drug: Disitamab vedotin |
| Cohort 3: HR+, HER2 ultra-low or HR-negative, HER2-low locally advanced or metastatic breast cancer | Experimental | disitamab vedotin monotherapy Receives: Drug: Disitamab vedotin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective response (OR) by investigator assessment
The primary endpoint OR by investigator assessment is defined as the proportion of participants with confirmed CR or PR as determined by investigator per RECIST Version 1.1.
Measured: From Cycle 1 Day 1 until disease progression by investigator assessment per RECIST version 1.1, or death due to any cause, whichever is earlier; up to approximately 2 years
Secondary outcomes (7)
Duration of response (DOR) per RECIST v1.1 by investigator assessment
DOR by investigator assessment is defined as the time from first documentation of objective response (CR or PR) by investigator assessment per RECIST version 1.1 that is subsequently confirmed, to the first documentation of progressive disease or to death due to any cause, whichever comes first.
Measured: From first documentation of objective response (CR or PR) by investigator assessment per RECIST version 1.1 that is subsequently confirmed, to the first documentation of progressive disease or to death due to any cause; up to approximately 2 years
Disease control rate (DCR) (confirmed CR, confirmed PR, and stable disease) per RECIST v1.1 by investigator assessment
DCR by investigator assessment is defined as the proportion of participants with CR or PR with confirmation, or Stable Disease (SD) by investigator assessment per RECIST version 1.1.
Measured: From Cycle 1 Day 1 until disease progression by investigator assessment per RECIST version 1.1, or death due to any cause, whichever is earlier; up to approximately 2 years
Progression-free survival (PFS) per RECIST v1.1 by investigator assessment
PFS by investigator assessment is defined as the time from C1D1 to the first documentation of disease progression as determined by investigator per RECIST version 1.1, or to death due to any cause, whichever comes first.
Measured: From Cycle 1 Day 1 until disease progression by investigator assessment per RECIST version 1.1, or death due to any cause, whichever is earlier; ; up to approximately 2 years
Overall survival (OS)
OS is defined as the time from C1D1 to date of death due to any cause.
Measured: From Cycle 1 Day 1 until death due to any cause; up to approximately 3 years
PK Parameter: Serum Concentrations of disitamab vedotin, total antibody, and unconjugated MMAE
The Antibody-drug conjugate (TAb), and unconjugated Monomethyl auristatin E (MMAE) concentrations for disitamab vedotin summarized at each PK sampling time point.
Measured: From Cycle 1 Day 1 to end of treatment; up to approximately 2 years
Incidence of anti-drug antibodies (ADA) against disitamab vedotin
The percentage of participants with positive ADA will be summarized.
Measured: From Cycle 1 Day 1 to end of treatment; up to approximately 2 years
Incidence of Adverse Events (AE) and Serious Adverse Events (SAE)
Type, incidence, severity, seriousness, and relatedness of AEs. Type, incidence, and severity of laboratory abnormalities and significant changes from baseline.
Measured: Up to approximately 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 May 2025
- Study start30 Jun 2025
- Primary completion25 Oct 2027 (estimated)
- Study completion27 Jan 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 74 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06966453
- Sponsor's protocol ID
- C5731006
- Other IDs
- 2025-521003-52-00, 2025
- Status last verified
- Nov 2026
- First submitted
- 9 May 2025
- Last updated
- 5 Nov 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Study at a glance
From the registry record, last updated by the sponsor on 5 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 1B/2, OPEN-LABEL, MULTICOHORT STUDY OF DISITAMAB VEDOTIN IN ADULTS WITH HER2 EXPRESSING ADVANCED BREAST CANCER
- ClinicalTrials.gov ID
- NCT06966453
- Acronym / sponsor ID
- C5731006
- Conditions
- Breast Cancer, Breast Neoplasms
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 74 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 30 Jun 2025 (actual)
- Primary completion
- 25 Oct 2027 (estimated)
- Study completion
- 27 Jan 2030 (estimated)
- First posted
- 11 May 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this clinical study is to learn about the safety and effects of the study medicine (called disitamab vedotin) for the possible treatment of people with breast cancer that is hard to treat and has spread in the body (advanced cancer).
This study is seeking participants who:
- have breast cancer that is hard to treat and has spread in the body (advanced cancer)
- have tumors that have HER2 on them
- have received previous treatment for their advanced breast cancer
All participants in this study will receive disitamab vedotin at the study clinic once every 2 weeks as an intravenous (IV) infusion (given directly into a vein).
Participants will take the study medicine until they or their doctor decides to stop. This might be because their cancer is getting worse, the study medicine is no longer helping, they have bad side effects, or they wish to stop taking the study medicine. During this time, the participants will have study visits every 2 weeks. After the participants have stopped taking the study medicine, they will have follow-up visits about every 6 weeks unless their cancer gets worse. After that, they will have follow-up phone calls about every 12 weeks.
The study team will look at the experiences of people receiving the study medicine. This will help the study team decide if the study medicine is safe and effective.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Cohort 2: HR+, HER2-low locally advanced or metastatic breast cancer | Experimental | Drug: Disitamab vedotindisitamab vedotin monotherapy |
| Cohort 1: HER2+ locally advanced or metastatic breast cancer | Experimental | Drug: Disitamab vedotindisitamab vedotin monotherapy |
| Cohort 3: HR+, HER2 ultra-low or HR-negative, HER2-low locally advanced or metastatic breast cancer | Experimental | Drug: Disitamab vedotindisitamab vedotin monotherapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (27 listed)
- Histologically or cytologically confirmed diagnosis of locally-advanced, unresectable, or metastatic breast carcinoma.
- Human epidermal growth factor receptor 2 (HER2) and hormone receptor (HR) status appropriate for enrollment in cohort.
- HER2 status determined by most recent local assessment based on American Society of Clinical Oncology (ASCO) and College of American Pathologists (CAP) guidelines for assessment of HER2 in BC for interpretation of HER2 expression and amplification
- HER2+: immunohistochemistry (IHC) 3+ or IHC 2+/in situ hybridization (ISH)+
- HER2-low: IHC 1+/ISH-negative or untested or IHC 2+/ISH-negative
Key exclusion criteria (6 listed)
- Known hypersensitivity to any excipient contained in the drug formulation of disitamab vedotin.
- Active central nervous system (CNS) and/or leptomeningeal metastasis.
- Participants with a history of other invasive malignancy within 3 years before the Cycle 1 Day 1 (C1D1) of study intervention, or any evidence of residual disease from a previously diagnosed malignancy.
- Prior therapy with ADCs with MMAE payload.
- Participants who have received prior systemic anticancer treatment or radiotherapy within 2 weeks, or 5 half-lives, whichever is shorter, prior to C1D1 of study intervention. Note: If the last immediate anticancer treatment contained an antibody-based agent(s), then an interval of 28 days or 5 half-lives (whichever is shorter) of the agent(s) prior to receiving the study intervention treatment is required.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Disitamab vedotinAlso: RC48, RC48-ADCGiven into the vein (IV; intravenous) every 2 weeks. | Drug | Cohort 1: HER2+ locally advanced or metastatic breast cancer, Cohort 2: HR+, HER2-low locally advanced or metastatic breast cancer, Cohort 3: HR+, HER2 ultra-low or HR-negative, HER2-low locally advanced or metastatic breast cancer |
Primary outcome
Objective response (OR) by investigator assessment
Time frame: From Cycle 1 Day 1 until disease progression by investigator assessment per RECIST version 1.1, or death due to any cause, whichever is earlier; up to approximately 2 years
The primary endpoint OR by investigator assessment is defined as the proportion of participants with confirmed CR or PR as determined by investigator per RECIST Version 1.1.
7 secondary outcomes
Duration of response (DOR) per RECIST v1.1 by investigator assessment
Time frame: From first documentation of objective response (CR or PR) by investigator assessment per RECIST version 1.1 that is subsequently confirmed, to the first documentation of progressive disease or to death due to any cause; up to approximately 2 years
Disease control rate (DCR) (confirmed CR, confirmed PR, and stable disease) per RECIST v1.1 by investigator assessment
Time frame: From Cycle 1 Day 1 until disease progression by investigator assessment per RECIST version 1.1, or death due to any cause, whichever is earlier; up to approximately 2 years
Progression-free survival (PFS) per RECIST v1.1 by investigator assessment
Time frame: From Cycle 1 Day 1 until disease progression by investigator assessment per RECIST version 1.1, or death due to any cause, whichever is earlier; ; up to approximately 2 years
Overall survival (OS)
Time frame: From Cycle 1 Day 1 until death due to any cause; up to approximately 3 years
PK Parameter: Serum Concentrations of disitamab vedotin, total antibody, and unconjugated MMAE
Time frame: From Cycle 1 Day 1 to end of treatment; up to approximately 2 years
Incidence of anti-drug antibodies (ADA) against disitamab vedotin
Time frame: From Cycle 1 Day 1 to end of treatment; up to approximately 2 years
Incidence of Adverse Events (AE) and Serious Adverse Events (SAE)
Time frame: Up to approximately 2 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Nov 2026.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
145 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Disitamab vedotin in people with Breast Cancer and Breast Neoplasms, run by Pfizer at 145 sites in 9 countries.
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 27 inclusion and 6 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: under way, not looking for participants, as of the sponsor's last update on 5 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 145 sites in United States, Italy, Germany, Japan, Spain and 4 more countries. 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 combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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?
This study is still under way. Results are not available in the source record yet.
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?
Objective response (OR) by investigator assessment (time frame: From Cycle 1 Day 1 until disease progression by investigator assessment per RECIST version 1.1, or death due to any cause, whichever is earlier; up to approximately 2 years). 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 5 Nov 2026.