ZW49 for Cancer

No longer recruiting at 21 trial locations
ZC
Overseen ByZymeworks Clinical Trial Resource
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Zymeworks BC Inc.
Must be taking: Trastuzumab, Pertuzumab, T-DM1
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called ZW49, an experimental drug, to determine the best dose and assess its safety for individuals with certain types of cancer. It targets cancers with high levels of HER2, a protein influencing cancer growth, including breast cancer and gastroesophageal adenocarcinoma. Participants should have advanced cancer that has not responded to standard treatments like trastuzumab or pertuzumab. Those with HER2-high cancer that continues to progress despite these treatments may be suitable for this study. As a Phase 1 trial, this research aims to understand how the treatment works in people, offering participants the opportunity to be among the first to receive this new drug.

Do I have to stop taking my current medications for the ZW49 trial?

The trial information does not specify if you need to stop taking your current medications. It's best to discuss this with the trial team or your doctor.

Is there any evidence suggesting that ZW49 is likely to be safe for humans?

Research has shown that ZW49, the treatment being tested, has potential for safety based on earlier studies. These studies examined ZW49's safety and its effectiveness against tumors. The results suggest that its side effects are manageable, meaning they are acceptable when considering the possible benefits.

Researchers have tested ZW49 at different doses and identified a recommended dose based on safety information. While some side effects might occur, they are usually not severe enough to stop the treatment. Notably, these studies included patients who had tried other treatments without success. Since ZW49 is being tested in a Phase 1 study, the safety evaluation remains in the early stages.

In summary, although ZW49 is still under study, the safety data so far are promising. The treatment appears well-tolerated, and any side effects have been manageable.12345

Why do researchers think this study treatment might be promising?

ZW49 is unique because it uses an antibody-drug conjugate (ADC) approach, which combines an antibody that specifically targets cancer cells with a powerful chemotherapy drug. Unlike traditional treatments like chemotherapy or radiation, which affect both healthy and cancerous cells, ZW49 is designed to deliver the drug directly to the cancer cells, minimizing damage to healthy tissue. Researchers are excited about ZW49 because it has the potential to improve efficacy while reducing side effects, offering a more targeted and potentially safer treatment option for cancer patients.

What evidence suggests that ZW49 might be an effective treatment for HER2-expressing cancers?

Research has shown that ZW49 may help treat cancers with the HER2 protein. In earlier studies, patients with HER2+ cancers who had already received many treatments experienced a 100% disease control rate, meaning their cancer stopped growing. Some patients also saw their tumors shrink. Although these results are early, they suggest that ZW49 might help stop cancer growth and reduce tumor size in some patients. This treatment remains under study in this trial, so more information is needed to confirm these findings.23678

Who Is on the Research Team?

JW

Joseph Woolery, PharmD, BCOP

Principal Investigator

Zymeworks BC Inc.

Are You a Good Fit for This Trial?

This trial is for patients with advanced HER2-positive cancers, including breast cancer and gastroesophageal adenocarcinoma (GEA), who have tried standard treatments without success or cannot tolerate them. Participants must have a confirmed diagnosis, measurable disease for certain cohorts, an ECOG performance status of 0 or 1 indicating they are fully active or restricted in physically strenuous activity but ambulatory, and adequate organ function.

Inclusion Criteria

I have HER2-high breast cancer and was treated with trastuzumab, pertuzumab, and T-DM1.
My cancer can be measured or is known to exist.
I am fully active or can carry out light work.
See 11 more

Exclusion Criteria

I have been diagnosed with HIV.
I have a serious lung condition not caused by cancer spread.
I have stable, treated brain metastases and haven't needed steroids or seizure medicine for over a month.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

3+3 dose-escalation study design to evaluate the safety and tolerability of ZW49 and determine the MTD or RD

Up to 4 weeks

Expansion Cohorts

Selected expansion cohorts to further evaluate the safety and tolerability of ZW49 at the MTD or RD and assess preliminary anti-tumor activity

Up to 6 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 2 years

What Are the Treatments Tested in This Trial?

Interventions

  • ZW49
Trial Overview The study is testing ZW49 to find the highest dose patients can take without severe side effects (MTD) and to see how safe it is. It's open-label so everyone knows they're getting ZW49, and it starts by giving small doses that get bigger until they find the MTD or recommended dosage.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: ZW49Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Zymeworks BC Inc.

Lead Sponsor

Trials
6
Recruited
1,300+

Zymeworks Inc.

Lead Sponsor

Trials
11
Recruited
2,400+

Citations

Phase 1 study of Zanidatamab Zovodotin (ZW49): Safety ...The confirmed objective response rate and disease control rate in HER2+ response-evaluable pts were 6% (1/17 pt) and 53% (9/17 pts) in 1.25 mg/ ...
NCT03821233 | A Dose Finding Study of ZW49 in Patients ...This is a first-in-human, Phase 1, multicenter, open-label, dose-escalation study to establish the maximum-tolerated dose (MTD) or recommended dosage (RD) ...
Zymeworks Reports Preliminary Phase 1 Trial Results for ...Zymeworks Reports Preliminary Phase 1 Trial Results for Zanidatamab Zovodotin (ZW49) at European Society for Medical Oncology Annual Congress.
The change of paradigm in the treatment of HER2-positive ...The results showed a disease control of 100% and a median PFS of 17 months in the 29 patients treated at therapeutic doses who had been heavily ...
A Dose Finding Study of ZW49 in Patients With HER2 ...Results also showed encouraging single-agent anti-tumor activity in heavily pretreated patients with HER2+ cancers, including a confirmed objective response ...
Zymeworks Advances HER2 Bispecific Antibody-Drug ...ZW49 has demonstrated antitumor activity across all regimens and dose levels evaluated to date, including at the starting dose of 1 mg/kg Q2W.
460MO Preliminary results from a phase I study using the ...ZW49 has a manageable safety profile with encouraging single-agent antitumor activity in heavily pretreated pts with HER2+ cancers. Enrollment continues at 1.75 ...
Phase 1 Study of Zanidatamab Zovodotin (ZW49)• Based on a comprehensive review of the safety and preliminary antitumor activity data, ZW49 2.5 mg/kg Q3W IV was identified as the RD. • ZW49 ...
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