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Monoclonal Antibodies
Valemetostat + Trastuzumab Deruxtecan for Breast Cancer
Phase 1
Recruiting
Led By Naoto Ueno, MD
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Is willing to provide fresh tumor tissue via tumor biopsy if safely accessible
Has been treated with at least 1 prior line of chemotherapy in the metastatic or locally progressive setting
Timeline
Screening 3 weeks
Treatment Varies
Follow Up through study completion; an average of 2-3 years.
Awards & highlights
Study Summary
This trial will help find the right dose of a drug to treat metastatic breast cancer with low-to-no HER2 expression.
Who is the study for?
This trial is for adults with metastatic breast cancer that expresses low levels of HER2 and who have already tried at least one chemotherapy. They must be in good physical condition, not planning to become pregnant, willing to use birth control if necessary, and able to provide a tumor tissue sample. People with serious health issues, brain metastases requiring steroids, uncontrolled infections or diseases like HIV/hepatitis B/C, or those who've had certain treatments are excluded.Check my eligibility
What is being tested?
The study aims to determine the safe dosage when combining valemetostat with trastuzumab deruxtecan in patients whose breast cancer has low HER2 expression. It's an early-phase trial focusing on finding the right balance of these two drugs for effective treatment.See study design
What are the potential side effects?
Potential side effects may include reactions related to immune system activation such as inflammation in various organs, infusion-related responses similar to allergic reactions, fatigue from treatment burden on the body's resources, digestive disturbances due to drug interactions with gut flora or mucosa irritation.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am willing to undergo a biopsy for my cancer if it's safe.
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I have received at least one chemotherapy treatment for my cancer after it spread or got worse.
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My breast cancer is HER2 low according to the Ventana test.
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My breast cancer cannot be removed by surgery.
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I am fully active or can carry out light work.
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I have taken a pregnancy test in the last 72 hours and it was negative.
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My hormone-positive cancer has not improved with hormone therapy.
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My organ functions are within normal ranges according to recent tests.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ through study completion; an average of 2-3 years.
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~through study completion; an average of 2-3 years.
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
The Overall Response Rate (ORR)
Trial Design
2Treatment groups
Experimental Treatment
Group I: Group 2Experimental Treatment1 Intervention
Participants will only receive 1 dose level of valemetostat.
Group II: Group 1Experimental Treatment2 Interventions
Participants will receive the same drugs at the same schedule, and the same dose of trastuzumab deruxtecan
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Trastuzumab deruxtecan
2022
Completed Phase 2
~400
Find a Location
Who is running the clinical trial?
Daiichi SankyoIndustry Sponsor
392 Previous Clinical Trials
416,189 Total Patients Enrolled
25 Trials studying Breast Cancer
17,590 Patients Enrolled for Breast Cancer
M.D. Anderson Cancer CenterLead Sponsor
2,974 Previous Clinical Trials
1,789,359 Total Patients Enrolled
147 Trials studying Breast Cancer
63,249 Patients Enrolled for Breast Cancer
Daiichi Sankyo, Inc.Industry Sponsor
389 Previous Clinical Trials
420,121 Total Patients Enrolled
27 Trials studying Breast Cancer
19,565 Patients Enrolled for Breast Cancer
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- Any side effects from my previous treatments have gone away.I do not have any uncontrolled illnesses.I do not have any serious health or mental conditions that would prevent me from joining the study.I have brain metastases but am not currently experiencing symptoms.I am willing to undergo a biopsy for my cancer if it's safe.You have at least one spot that can be measured to see if the treatment is working.I have received at least one chemotherapy treatment for my cancer after it spread or got worse.I have HIV or active hepatitis B or C.My breast cancer is HER2 low according to the Ventana test.My breast cancer cannot be removed by surgery.I have an autoimmune or inflammatory condition affecting my lungs.I am fully active or can carry out light work.I have or had lung inflammation treated with steroids, or it might be seen in my scans.I have taken a pregnancy test in the last 72 hours and it was negative.I do not have an active severe infection needing IV drugs.My hormone-positive cancer has not improved with hormone therapy.I have been treated with anti-HER2 therapy before.My cancer has spread to my brain or spinal cord.I have a serious lung condition besides my cancer.I am currently taking medication that strongly affects liver enzymes.I am not pregnant, breastfeeding, nor planning to become pregnant during the study.I am at least 18 years old or the legal adult age in my country.You have a history of drug or alcohol abuse, significant heart or lung problems, or mental health conditions that could affect your participation in the study or the study results.You are allergic or might be allergic to valemetostat and T-DXd, or any of the ingredients in them.My organ functions are within normal ranges according to recent tests.I have not had any cancer, except for treatable local cancers, in the past 2 years.I do not have serious heart problems.I have had surgery to remove one entire lung.
Research Study Groups:
This trial has the following groups:- Group 1: Group 1
- Group 2: Group 2
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
How reliable is Group 1 when it comes to human safety?
"Our risk assessment of Group 1 yielded a score of 1, as this is an early-phase trial with minimal supporting evidence for safety and efficacy."
Answered by AI
Is this research endeavor accepting new participants at present?
"As per the information present on clinicaltrials.gov, this clinical trial is no longer enrolling participants; it was initially posted on May 31st of 2023 and last updated November 21st 2022. Although this particular experiment has come to a close, there are still 2,604 other trials looking for candidates at the moment."
Answered by AI
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