Disitamab Vedotin for HER2-Positive Cancer

Not currently recruiting at 178 trial locations
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Overseen ByMaureen Facep
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Seagen Inc.
Must be taking: Platinum-based, Anti-PD(L)1, PARP inhibitors
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new drug, disitamab vedotin (DV), to determine its effectiveness in treating certain advanced or metastatic cancers with the HER2 marker. Participants will receive DV every two weeks to evaluate its effectiveness and safety in treating head and neck cancer, non-small cell lung cancer, endometrial cancer, or ovarian cancer. Suitable candidates include patients with one of these cancers that have spread or cannot be surgically removed and have experienced disease progression after standard treatments. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

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

The trial protocol does not specify if you need to stop taking your current medications. However, it does mention that participants should not have had prior treatment with an MMAE-containing agent and should not have a known hypersensitivity to any excipient in disitamab vedotin. It's best to discuss your current medications with the trial team.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. However, it mentions that participants must have progressed after certain treatments, so it's best to discuss your current medications with the trial team.

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

Research has shown that disitamab vedotin (DV) demonstrates promising safety results in studies for various cancers. For head and neck cancer, one study found DV generally safe, with about 33% of patients with HER2-positive breast cancer responding to the treatment, suggesting it might be well-tolerated in similar cancers.

In non-small cell lung cancer, DV proved safe, with 45.5% of patients responding to the treatment and most maintaining disease control. This indicates the treatment was generally well-tolerated, with manageable side effects.

For ovarian cancer, studies suggest DV is both effective and tolerable in HER2-positive cases. Similarly, in endometrial cancer, DV showed promising results with manageable side effects.

These findings suggest that DV is generally well-tolerated across different cancer types, with side effects that most patients can manage. However, participants should always discuss potential side effects with their doctors to understand how they might be affected individually.12345

Why do researchers think this study treatment might be promising?

Disitamab Vedotin is unique because it targets HER2-positive cancers with an innovative approach. Unlike traditional chemotherapy, which broadly attacks fast-growing cells, Disitamab Vedotin is an antibody-drug conjugate. This means it combines a targeted antibody with a chemotherapy drug, allowing it to specifically seek out and destroy cancer cells that overexpress the HER2 protein. Researchers are excited about this treatment because it has the potential to offer a more precise and effective option with potentially fewer side effects for patients with head and neck, non-small cell lung, ovarian, and endometrial cancers.

What evidence suggests that disitamab vedotin might be an effective treatment for HER2-positive cancer?

Research has shown that disitamab vedotin (DV) could effectively treat HER2-positive cancers. In this trial, participants with head and neck cancer will receive DV, and studies found that about 34.4% of patients experienced tumor shrinkage. For those with non-small cell lung cancer, DV has helped control tumor growth. Participants with ovarian cancer will also receive DV, which has proven effective and safe, with studies suggesting it can help manage tumor progression. In endometrial cancer, DV demonstrated strong anti-tumor effects, with some patients experiencing complete tumor disappearance. Overall, DV's ability to target and destroy cancer cells makes it a promising option for those with HER2-positive tumors.12456

Who Is on the Research Team?

PC

Pfizer CT.gov Call Center

Principal Investigator

Pfizer

Are You a Good Fit for This Trial?

This trial is for adults with advanced or metastatic solid tumors like head and neck, lung, endometrial, or ovarian cancer that have a HER2 marker. They must have tried platinum-based therapy without success and can't have had too many prior treatments. People with untreated brain metastases, previous HER2-targeted ADC treatment, recent other cancers, or sensitivity to DV ingredients cannot join.

Inclusion Criteria

I have advanced head and neck cancer that has worsened after platinum therapy.
I have ovarian cancer that is advanced, platinum-resistant, and I've had 4 or fewer chemotherapy treatments.
I have NSCLC that's advanced or spread and didn't respond well to platinum therapy or PD(L)1 inhibitors.
See 1 more

Exclusion Criteria

I have brain or spinal cord metastasis that hasn't been treated.
I haven't had another type of invasive cancer in the last 2 years.
Known hypersensitivity to any excipient contained in the drug formulation of disitamab vedotin
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive disitamab vedotin (DV) once every 2 weeks to treat solid tumors expressing HER2

Approximately 3 years
Bi-weekly visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment, including assessment of adverse events and overall survival

Approximately 5 years

What Are the Treatments Tested in This Trial?

Interventions

  • Disitamab Vedotin
Trial Overview The study tests disitamab vedotin (DV), an experimental antibody-drug conjugate designed to target and kill cancer cells in tumors expressing the HER2 marker. Participants will receive DV every two weeks to evaluate its effectiveness against various solid tumors and assess its safety profile.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Group I: Ovarian cancerExperimental Treatment1 Intervention
Group II: Non-small cell lung cancerExperimental Treatment1 Intervention
Group III: Head and neck cancerExperimental Treatment1 Intervention
Group IV: Endometrial cancerExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Seagen Inc.

Lead Sponsor

Trials
212
Recruited
73,800+
Founded
1997
Headquarters
Bothell, USA
Known For
Antibody-Drug Conjugates
Top Products
Adcetris (brentuximab vedotin), Tukysa (tucatinib), Padcev (enfortumab vedotin-ejfv), Tivdak (tisotumab vedotin-tftv)
Dr. Roger Dansey profile image

Dr. Roger Dansey

Seagen Inc.

Chief Medical Officer since 2018

MD from University of Witwatersrand

David R. Epstein profile image

David R. Epstein

Seagen Inc.

Chief Executive Officer since 2022

BSc in Pharmacy from Rutgers University, MBA from Columbia University

Seagen, a wholly owned subsidiary of Pfizer

Lead Sponsor

Trials
20
Recruited
4,900+

Published Research Related to This Trial

In a study of 36 patients with locally advanced or metastatic urothelial carcinoma, RC48-ADC (disitamab vedotin) demonstrated promising efficacy, with a median progression-free survival (PFS) of 5.4 months and a 1-year overall survival (OS) rate of 79.6%.
Combining RC48 with immunotherapy significantly improved median PFS to 8.5 months compared to 5.4 months for RC48 alone, indicating that this combination may enhance treatment outcomes for patients.
HER2-targeting antibody-drug conjugate RC48 alone or in combination with immunotherapy for locally advanced or metastatic urothelial carcinoma: a multicenter, real-world study.Chen, M., Yao, K., Cao, M., et al.[2023]
Disitamab vedotin (RC48), an HER2-targeted antibody-drug conjugate, shows enhanced tumor suppression and improved antitumor immunity when combined with PD-1/PD-L1 immune checkpoint inhibitors in a human HER2-expressing breast cancer model.
The combination therapy not only led to significant tumor rejection but also promoted the formation of immunological memory, providing long-lasting protection against tumor recurrence in treated mice.
A HER2 target antibody drug conjugate combined with anti-PD-(L)1 treatment eliminates hHER2+ tumors in hPD-1 transgenic mouse model and contributes immune memory formation.Huang, L., Wang, R., Xie, K., et al.[2022]
Disitamab vedotin, an antibody-drug conjugate targeting HER2, received its first approval in China for treating HER2-overexpressing locally advanced or metastatic gastric cancer after patients have undergone at least two chemotherapy regimens.
The drug is also being explored for use in other solid tumors, including urothelial cancer and various types of breast cancer, indicating its potential as a versatile treatment option in oncology.
Disitamab Vedotin: First Approval.Deeks, ED.[2023]

Citations

378MO Efficacy and safety of disitamab vedotin in ...This study indicates that RC48 has promising efficacy and manageable safety for advanced or recurrent gynecological tumors expressing HER2.
Complete response to disitamab vedotin in HER2-low ...The tumor lesions shrunk markedly after three cycles of treatment and disappeared by the completion of ten cycles of therapy. The patient is ...
Efficacy and safety of disitamab vedotin combination ...This study suggests that RC48-based combination therapy is both effective and tolerable in patients with HER2-positive advanced gynecological cancers.
Evaluation of the effectiveness and safety of disitamab ...The RC48-C018 trial showed promising anti-tumor activity and an acceptable safety profile associated with RC48 monotherapy in patients with HER2 ...
Efficacy and safety analysis of a HER2-targeting antibody- ...The combination therapy of Disitamab Vedotin plus ICIs showed a higher ORR (44.1% vs. 20.0%) and a longer median PFS (14 vs. 8 months) compared ...
Disitamab Vedotin in HER2-Positive and HER2-Low Breast ...This real-world study demonstrates the efficacy of RC48 in both HER2-positive and HER2-low breast cancer. Notably, combination therapy significantly improved ...
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