A Phase 1 Trial of ZN-A-1041 Enteric Capsules or Combination in Participants With Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Advanced Solid Tumors

PHASE1/PHASE2Active, not recruitingINTERVENTIONAL
Enrollment

210

Participants

Timeline

Start Date

September 3, 2020

Primary Completion Date

October 30, 2025

Study Completion Date

October 30, 2026

Conditions
Advanced Solid TumorsHER2-positive Breast Cancer
Interventions
DRUG

ZN-A-1041

ZN-A-1041: escalating doses orally BID at pre-defined dosing regimens to determine the MTD

DRUG

ZN-A-1041 + T-DM1 3.6 mg/kg iv. for Phase 1b

ZN-A-1041: BID via oral administration T-DM1: 3.6 mg/kg given as an intravenous infusion on the first day of each treatment cycle, once every 3 weeks (21-day cycle)

DRUG

ZN-A-1041 + T-Dxd 5.4 mg/kg iv. for Phase 1b

ZN-A-1041: BID via oral administration T-DXd: 5.4 mg/kg given as an intravenous infusion on the first day of each treatment cycle, once every 3 weeks (21-day cycle)

DRUG

ZN-A-1041 + PHESGO / Herceptin plus Perjeta injection for Phase 1b

ZN-A-1041: BID via oral administration PHESGO dose is 600 mg pertuzumab/600 mg trastuzumab/2000 unites hyaluronidase every 3 weeks for subcutaneous administrations (21-day cycle) Perjeta is 420 mg administered as an intravenous infusion Herceptin is 6 mg/kg administered as an intravenous infusion

DRUG

ZN-A-1041 + T-DM1 3.6 mg/kg iv. for Phase 1c

ZN-A-1041: BID via oral administration T-DM1: intravenous infusion on the first day of each treatment cycle, once every 3 weeks (21-day cycle)

DRUG

ZN-A-1041 + T-Dxd 5.4 mg/kg iv. for Phase 1c

ZN-A-1041: BID via oral administration T-DXd: intravenous infusion on the first day of each treatment cycle, once every 3 weeks (21-day cycle)

DRUG

ZN-A-1041 + PHESGO / Herceptin plus Perjeta injection for Phase 1c

ZN-A-1041: BID via oral administration PHESGO: every 3 weeks for subcutaneous administrations (21-day cycle) Perjeta: intravenous infusion Herceptin: intravenous infusion

Trial Locations (36)

1023

Auckland City Hospital, Auckland

3021

Sunshine Hospital, St Albans

3220

Geelong Hospital, Geelong

13009

Institut Paoli-Calmettes, Marseille

15706

Hospital Clinico Universitario de Santiago, Santiago de Compostela

20020

Fondazione Policlinico Universitario A Gemelli-Rome, Magnago

21000

Centre Georges Francois Leclerc, Dijon

23007

Hospital Universitario de Jaen, Jaén

24127

Asst Papa Giovanni XXIII, Bergamo

27710

Duke University School of Medicine, Durham

28007

Hospital Beata Maria Ana, Madrid

28040

Hospital Clinico San Carlos, Madrid

28041

Hospital Universitario 12 de Octubre, Madrid

31059

EDOG - Institut Claudius Regaud - PPDS, Toulouse

32540

Hospital Universitario Ramon y Cajal, A Gudiña

41009

Hospital Universitario Virgen Macarena, Seville

41730

Hospital Universitario Virgen del Rocio, Las Cabezas de San Juan

43126

Istituto Romagnolo per lo Studio dei Tumori Dino Amadori - IRST S.r.l - PPDS, Parma

44805

Institut de Cancerologie de l Ouest, Saint-Herblain

46009

Fundacion Instituto Valenciano de Oncologia (IVO), Valencia

46010

Hospital Clinico Universitario de Valencia, Valencia

48109

University of Michigan Hospital, Ann Arbor

48201

Barbara Ann Karmanos Cancer Institute, Detroit

59020

Centre Oscar Lambret, Lille

69373

Centre Léon Bérard Centre Régional de Lutte Contre Le Cancer Rhône Alpes, Lyon

85712

Arizona Clinical Research Center, Inc.;Hematology Oncology Physicians - Aoa, Tucson

94158

UCSF Helen Diller Family CCC, San Francisco

94800

Gustave Roussy, Villejuif

90703-2684

TOI Clinical Research, Cerritos

02215

Dana Farber Cancer Institute, Boston

77030-4000

MD Anderson Cancer Center, Houston

08310

Instituto de Investigacion Oncologica Vall dHebron (VHIO) - EPON, Argentona

08028

Instituto Oncologico Dr. Rosell-Hospital Universitari Dexeus-Grupo Quironsalud, Barcelona

08036

Hospital Clinic de Barcelona, Barcelona

M20 4BX

The Christie, Manchester

L69 3GL

Clatterbridge Cancer Centre, Liverpool

All Listed Sponsors
lead

Hoffmann-La Roche

INDUSTRY