RecruitingPhase 2Phase 3NCT05786716

DETERMINE Trial Treatment Arm 04: Trastuzumab in Combination With Pertuzumab in Adult, Paediatric and Teenage/Young Adult Patients With Cancers With HER2 Amplification or Activating Mutations

DETERMINE (Determining Extended Therapeutic Indications for Existing Drugs in Rare Molecularly Defined Indications Using a National Evaluation Platform Trial): An Umbrella-Basket Platform Trial to Evaluate the Efficacy of Targeted Therapies in Rare Adult, Paediatric and Teenage/Young Adult (TYA) Cancers With Actionable Genomic Alterations, Including Common Cancers With Rare Actionable Alterations. Treatment Arm 04: Trastuzumab in Combination With Pertuzumab in Adult, Paediatric and Teenage/Young Adult Patients With Cancers With HER2 Amplification or Activating Mutations.


Sponsor

Cancer Research UK

Enrollment

30 participants

Start Date

Mar 7, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This clinical trial is looking at a combination of drugs called trastuzumab and pertuzumab. This combination of drugs is approved together as standard of care treatment for adult patients with breast cancer (often with other anti-cancer drugs). This means it has gone through clinical trials and been approved by the Medicines and Healthcare products Regulatory Agency (MHRA) in the UK. Trastuzumab and pertuzumab work in patients with these types of cancers which have a molecular alteration called HER2 amplification or HER2 activating mutation. Investigators now wish to find out if it will be useful in treating patients with other cancer types which are also HER2 amplified or HER2 mutated. If the results are positive, the study team will work with the NHS and the Cancer Drugs Fund to see if these drugs can be routinely accessed for patients in the future. This trial is part of a trial programme called DETERMINE. The programme will also look at other anti-cancer drugs in the same way, through matching the drug to rare cancer types or ones with specific mutations.


Eligibility

Min Age: 12 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a combination of two targeted cancer drugs — trastuzumab and pertuzumab — in patients whose tumors have a specific change in a gene called HER2. HER2 is a protein that can drive tumor growth, and these drugs are designed to block it. This trial is part of a larger precision medicine program. **You may be eligible if...** - You are 12 years of age or older - Your tumor has been confirmed to have HER2 amplification or an activating HER2 mutation through genetic testing - You have exhausted or are not suitable for standard treatment options - You are in reasonably good overall health - You are willing to use effective birth control if applicable **You may NOT be eligible if...** - Your heart function is below normal threshold - You have had prior treatment with trastuzumab, pertuzumab, or other HER2-targeting drugs in certain contexts - You are pregnant or breastfeeding - You have active, uncontrolled brain metastases - You have certain severe heart conditions or other serious health problems Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGTrastuzumab

An initial loading dose of 8 mg/kg body weight, followed thereafter by a maintenance dose of 6 mg/kg body weight administered intravenously every 21 days. Patients may continue until disease progression without clinical benefit, unacceptable AEs or withdrawal of consent.

DRUGPertuzumab

An initial loading dose of 640 mg, followed thereafter by a maintenance dose of 420 mg administered intravenously every 21 days. Paediatric patients will receive an initial loading dose of 14 mg/kg (maximum 840 mg), followed thereafter by a maintenance dose of 7 mg/kg (maximum 420 mg) administered intravenously every 21 days. Patients may continue until disease progression without clinical benefit, unacceptable AEs or withdrawal of consent.


Locations(27)

Belfast City Hospital

Belfast, United Kingdom

University Hospital Birmingham

Birmingham, United Kingdom

Birmingham Children's Hospital

Birmingham, United Kingdom

Bristol Royal Hospital for Children

Bristol, United Kingdom

Bristol Haematology and Oncology Centre

Bristol, United Kingdom

Addenbrooke's Hospital

Cambridge, United Kingdom

Velindre Cancer Centre

Cardiff, United Kingdom

Cardiff Children's Hospital

Cardiff, United Kingdom

Western General Hospital

Edinburgh, United Kingdom

The Beatson Hospital

Glasgow, United Kingdom

Royal Hospital for Children Glasgow

Glasgow, United Kingdom

Leicester Royal Infirmary

Leicester, United Kingdom

Alder Hey Hospital

Liverpool, United Kingdom

University College London Hospital

London, United Kingdom

Guy's Hospital

London, United Kingdom

Great Ormond Street Hospital

London, United Kingdom

Royal Manchester Children's Hospital

Manchester, United Kingdom

The Christie Hospital

Manchester, United Kingdom

Clatterbridge Cancer Centre

Metropolitan Borough of Wirral, United Kingdom

Great North Children's Hospital

Newcastle, United Kingdom

Freeman Hospital

Newcastle, United Kingdom

Churchill Hospital

Oxford, United Kingdom

John Radcliffe Hospital

Oxford, United Kingdom

Weston Park Hospital

Sheffield, United Kingdom

Sheffield's Children's Hospital

Sheffield, United Kingdom

Southampton General Hospital

Southampton, United Kingdom

The Royal Marsden Hospital

Sutton, United Kingdom

View Full Details on ClinicalTrials.gov

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