RecruitingPhase 1Phase 2NCT06324357

Beamion BCGC-1: A Study to Find a Suitable Dose of Zongertinib Used Alone and in Combination With Other Treatments to Test Whether it Helps People With Different Types of HER2+ Cancer That Has Spread

Beamion BCGC-1: A Phase Ib Dose Escalation and Phase II Dose Optimization, Randomized, Open-label, Multicenter Trial of Oral Zongertinib (BI 1810631) Alone or in Combination With Other Agents for the Treatment of Patients With Advanced HER2+ Metastatic Breast Cancer (mBC), Metastatic Gastric, Gastroesophageal Junction, or Esophageal Adenocarcinoma (mGEAC), or Metastatic Colorectal Cancer (mCRC)


Sponsor

Boehringer Ingelheim

Enrollment

768 participants

Start Date

Jun 3, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This study is open to adults aged 18 years and older with different types of HER2+ cancer that has spread and cannot be removed by surgery. People can take part in this study if their tumours show HER2 aberrations and previous treatment was not successful. The purpose of this study is to find a suitable dose of zongertinib that people with different types of HER2+ cancer that has spread can tolerate best when taken together with trastuzumab deruxtecan (T-DXd), with trastuzumab emtansine (T-DM1), with trastuzumab and capecitabine, with zanidatamab, or with mFOLFOX6 (with or without trastuzumab). Another purpose is to check whether zongertinib alone and in combination with other treatments can make tumours shrink. Zongertinib inhibits HER2. HER2 causes cancer cells to grow. In this study, participants receive treatment in cycles. Study participants are treated with zongertinib alone or in combination with other treatments. This study has 2 parts. In Part 1, participants in different groups receive increasing doses of zongertinib. In Part 2, participants are put into different groups by chance. Each group receives a different dose of zongertinib. Every participant has an equal chance of being in each group. During the study, the participants visit the study site regularly. In this study, researchers want to find the highest dose of zongertinib that participants can tolerate when taken together with other treatments. To find this out, researchers look at certain severe health problems that a number of participants have. The doctors regularly check the size of the tumour with imaging methods (CT/MRI) during the study. The doctors also regularly check participants' health and take note of any unwanted effects.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing an oral drug called zongertinib, alone and in combination with other treatments, for people with HER2-positive cancers — including breast cancer, stomach or esophageal cancer, and colorectal cancer — that have spread to other parts of the body. HER2 is a protein that some cancers overexpress, making them grow more aggressively. **You may be eligible if:** - You are 18 years or older - You have been diagnosed with HER2-positive metastatic breast cancer, gastric/esophageal cancer, or colorectal cancer - Your cancer has been confirmed HER2-positive by standard testing - You have received prior treatments appropriate for your cancer type - You have measurable disease and adequate organ function **You may NOT be eligible if:** - Your cancer is not HER2-positive - You have brain metastases that are not stable or treated - You have serious heart conditions - You are pregnant or breastfeeding - You have received prior treatment with certain HER2-targeted drugs depending on the cohort you are enrolling in 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

DRUGZongertinib

Zongertinib

DRUGTrastuzumab deruxtecan

Trastuzumab deruxtecan

DRUGTrastuzumab emtansine

Trastuzumab emtansine

DRUGTrastuzumab

Herceptin®

DRUGCapecitabine

Xeloda®

DRUGmFOLFOX6

mFOLFOX6

DRUGzanidatamab

zanidatamab


Locations(108)

Mayo Clinic-Arizona

Phoenix, Arizona, United States

The Oncology Institute of Hope and Innovation

Cerritos, California, United States

Ellison Medical Institute

Los Angeles, California, United States

Valkyrie Clinical Trials

Los Angeles, California, United States

University of California Los Angeles

Los Angeles, California, United States

University of California Irvine

Orange, California, United States

Sharp Memorial Hospital

San Diego, California, United States

Yale University School of Medicine

New Haven, Connecticut, United States

Mayo Clinic - Florida

Jacksonville, Florida, United States

H. Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, United States

Orchard Healthcare Research Inc.- Skokie

Skokie, Illinois, United States

Community Health Network

Indianapolis, Indiana, United States

University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

Massachusetts General Hospital

Boston, Massachusetts, United States

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

University of Michigan

Ann Arbor, Michigan, United States

Mayo Clinic, Rochester

Rochester, Minnesota, United States

Memorial Sloan-Kettering Cancer Center

New York, New York, United States

New York Cancer & Blood Specialists

Shirley, New York, United States

Penn State Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States

Avera Cancer Institute

Sioux Falls, South Dakota, United States

Baptist Cancer Center - Memphis

Memphis, Tennessee, United States

SCRI Oncology Partners

Nashville, Tennessee, United States

Tennessee Oncology, Pllc

Nashville, Tennessee, United States

The Methodist Hospital Research Institute

Houston, Texas, United States

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Inova Schar Cancer Institute

Fairfax, Virginia, United States

Virginia Cancer Specialists, PC

Fairfax, Virginia, United States

Fred Hutchinson Cancer Research Center

Seattle, Washington, United States

Cliniques Universitaires Saint-Luc

Brussels, Belgium

Edegem - UNIV UZ Antwerpen

Edegem, Belgium

UZ Leuven

Leuven, Belgium

Hôpital Vivalia De Libramont

Libramont-Chevigny, Belgium

Centre Hospitalier Universitaire de Liège

Liège, Belgium

CHU UCL Namur

Namur, Belgium

Jilin Province Cancer Hospital

Changchun, China

The First Hospital of Jilin University

Changchun, China

Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine

Hangzhou, China

Harbin Medical University Cancer Hospital

Harbin, China

Jiangsu Province Hospital

Nanjing, China

Fudan University Shanghai Cancer Center

Shanghai, China

Tianjin Cancer Hospital

Tianjin, China

Henan Cancer Hospital

Zhengzhou, China

INS Bergonie

Bordeaux, France

CTR François Baclesse

Caen, France

CTR Georges-François Leclerc

Dijon, France

CTR Leon Berard

Lyon, France

INS Paoli-Calmettes

Marseille, France

HOP Tenon

Paris, France

CTR Eugène Marquis

Rennes, France

Institut de Cancérologie de l'Ouest

Saint-Herblain, France

Institut de Cancérologie de Strasbourg

Strasbourg, France

INS Claudius Regaud IUCT-Oncopole

Toulouse, France

Institut Gustave Roussy

Villejuif, France

Universitätsklinikum Carl Gustav Carus Dresden

Dresden, Germany

Universitätsklinikum Erlangen

Erlangen, Germany

Evang. Kliniken Essen-Mitte gGmbh

Essen, Germany

Asklepios Kliniken GmbH & Co. KGaA

Hamburg, Germany

Universitätsklinikum Mannheim GmbH

Mannheim, Germany

Universitätsklinikum Ulm

Ulm, Germany

Istituto Di Candiolo

Candiolo (TO), Italy

Az.Osp. Universitaria "Ospedali Riuniti"

Foggia, Italy

Istituto Scientifico Romagnolo

Meldola (FC), Italy

Ospedale San Raffaele S.r.l.

Milan, Italy

Istituto Europeo di Oncologia

Milan, Italy

Humanitas Istituto Clinico Catanese S.p.A.

Misterbianco (CT), Italy

Istituto Nazionale IRCCS Tumori Fondazione Pascale

Naples, Italy

Istituto Clinico Humanitas

Rozzano, Italy

Aichi Cancer Center Hospital

Aichi, Nagoya, Japan

Tokai University Hospital

Isehara, Japan

Hakuaikai Sagara Hospital

Kagoshima, Japan

Kanagawa Cancer Center

Kanagawa, Yokohama, Japan

National Cancer Center Hospital East

Kashiwa-shi, Japan

Kyoto University Hospital

Kyoto, Japan

Osaka International Cancer Institute

Osaka, Japan

Japanese Foundation for Cancer Research

Tokyo, Koto-ku, Japan

CHA Bundang Medical Center

Seongnam-si, South Korea

Seoul National University Bundang Hospital

Seongnam-si, South Korea

Severance Hospital, Yonsei University Health System

Seoul, South Korea

Asan Medical Center

Seoul, South Korea

Korea University Anam Hospital

Seoul, South Korea

Seoul National University Hospital

Seoul, South Korea

The Catholic University of Korea, Seoul St.Mary's Hospital

Seoul, South Korea

Severance Hospital, Yonsei University Health System

Seoul, South Korea

Hospital Teresa Herrera

A Coruña, Spain

Hospital del Mar

Barcelona, Spain

Hospital Universitari Vall d'Hebron

Barcelona, Spain

Hospital Clínic de Barcelona

Barcelona, Spain

Hospital Duran i Reynals

L'Hospitalet de Llobregat, Spain

Hospital General Universitario Gregorio Marañón

Madrid, Spain

Clínica Universidad de Navarra - Madrid

Madrid, Spain

Fundación Jiménez Díaz

Madrid, Spain

Hospital Clínico San Carlos

Madrid, Spain

Hospital Universitario 12 de Octubre

Madrid, Spain

Hospital Universitario La Paz

Madrid, Spain

CIO Clara Campal

Madrid, Spain

Hospital Universitario Virgen De La Macarena

Seville, Spain

Instituto Valenciano de Oncología

Valencia, Spain

Velindre Cancer Centre

Cardiff, United Kingdom

St James's University Hospital

Leeds, United Kingdom

St Bartholomew's Hospital

London, United Kingdom

University College Hospital

London, United Kingdom

Royal Free Hospital

London, United Kingdom

The Royal Marsden Hospital, London

London, United Kingdom

The Christie Hospital

Manchester, United Kingdom

Freeman Hospital

Newcastle upon Tyne, United Kingdom

Nottingham University Hospital

Nottingham, United Kingdom

The Royal Marsden Hospital, Sutton

Sutton, United Kingdom

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NCT06324357


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