RecruitingPhase 1NCT07081555

A First-in-Human Phase 1 Safety and Biodistribution of [177Lu]Lu-ABY-271 in Subjects With HER2-positive Metastatic Breast Cancer

A First-in-Human Phase 1, Open-label, Two-stage, Randomized Trial to Assess the Safety, Tolerability, and Biodistribution of [177Lu]Lu-ABY-271 in Tumors and Critical Organs in Subjects With HER2-positive Metastatic Breast Cancer


Sponsor

Affibody

Enrollment

21 participants

Start Date

Oct 6, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a FiH phase 1, open-label, two-stage, randomized trial to assess the safety, tolerability, and biodistribution of \[177Lu\]Lu-ABY-271 in subjects with HER2 positive metastatic breast cancer.


Eligibility

Sex: FEMALEMin Age: 18 Years

Inclusion Criteria10

  • Subject has unresectable locally advanced or metastatic breast cancer
  • Subject with histologically or cytologically confirmed carcinoma with documented HER2 overexpression (biopsy not older than 2 years): immunohistochemistry (IHC) score 3+; OR 2+ and fluorescence in situ hybridization (ISH) positive
  • At least one known tumor lesion ≥ 15 mm
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
  • Part A only
  • \- Subject is in treatment, or planned to start a new line of standard systemic anti-tumor therapy
  • Part B only
  • Subject has progressive disease, documented radiologically in the last three months
  • Subject has received at least 3 lines of standard systemic anti-tumor therapy in the palliative setting
  • Subject has received last dose of previous line of systemic anti-tumor therapy, and has no ongoing treatment related toxicities \> grade 1 (except alopecia) prior to planned first dose of \[177Lu\]Lu-ABY-271

Exclusion Criteria3

  • Active brain metastases
  • Administration of another IMP within 5 half-lives (for experimental biologics: 6 months or 5 half-lives, whichever is longer) of the planned first dose of \[177Lu\]Lu-ABY-271
  • Exposure to any anti-tumor therapy since the last documented progression, including any radiotherapy within 7 days prior to the planned first dose of \[177Lu\]Lu-ABY-271

Interventions

DRUG[177Lu]Lu-ABY-271

A single infusion of \[177Lu\]Lu-ABY-271


Locations(3)

Sahlgrenska University Hospital

Gothenburg, Sweden

Karolinska University Hospital

Stockholm, Sweden

Akademiska Sjukhuset

Uppsala, Sweden

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NCT07081555


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