RecruitingPhase 2NCT07102381

A Phase 2 Neoadjuvant Study of Zanidatamab in Combination With Chemotherapy in Participants With HER2-positive Breast Cancer

A Phase 2, Randomized, Multicenter, Open-label Neoadjuvant Study Evaluating Zanidatamab in Combination With Chemotherapy in Participants With HER2-positive Breast Cancer


Sponsor

Jazz Pharmaceuticals

Enrollment

125 participants

Start Date

Sep 24, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to see if zanidatamab is safe and effective, when combined with chemotherapy, in treating people who has Human Epidermal Growth Factor Receptor 2 (HER2)-positive, early-stage breast cancer


Eligibility

Min Age: 18 Years

Inclusion Criteria9

  • Has Stage II or III histologically confirmed invasive breast carcinoma.
  • Has histologically confirmed HER2-positive breast cancer
  • Has a known hormone receptor (HR) status of the primary tumor
  • Participants with multifocal or multicentric disease are eligible if the largest tumor (which must be larger than or equal to 2 cm in diameter) is HER2-positive, and the treating physician has determined the participant should be treated as HER2-positive.
  • Agrees to undergo a mastectomy or breast conserving surgery (BCS) after neoadjuvant therapy.
  • Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Adequate organ function
  • Has an LVEF ≥ 50% as determined by either ECHO or MUGA obtained within 4 weeks prior to first dose of study intervention.
  • Adequate contraceptive precautions

Exclusion Criteria13

  • Has Stage IV (metastatic) breast cancer.
  • Has bilateral breast cancer.
  • Has a history of any severe and/or uncontrolled medical conditions or other conditions that, in the opinion of the investigator, could affect the participant's involvement in the study.
  • Has uncontrolled hypertension
  • Has significant symptoms from peripheral neuropathy
  • Has an active uncontrolled infection
  • Has a history of life-threatening hypersensitivity to monoclonal antibodies or to recombinant proteins or excipients in the drug formulation of zanidatamab or other study interventions.
  • Known active hepatitis B or C infection.
  • Has another malignancy diagnosed within the last 5 years. Exceptions include previously treated non melanomatous skin cancers, carcinoma in-situ, and melanoma in-situ.
  • Was treated with chemotherapy, anti-HER2 therapy, radiation therapy, endocrine therapy, or experimental therapy for invasive breast cancer
  • Is planning to receive concurrent therapy with any other investigational agent or anti-cancer therapy not specified in the protocol
  • Receipt of a live vaccine within 4 weeks prior to enrollment
  • Has a known hypersensitivity to any components of the study interventions, including chemotherapy

Interventions

DRUGZanidatamab

Administered intravenously (IV)

DRUGPaclitaxel

Administered intravenously (IV)

DRUGDocetaxel

Administered intravenously (IV)

DRUGCarboplatin

Administered intravenously (IV)

DRUGTrastuzumab

Administered intravenously (IV)

DRUGPertuzumab

Administered intravenously (IV)


Locations(21)

Oncology Institute

Long Beach, California, United States

Rocky Mountain Cancer Centers

Denver, Colorado, United States

The Oncology Institute

Lakeland, Florida, United States

Accellacare of McFarland

Ames, Iowa, United States

LSU Health Sciences Center

Shreveport, Louisiana, United States

New England Cancer Specialists

Scarborough, Maine, United States

Maryland Oncology Hematology

Laurel, Maryland, United States

Cancer Partners of Nebraska

Lincoln, Nebraska, United States

Nebraska Cancer Specialists

Omaha, Nebraska, United States

Astera Cancer Care (Formerly Regional Cancer Care Associates)

East Brunswick, New Jersey, United States

Medical Oncology Hematology Associates

Newark, New Jersey, United States

Hematology Oncology Associates of Central New York

Camillus, New York, United States

Sarah Cannon Research Institute (Nashville)

Nashville, Tennessee, United States

Texas Oncology DFW

Dallas, Texas, United States

The University of Texas Southwestern Medical Center

Dallas, Texas, United States

Texas Oncology Gulf Coast

Houston, Texas, United States

Virginia Cancer Specialists

Fairfax, Virginia, United States

Virginia Oncology Associates

Norfolk, Virginia, United States

Shenandoah Oncology

Winchester, Virginia, United States

Northwest Medical Specialties

Puyallup, Washington, United States

Northwest Cancer Specialists

Vancouver, Washington, United States

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NCT07102381


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