Last updated 33 days ago

A Study of Zanidatamab in Combination With Chemotherapy Plus or Minus Tislelizumab in Patients With HER2-positive Advanced or Metastatic Gastric and Esophageal Cancers

918 patients around the world
Available in Chile, Spain, Argentina
Zymeworks Inc.
38Research sites
918Patients around the world

This study is for people with

Esophageal cancer
Gastric cancer
Gastroesophageal cancer

Requirements for the patient

From 18 Years
All Gender

Medical requirements

Histologically confirmed unresectable locally advanced, recurrent or metastatic HER2-positive gastroesophageal adenocarcinoma (adenocarcinomas of the stomach or esophagus, including the gastroesophageal junction), defined as 3+ HER2 expression by IHC or 2+ HER2 expression by IHC with ISH positivity per central assessment. Subjects with esophageal adenocarcinoma must not be eligible for combined chemoradiotherapy at the time of enrollment
Assessable (measurable or non-measurable) disease as defined by RECIST 1.1
Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1, assessed within 3 days prior to randomization
Adequate organ function
Left ventricular ejection fraction (LVEF) ≥ 50% as determined by either echocardiogram or multiple gated acquisition scan (MUGA)
Prior treatment with a HER2-targeted agent, with the exception of subjects who received HER2-targeted treatment for breast cancer > 5 years prior to initial diagnosis of GEA
Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2 or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
Prior treatment with systemic antineoplastic therapy or intraperitoneal chemotherapy for unresectable locally advanced, recurrent or metastatic GEA
Untreated central nervous system (CNS) metastases, symptomatic CNS metastases, or radiation treatment for CNS metastases within 4 weeks prior to randomization. Stable, treated brain metastases are allowed (defined as subjects who are completely off steroids and anticonvulsants and are neurologically stable with no evidence of radiographic progression for at least 4 weeks prior to randomization)
Known history of or ongoing leptomeningeal disease (LMD)
Known additional malignancy that is not considered cured or that has required treatment within the past 3 years
Known active hepatitis
Any history of human immunodeficiency virus (HIV) infection
Known SARS-CoV-2 infection; subjects with prior infection that has resolved per local institutions' requirements and screening guidance are eligible
QTc Fridericia (QTcF) > 470 ms
Clinically significant cardiac disease, such as ventricular arrhythmia requiring therapy, uncontrolled hypertension or any history of symptomatic congestive heart failure (CHF)

Sites

Centro de Investigaciones Clínicas - Clínica Viedma - Río Negro
Centro de Investigaciones Clínicas - Clínica Viedma - Río Negro
Recruiting
25 de mayo 174, Viedma, Río Negro
Centro de Investigación Pergamino SA
Recruiting
Av. de Mayo 1115, Pergamino, Buenos Aires
Hospital de Clínicas de Porto Alegre - HCPA/UFRGS
Recruiting
Rua Ramiro Barcelos, 2350, Av. Protásio Alves, 211 - Santa Cecília, Porto Alegre - RS, 90035-903
Irmandade da Santa Casa de Misericórdia de Porto Alegre
Recruiting
Rua Professor Annes Dias - Centro Histórico, Porto Alegre - RS, 90020-090, Brazil
Instituto Do Câncer Do Ceará ICC
Recruiting
Rua Papi Júnior, 1222 - Rodolfo Teófilo, Fortaleza - CE, 60430-230
Hospital de Clínicas de Porto Alegre - HCPA/UFRGS
Recruiting
Rua Ramiro Barcelos, 2350, Av. Protásio Alves, 211 - Santa Cecília, Porto Alegre - RS, 90035-903
Irmandade da Santa Casa de Misericórdia de Porto Alegre
Recruiting
Rua Professor Annes Dias - Centro Histórico, Porto Alegre - RS, 90020-090, Brazil
Instituto Do Câncer Do Ceará ICC
Recruiting
Rua Papi Júnior, 1222 - Rodolfo Teófilo, Fortaleza - CE, 60430-230
Corporacion de Beneficencia Osorno
Recruiting
Zenteno 1530, Osorno, Los Lagos
Centro de Estudios Clínicos SAGA - CECSAGA
Recruiting
Antonio Varas 517, 7500653 Providencia, Región Metropolitana
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