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Trial ยท NCT04579380

Basket Study of Tucatinib and Trastuzumab in Solid Tumors With HER2 Alterations

NCT04579380, Phase 2, Active not recruiting, Seagen, a wholly owned subsidiary of Pfizer; results first posted 2024-11-13

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Basket Study of Tucatinib and Trastuzumab in Solid Tumors With HER2 Alterations. Trials, record NCT04579380. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04579380

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Basket Study of Tucatinib and Trastuzumab in Solid Tumors With HER2 Alterations
NCT number
NCT04579380
Status
Active not recruiting
Phases
Phase 2
Enrollment
217 participants, actual
Lead sponsor
Seagen, a wholly owned subsidiary of Pfizer
Conditions
Uterine Neoplasms, Uterine Cervical Neoplasms, Biliary Tract Neoplasms, Urologic Neoplasms, Carcinoma, Non-Small-Cell Lung, HER2 Mutations Breast Neoplasms
Interventions
tucatinib, trastuzumab, fulvestrant
First posted
2020-10-08
Last updated
2026-08-21
Results first posted
2024-11-13

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryConfirmed Objective Response Rate (cORR) as Assessed by InvestigatorFrom the first dose of study treatment until the first documented CR or PR on or before the first documented PD or new anti-cancer therapies or death, whichever occurred first (up to 28.3 months)
Confirmed ORR was defined as the percentage of participants with best overall response of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria version (v)1.1 as assessed by investigator and was considered as confirmed when subsequent response was at least 4 weeks after initial response. As per RECIST v1.1, CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (\<)10 millimeter (mm). PR: at least a greater than or equal to (\>=)30 % decrease in the sum of diameters (SOD) of target lesions (longest for non-nodal target lesions and the short axes for nodal target lesions), taking as reference the baseline sum diameters. Disease progression (PD): at least \>=20% relative increase in SOD of target lesion taking as reference the smallest sum on study (including baseline sum if that is the smallest on study).
SecondaryConfirmed Disease Control Rate (DCR) as Assessed by InvestigatorFrom the first dose study treatment until PD or death, whichever occurred first (approximately 52.7 months)
DCR was defined as the percentage of participants with confirmed CR, PR, or stable disease (SD or non-CR/non-PD) according to RECIST v1.1 as assessed by investigator. As per RECIST v1.1, CR: disappearance of all target (T) lesions and non-target (NT) lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR: at least \>=30 % decrease in the SOD of target lesions (longest for non-nodal target lesions and the short axes for nodal target lesions), taking as reference the baseline sum diameters. PD: at least \>=20% relative increase in SOD of target lesions taking as reference the smallest sum on study (including baseline sum if that is the smallest on study). SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest SOD while on study and cannot have met criteria for PD previously.
SecondaryDuration of Response (DOR) as Assessed by InvestigatorFrom the first documented CR or PR until the first documentation of PD or death or censoring date, whichever occurred first (approximately 52.7 months)
DOR: time from first documentation of confirmed CR/PR to first documentation of PD according to RECIST v1.1 or death from any cause, whichever occurred earlier. Per RECIST v1.1, CR: disappearance of all T/NT lesions(L). Any pathological lymph nodes (whether T/NT) must have reduction in short axis to \<10 mm. PR: at least \>=30 % decrease in SOD of TL, taking reference baseline sum diameters. PD: at least \>=20% relative increase in SOD of TL taking reference smallest sum on study. Participants who do not have PD \& were still on study at time of an analysis/ who have started new anticancer treatment/discontinue prior to documentation of PD were censored at date of last adequate response assessment documenting absence of PD. Participants who had PD/death occurred after two/more consecutive missing scheduled response assessments were censored at date of last adequate response assessment of CR, PR, SD,/non-CR/non-PD. Kaplan-Meier method was used for evaluation.
SecondaryProgression-Free Survival (PFS) as Assessed by InvestigatorFrom the first documented CR or PR until the first documentation of PD or death or censoring date, whichever occurred first (approximately 52.7 months)
PFS was defined as time from the date of treatment initiation to date of PD as per RECIST v1.1 or death from any cause, whichever occurred first . As per RECIST v1.1, PD: least \>=20% relative increase in SOD of target lesions taking as reference the smallest sum on study (including baseline sum if that is smallest on study). Participants who do not have PD and were still on study at time of an analysis/ who have started new anticancer treatment/discontinue prior to documentation of PD were censored at date of last adequate response assessment documenting absence of PD. Participants who had PD or death occurred after two or more consecutive missing scheduled response assessments were censored at date of last adequate response assessment of CR, PR, SD,/non-CR/non-PD. Kaplan-Meier method was used for evaluation.
SecondaryOverall Survival (OS)From date of start of study treatment until date of death or censoring date (approximately 52.7 months)
OS was defined as the time from treatment initiation to death due to any cause. For a participant who was not known to have died by the end of study follow-up, observation of OS was censored on the date the participant was last known to be alive (i.e., the date of last contact). Participants lacking data beyond the day of treatment initiation were censored on the date of treatment initiation (i.e., OS duration of 1 day). Kaplan-Meier method was used for evaluation.
SecondaryNumber of Participants With Treatment Emergent Adverse Events (TEAEs)From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment (approximately 52.7 months)
An AE was any untoward medical occurrence in a participant or clinical investigational participant administered a medicinal product and which did not necessarily have a causal relationship with this treatment. A TEAE was defined as a newly occurring or worsening AE after the first dose of study treatment.
SecondaryNumber of Participants With Treatment Emergent Laboratory Test AbnormalitiesFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment (approximately 52.7 months)
Treatment-emergent laboratory abnormalities were defined as abnormalities that are new or worsened on or after receiving the first dose of study treatment up to 30 days after the last dose of study treatment. The following laboratory abnormalities were assessed: A-) Hematology: hemoglobin decreased, leukocytes decreased, lymphocytes decreased and increased, neutrophils decreased and platelets decreased; B-) Chemistry: alanine aminotransferase increased, albumin decreased, alkaline phosphatase increased, aspartate aminotransferase increased, calcium corrected for albumin decreased and increased, creatinine increased, glomerular filtration rate estimated decreased, glucose decreased, lactate dehydrogenase increased, magnesium increased and decreased, potassium increased and decreased, sodium increased and decreased and total bilirubin increased.
SecondaryNumber of Participants With Any Dose Modifications Due to AEsFrom first dose of the study treatment (Day 1) up to the last dose of study treatment (approximately 52.7 months)Dose modification included dose hold, dose reduction, or discontinuation of drugs. Dose reductions or treatment interruption/discontinuation were made at the discretion of the investigator.
SecondaryNumber of Participants With TEAEs of Special InterestFrom first dose of the study treatment (Day 1) up to the last dose of study treatment (approximately 52.7 months)
An adverse event of special interest (AESI) were any serious or nonserious AE that were of scientific or medical concern as defined by the sponsor and specific to the program, for which ongoing monitoring and rapid communication to the sponsor were appropriate. A TEAE was defined as a newly occurring or worsening AE after the first dose of study treatment (tucatinib, trastuzumab or fulvestrant). AESIs for this study were related to hepatoxicity.
SecondaryMaximum Concentration (Cmax) of TucatinibCycle 3 Day 1: anytime within 1-4 hours post-dose

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYConfirmed Objective Response Rate (cORR) as Assessed by InvestigatorFrom the first dose of study treatment until the first documented CR or PR on or before the first documented PD or new anti-cancer therapies or death, whichever occurred first (up to 28.3 months)
The Response-Evaluable analysis set includes all participants with measurable disease who meet the following 3 criteria: (1) had a baseline disease assessment, (2) received study treatment, and (3) had post-baseline disease assessment or discontinued treatment due to documented disease progression or clinical progression.
Percentage of participantsNUMBER
SECONDARYConfirmed Disease Control Rate (DCR) as Assessed by InvestigatorFrom the first dose study treatment until PD or death, whichever occurred first (approximately 52.7 months)
SECONDARYDuration of Response (DOR) as Assessed by InvestigatorFrom the first documented CR or PR until the first documentation of PD or death or censoring date, whichever occurred first (approximately 52.7 months)
SECONDARYProgression-Free Survival (PFS) as Assessed by InvestigatorFrom the first documented CR or PR until the first documentation of PD or death or censoring date, whichever occurred first (approximately 52.7 months)
SECONDARYOverall Survival (OS)From date of start of study treatment until date of death or censoring date (approximately 52.7 months)
SECONDARYNumber of Participants With Treatment Emergent Adverse Events (TEAEs)From first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment (approximately 52.7 months)
SECONDARYNumber of Participants With Treatment Emergent Laboratory Test AbnormalitiesFrom first dose of the study treatment (Day 1) up to 30 days after the last dose of study treatment (approximately 52.7 months)
SECONDARYNumber of Participants With Any Dose Modifications Due to AEsFrom first dose of the study treatment (Day 1) up to the last dose of study treatment (approximately 52.7 months)
SECONDARYNumber of Participants With TEAEs of Special InterestFrom first dose of the study treatment (Day 1) up to the last dose of study treatment (approximately 52.7 months)
SECONDARYMaximum Concentration (Cmax) of TucatinibCycle 3 Day 1: anytime within 1-4 hours post-doseThe Pharmacokinetic (PK) analysis set included all participants in the safety set from whom at least one evaluable PK assessment was reported.Nanogram per milliliterGEOMETRIC_MEAN

Results by group27

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Confirmed Objective Response Rate (cORR) as Assessed by InvestigatorTucatinib+Trastuzumab (Cohort 1)27.390% Confidence Interval 7.9 to 56.4Percentage of participants
Confirmed Objective Response Rate (cORR) as Assessed by InvestigatorTucatinib+Trastuzumab (Cohort 2)13.390% Confidence Interval 4.7 to 28.0Percentage of participants
Confirmed Objective Response Rate (cORR) as Assessed by InvestigatorTucatinib+Trastuzumab (Cohort 3)46.790% Confidence Interval 30.8 to 63.0Percentage of participants
Confirmed Objective Response Rate (cORR) as Assessed by InvestigatorTucatinib+Trastuzumab (Cohort 4)8.090% Confidence Interval 1.4 to 23.1Percentage of participants
Confirmed Objective Response Rate (cORR) as Assessed by InvestigatorTucatinib+Trastuzumab (Cohort 5)8.390% Confidence Interval 0.4 to 33.9Percentage of participants
Confirmed Objective Response Rate (cORR) as Assessed by InvestigatorTucatinib+Trastuzumab (Cohort 6)22.690% Confidence Interval 11.1 to 38.3Percentage of participants
Confirmed Objective Response Rate (cORR) as Assessed by InvestigatorTucatinib+Trastuzumab (Cohort 7)090% Confidence Interval 0.0 to 20.6Percentage of participants
Confirmed Objective Response Rate (cORR) as Assessed by InvestigatorTucatinib+Trastuzumab+ Fulvestrant (Cohort 8)41.990% Confidence Interval 26.9 to 58.2Percentage of participants
Confirmed Objective Response Rate (cORR) as Assessed by InvestigatorTucatinib+Trastuzumab (Cohort 9)10.390% Confidence Interval 2.9 to 24.6Percentage of participants
Maximum Concentration (Cmax) of TucatinibTucatinib+Trastuzumab (Cohort 1)488.2Geometric Coefficient of Variation 104.9Nanogram per milliliter

Participant flow27

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTucatinib+Trastuzumab (Cohort 1)11
Overall StudySTARTEDTucatinib+Trastuzumab (Cohort 2)31
Overall StudySTARTEDTucatinib+Trastuzumab (Cohort 3)30
Overall StudySTARTEDTucatinib+Trastuzumab (Cohort 4)25
Overall StudySTARTEDTucatinib+Trastuzumab (Cohort 5)12
Overall StudySTARTEDTucatinib+Trastuzumab (Cohort 6)31
Overall StudySTARTEDTucatinib+Trastuzumab (Cohort 7)13
Overall StudySTARTEDTucatinib+Trastuzumab+ Fulvestrant (Cohort 8)31
Overall StudySTARTEDTucatinib+Trastuzumab (Cohort 9)33
Overall StudyCOMPLETEDTucatinib+Trastuzumab (Cohort 1)0

Adverse events2,214

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersTucatinib+Trastuzumab (Cohort 1)3113
otherAnaemiaBlood and lymphatic system disordersTucatinib+Trastuzumab (Cohort 2)6318
otherAnaemiaBlood and lymphatic system disordersTucatinib+Trastuzumab (Cohort 3)4304
otherAnaemiaBlood and lymphatic system disordersTucatinib+Trastuzumab (Cohort 4)72513
otherAnaemiaBlood and lymphatic system disordersTucatinib+Trastuzumab (Cohort 5)0120
otherAnaemiaBlood and lymphatic system disordersTucatinib+Trastuzumab (Cohort 6)5315
otherAnaemiaBlood and lymphatic system disordersTucatinib+Trastuzumab (Cohort 7)2132
otherAnaemiaBlood and lymphatic system disordersTucatinib+Trastuzumab+ Fulvestrant (Cohort 8)3313
otherAnaemiaBlood and lymphatic system disordersTucatinib+Trastuzumab (Cohort 9)5335
otherNeutropeniaBlood and lymphatic system disordersTucatinib+Trastuzumab (Cohort 1)1113

Adverse event totals27

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTucatinib+Trastuzumab (Cohort 1)911
Total, all-cause mortalityTucatinib+Trastuzumab (Cohort 2)2231
Total, all-cause mortalityTucatinib+Trastuzumab (Cohort 3)2230
Total, all-cause mortalityTucatinib+Trastuzumab (Cohort 4)1725
Total, all-cause mortalityTucatinib+Trastuzumab (Cohort 5)612
Total, all-cause mortalityTucatinib+Trastuzumab (Cohort 6)2131
Total, all-cause mortalityTucatinib+Trastuzumab (Cohort 7)1013
Total, all-cause mortalityTucatinib+Trastuzumab+ Fulvestrant (Cohort 8)1131
Total, all-cause mortalityTucatinib+Trastuzumab (Cohort 9)2533
Total, other adverse eventsTucatinib+Trastuzumab (Cohort 1)1011

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37751561DERIVEDPubMed
39825152DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04579380

GET https://conductscience.org/api/trials/v1/NCT04579380/results?page=2