NCT03786107

Brief Summary

This is a multi-center, observational genomic screening protocol to identify participants whose tumors harbor somatic mutations in the ERBB2 (HER2) gene, as measured in circulating tumor DNA (ctDNA) . Participants with histologically confirmed, hormone receptor positive, HER-2 negative, metastatic breast cancer (MBC) or metastatic cervical cancer (MCC) are eligible for screening at 6 months intervals, or if disease progression is suspected/confirmed. Blood samples will be collected from eligible participants and ctDNA will be extracted and sequenced at a central laboratory, using a HER2-targeted next generation sequencing (NGS) test. A certified molecular test report will be issued from the central laboratory and provided to the investigators and the study sponsor. Participants who are identified with HER2 mutations by this screening protocol will subsequently have access to an appropriate neratinib treatment protocol, pending medical eligibility.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,583

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Mar 2019

Geographic Reach
7 countries

22 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 20, 2018

Completed
4 days until next milestone

First Posted

Study publicly available on registry

December 24, 2018

Completed
3 months until next milestone

Study Start

First participant enrolled

March 14, 2019

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 21, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 21, 2021

Completed
Last Updated

May 19, 2021

Status Verified

May 1, 2021

Enrollment Period

1.9 years

First QC Date

December 20, 2018

Last Update Submit

May 17, 2021

Conditions

Keywords

Circulating Tumor DNAHER2Genomic ScreeningMetastaticBreastCervicalERBB2MutationCDK4/6HR Positive

Outcome Measures

Primary Outcomes (1)

  • Number of Participants Eligible for Neratinib Treatment

    Identification of participants with somatic, activating HER2 mutations who might qualify for enrollment into neratinib treatment protocols

    From enrollment date to identification of HER2 positive mutation, assessed up to five years

Interventions

Almac HER-Seq AssayDIAGNOSTIC_TEST

whole blood sample analysis

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Participants with histologically-confirmed metastatic breast or metastatic cervical cancer

You may qualify if:

  • Women and men who are ≥18 years old at signing of informed consent
  • Eastern Cooperative Oncology Group (ECOG) status of 0 to 2
  • Provide written informed consent to participate in the study and for circulating tumor DNA screening
  • Must be able to provide blood sample(s) for HER2 mutation testing
  • Participants with imaging or histologically confirmed, HR-positive, HER2-negative MBC who are presently receiving or have received CDK4/6 inhibitor as a prior therapy in any setting, or participants with imaging or histologically confirmed metastatic cervical cancer
  • At least one measurable lesion, as defined by RECIST v1.1

You may not qualify if:

  • Participants with breast cancer with known HER2-positive or HER2-amplified tumors
  • Participants with breast cancer with HR-negative tumors
  • Participants who have received HER2-directed TKI
  • Participants with previously documented somatic KRAS activating mutation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (22)

Magee-Womens Hospital of UPMC

Pittsburgh, Pennsylvania, 15213, United States

Location

Institut Curie

Saint-Cloud, 92210, France

Location

Cork University Hospital

Wilton, Cork, T12 DC4A, Ireland

Location

St. Vincent's University Hospital

Elm Park, Dublin, D04 T6F4, Ireland

Location

Mater Misericordiae University Hospital, Institute for Cancer Research

Dublin, D07 R2WY, Ireland

Location

Beaumont Hospital, Cancer Clinical Trials & Research Unit

Dublin, D09 V2N0, Ireland

Location

University Hospital Waterford, Department of Medical Oncology

Waterford, X91 ER8E, Ireland

Location

Rabin Medical Center, Davidoff Cancer Center

Petah Tikva, Central District, 49100, Israel

Location

Kaplan Medical Center

Rehovot, Central District, 76101, Israel

Location

Sheba Medical Center

Ramat Gan, 5262100, Israel

Location

Sourasky Medical Center

Tel Aviv, 64239, Israel

Location

Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale"

Napoli, 52-80131, Italy

Location

Institute for Oncology and Radiology of Serbia

Belgrade, 11000, Serbia

Location

Hospital Universitario Quirónsalud Madrid

Pozuelo de Alarcón, Madrid, 28223, Spain

Location

Instituto Oncológico Dr. Rosell, Hospital Universitario Quirón Dexeus

Barcelona, 08028, Spain

Location

Hospital Universitari Vall D'Hebron

Barcelona, 08035, Spain

Location

Hospital Clinic de Barcelona

Barcelona, 08036, Spain

Location

Hospital Clínico San Carlos

Madrid, 28040, Spain

Location

START Madrid, Hospital Universitario Fundacion Jimenez Diaz

Madrid, 28040, Spain

Location

Hospital Universitario Madrid Sanchinarro

Madrid, 28050, Spain

Location

Fundación Instituto Valenciano de Oncológia

Valencia, 46009, Spain

Location

Hospital Clínico Universitario de Valencia

Valencia, 46010, Spain

Location

Biospecimen

Retention: SAMPLES WITH DNA

Circulating tumor DNA from plasma will be collected from eligible participants. ERBB2 (HER2) gene exons 8 and 17-24 will be sequenced by next generation sequencing (NGS) at a central laboratory.

MeSH Terms

Conditions

Uterine Cervical NeoplasmsNeoplasm Metastasis

Condition Hierarchy (Ancestors)

Uterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsUterine Cervical DiseasesUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesNeoplastic ProcessesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Senior Vice President Clinical Science and Pharmacology

    Puma Biotechnology, Inc.

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 20, 2018

First Posted

December 24, 2018

Study Start

March 14, 2019

Primary Completion

January 21, 2021

Study Completion

January 21, 2021

Last Updated

May 19, 2021

Record last verified: 2021-05

Data Sharing

IPD Sharing
Will share

Puma Biotechnology is committed to sharing clinical trial data and information to help physicians and patients make informed treatment decisions, and to help qualified researchers advance scientific knowledge. In accordance with legal and regulatory requirements, Puma publishes study protocol information and clinical study results on clinical trial registries, including ClinicalTrials.gov and EU Clinical Trials Register. Puma also publishes information about clinical studies in peer-reviewed scientific journals and shares data in scientific meetings. Puma commits to safeguarding confidentiality and patient privacy throughout the clinical trial data and information sharing process. Any patient-level data will be anonymized to protect personally identifiable information. Qualified researchers and study participants may submit requests for other study documentation and clinical trial data to clinicaltrials@pumabiotechnology.com for consideration.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR
Time Frame
Clinical study documents and clinical trial data may be requested by qualified researchers and study participants for studies that have been completed for at least 18 months, and for which the indication of the drug has been approved in the US and/or EU, as applicable. Requests will be accepted for up to 24 months after the criteria described in this section are met.
Access Criteria
Requestors must provide organizational contact information; a detailed research plan, including outcomes; timeline for completion of the research; qualifications of the research team; funding source; and potential conflicts of interest. Puma will not provide access to patient-level data if there is a reasonable likelihood that individual patients could be identified, or in cases where confidentiality or consent provisions prohibit transfer of data or information to third parties. Additionally, Puma will not disclose information that jeopardizes intellectual property rights or divulges confidential commercial information.
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