About this trial
The efficacy and safety of zanidatamab in combination with physician's choice of chemotherapy compared with trastuzumab in combination with physician's choice of chemotherapy will be evaluated for the treatment of participants with metastatic HER2-positive breast cancer who have progressed on, or are intolerant to, previous T-DXd treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Is 18 years of age or of the legal adult age per local standard at the time of signing the informed consent.
Has histologically confirmed HER2-positive breast cancer according to ASCO-CAP Guidelines as evaluated by a sponsor-designated central laboratory
Participants with unresectable or metastatic HER2 positive breast cancer who have progressed on, or are intolerant to, previous T-DXd treatment.
Must have received at least 2 lines of HER2-directed therapy for their metastatic disease.
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Zanidatamab
DrugAdministered by intravenous infusion
Trastuzumab
DrugAdministered by intravenous infusion
Eribulin
DrugAdministered by intravenous infusion
Vinorelbine
DrugAdministered by intravenous infusion
Gemcitabine
DrugAdministered by intravenous infusion
Capecitabine
DrugGiven orally
Treatment groups
Trial outcomes
Primary outcomes
Progression-free Survival (PFS) Per RECIST Version 1.1 As Assessed by Blinded Independent Central Review (BICR)
PFS is defined as the time in months from randomization to the date of first documented disease progression (as assessed by BICR according to RECIST v1.1) or death from any cause, whichever occurs first.
Secondary outcomes
Overall Survival (OS)
OS is defined as the time in months from randomization to the date of death due to any cause.
Confirmed Objective Response Rate (ORR) Per RECIST Version 1.1, As Assessed by BICR
The BICR-assessed confirmed ORR is defined as the proportion of participants who had a best overall response of BICR-assessed Complete Response (CR) or Partial Response (PR) after randomization.
Duration of Response (DOR) Per RECIST Version 1.1, As Assessed by BICR
BICR-assessed DOR is defined as the time in months from the first objective response (CR or PR) that is subsequently confirmed to documented progressive disease (PD) as assessed by BICR per RECIST v1.1 or death from any cause.
PFS Per RECIST Version 1.1, As Assessed By Investigator
Investigator-assessed PFS is defined as the time in months from randomization to the date of first documented disease progression (as assessed by investigator according to RECIST v1.1) or death from any cause, whichever occurs first
Sponsors and contacts
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