New drug combo aims to outperform standard therapy in HER2+ breast cancer

NCT ID NCT04425018

First seen Nov 01, 2025 · Last updated Jun 23, 2026 · Updated 33 times

Summary

This phase 2 trial tests whether a newer drug, margetuximab, combined with chemotherapy, works better than the standard trastuzumab combination for HER2-positive breast cancer before surgery. The study includes 174 people with stage II or III disease who have a specific genetic variant. The main goal is to see which combination leads to no cancer remaining at the time of surgery.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • Baylor College of Medicine Medical Center

    Houston, Texas, 77030, United States

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts, 02215, United States

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215, United States

  • Dana-Farber Brigham Cancer Center - Foxborough

    Foxborough, Massachusetts, 02035, United States

  • Dana-Farber at Milford

    Milford, Massachusetts, 01757, United States

  • Dana-Farber at South Shore Hospital

    Weymouth, Massachusetts, 02190, United States

  • Georgetown University Medical Center

    Washington D.C., District of Columbia, 20007, United States

  • MD Anderson Cancer Center

    Houston, Texas, 77030, United States

  • MedStar Washington Hospital Center

    Washington D.C., District of Columbia, 20010, United States

  • Montefiore Medical Center

    The Bronx, New York, 10461, United States

  • UPMC Hillman Cancer Center - Arnold Palmer at Mountain View

    Greensburg, Pennsylvania, 15601, United States

  • UPMC Hillman Cancer Center - Arnold Palmer at Norwin

    Irwin, Pennsylvania, 15642, United States

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213, United States

  • University of Washington Fred Hutchinson Cancer Care

    Seattle, Washington, 98109, United States

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Margetuximab (Margenza) and Trastuzumab (Herceptin), both given with chemotherapy (Paclitaxel and Pertuzumab)

What this could lead to

If margetuximab proves more effective, it could offer a new pre-surgery treatment option for HER2-positive breast cancer patients with a specific genetic profile.

What could go wrong

This is a mid-stage trial with only 174 participants, so results may not apply to everyone. The new drug may not work better than the current standard, and side effects are possible.

Conditions

The condition(s) this trial relates to.

breast neoplasm

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.