New drug targets Hard-to-Treat breast cancers
NCT ID NCT06188559
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tests BB-1701, a drug that targets HER2 on breast cancer cells, in 56 people with advanced breast cancer that is HER2-positive or HER2-low. The study has two parts: first to find the best dose, then to see how well it shrinks tumors. Participants receive the drug by IV every three weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BB-1701 (an antibody-drug conjugate targeting HER2)
- What this could lead to
- If successful, this could provide a new treatment option for people with HER2-positive or HER2-low breast cancer that has spread or cannot be removed.
- What could go wrong
- This is an early-phase trial with only 56 participants, so results may not apply to everyone. Side effects are possible, and the drug may not shrink tumors as hoped.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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56 people
The number who actually took part.
- Started
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Apr 2024
- Finished
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Mar 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria * Male or female, aged \>=18 years at the time of informed consent. * Metastatic or unresectable BC that is histologically confirmed to be either HER2-positive (defined as an immunohistochemistry \[IHC\] status of 3+, or a positive in situ hybridization \[ISH\] test \[fluorescence, chromogenic, or silver-enhanced ISH\] if IHC status is 2+) or HER2-low (defined as an IHC status of 1+, or 2+ and negative ISH) per the American Society of Clinical Oncology/College of American Pathology guidelines as documented prior to trastuzumab deruxtecan (T-DXd) treatment. * Must have previously received T-DXd. * Sufficient tumor tissue is required for HER2 status testing at a central laboratory. * Measurable disease per RECIST 1.1 as assessed by the investigator. Participants with bone only disease may be eligible if there is a measurable soft tissue component associated with the bone lesion. * Must have previously received at least 1 but no more than 3 prior chemotherapy-based regimes in the unresectable or metastatic setting. If recurrence occurred during or within 6 months of (neo) adjuvant chemotherapy, this would count as 1 line of chemotherapy. * If HR-positive HER2-low BC, must have previously received endocrine therapy and is not expected to further benefit from it. * ECOG PS 0 or 1. * Life expectancy of at least 3 months. * Adequate organ function and laboratory parameters. Exclusion Criteria * Presence of brain or subdural metastases, unless participant has completed local therapy and has discontinued the use of corticosteroids for this indication for at least 2 weeks prior to starting treatment in this study. * Diagnosed with meningeal carcinomatosis. * Received anticancer therapy (chemotherapy or other systemic anticancer therapies, immunotherapy, radiation therapy, etc) or an investigational drug or device within the past 28 days or 5 half-lives, whichever is shorter. * Prior treatment with eribulin. * Any prior allergic reactions of Grade \>=3 to monoclonal antibodies or contraindication to the receipt of corticosteroids or any of the excipients (investigators should refer to the prescribing information for the selected corticosteroid). * Residual toxic effects of prior therapies or surgical procedures that is Grade \>=2 (except alopecia or anemia). * Grade \>=2 peripheral neuropathy or history of Grade \>=3 peripheral neuropathy or discontinued any prior treatment due to peripheral neuropathy. * Active pneumonitis/interstitial lung disease (ILD) or any clinically significant lung disease (example, chronic obstructive pulmonary disease), history of Grade \>=2 pneumonitis/ILD, or received radiotherapy to lung fields within 12 months of Cycle 1 Day 1 of study treatment. * Congestive heart failure greater than (\>) New York Heart Association Class II or left ventricular ejection fraction (LVEF) less than (\<) 50 percent (%) measured by multigated acquisition scan (MUGA) or echocardiogram. * Has a corrected QT interval prolongation per Fridericia formula (QTcF) \>470 millisecond (ms) (for both males and females) based on screening triplicate 12-lead ECG. * Concomitant active infection requiring systemic treatment, except: * If known to be human immunodeficiency virus (HIV)-positive, must be on anti-HIV therapy for at least 4 weeks and have a clusters of differentiation 4+ T-cell (CD4+) count \>=350 cells per microliter (cells/mcL) and an HIV viral load \<400 copies per milliliter (copies/mL). * If meets the criteria for anti-hepatitis B virus (HBV) therapy, must agree to take anti-HBV therapy, if known to be HBV-positive as defined by positive hepatitis B surface antigen or hepatitis B core antibody. HBV viral load must be undetectable. * If known to be hepatitis C virus (HCV)-positive must have completed curative therapy for HCV. HCV viral load must be undetectable. * Known history of active bacillus tuberculosis (TB). * Any medical or other condition which, in the opinion of the investigator would preclude the participant's participation in the clinical study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AdventHealth Cancer Institute - Orlando
Orlando, Florida, 32804, United States
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Astera Cancer Care
East Brunswick, New Jersey, 08816, United States
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Avera Cancer Institute
Sioux Falls, South Dakota, 57105, United States
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CHU Besançon - Hôpital Jean Minjoz
Besançon, France
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Cancer and Blood Specialty Clinic
Los Alamitos, California, 90720, United States
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Centre Armoricain de Radiotherapie Imagerie & Oncologie (CARIO)
Plérin, France
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Cleveland Clinic
Cleveland, Ohio, 44195-0001, United States
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Cleveland Clinic - Fairview Hospital - Cancer Center (Moll Cancer Center)
Cleveland, Ohio, 44111, United States
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Cleveland Clinic - Hillcrest Hospital - Hillcrest Cancer Center
Cleveland, Ohio, 44124, United States
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Community Cancer Center South
Indianapolis, Indiana, 46227, United States
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Fort Wayne Medical Oncology & Hematology
Fort Wayne, Indiana, 48604, United States
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HM Universitario Sanchinarro
Madrid, Spain
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Hiroshima City Hiroshima Citizens Hospital
Hiroshima, Hiroshima, Japan
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Hokkaido University Hospital
Sapporo, Hokkaido, Japan
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Hospital Beata María Ana
Madrid, Spain
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Hospital Universitario Vall d'Hebron
Barcelona, Spain
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Hyogo Medical University Hospital
Nishinomiya-shi, Hyōgo, Japan
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Institut Régional du Cancer de Montpellier
Montpellier, France
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Institut de Cancerologie de Ouest (ICO) - Saint-Herblain
Saint-Herblain, France
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Kanagawa Cancer Center
Yokohama, Kanagawa, Japan
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Kyoto University Hospital
Sakyo-ku, Kyoto, Japan
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Memorial Sloan-Kettering Cancer Center
New York, New York, 10065, United States
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Mission Blood and Cancer
Des Moines, Iowa, 50309, United States
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Moffitt Cancer Center
Tampa, Florida, 33612-9416, United States
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NHO Revive Research Institute LLC
Lincoln, Nebraska, 68506, United States
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Nagoya University Hospital
Nagoya, Aichi-ken, Japan
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National Cancer Center Hospital (NCCH)
Chuo-Ku, Tokyo, Japan
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Nebraska Cancer Specialist
Omaha, Nebraska, 68130-2042, United States
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New Mexico Oncology Hematology Consultants
Albuquerque, New Mexico, 87109, United States
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Northwest Medical Specialties
Puyallup, Washington, 98373-1428, United States
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Okayama University Hospital
Okayama, Okayama-ken, Japan
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Oregon Oncology Specialists
Salem, Oregon, 97301, United States
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Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903, United States
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Sagara Hospital, Social Medical Corporation Hakuaikai
Kagoshima, Kagoshima-ken, Japan
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Saitama Cancer Center
Kitaadachi-gun, Saitama, Japan
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Saitama Medical University International Medical Center
Hidaka-shi, Saitama, Japan
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Showa Medical University
Shinagawa Ku, Tokyo, Japan
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St. Francis Cancer Center
Greenville, South Carolina, 29607-5253, United States
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St. Luke's International Hospital
Chuou-ku, Tokyo, Japan
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Summit Medical Group
Florham Park, New Jersey, 07932-1049, United States
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The Cancer Institute Hospital of Japanese Foundation for Cancer Research
Koto Ku, Tokyo, Japan
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The West Clinic, PLLC dba West Cancer Cente
Germantown, Tennessee, 38138-1762, United States
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Tohoku University Hospital
Sendai, Miyagi, Japan
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UCLA Center for East-West Medicine
Los Angeles, California, 90095, United States
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UCSF
San Francisco, California, 94143-2208, United States
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UPMC CancerCenter at Magee - Womens Hospital
Pittsburgh, Pennsylvania, 15213-3108, United States
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University of Michigan Hospital
Ann Arbor, Michigan, 48109-5000, United States
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Washington University in St. Louis School of Medicine
St Louis, Missouri, 63110-1032, United States
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Yale New Haven Hospital
New Haven, Connecticut, 06510, United States
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