New hope for Hard-to-Treat breast cancer: Triple-Drug combo shows promise
NCT ID NCT04721977
First seen Jun 26, 2026 · Last updated Sep 11, 2026 · Updated 3 times
Summary
This phase 2 trial tests whether adding tucatinib to standard drugs trastuzumab and capecitabine can shrink tumors in people with advanced HER2+ breast cancer who have already tried several treatments. About 66 participants will receive the three-drug combination. The main goal is to see if the tumor response rate exceeds 20%.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tucatinib (Tukysa) combined with trastuzumab (Herceptin) and capecitabine (Xeloda)
- What this could lead to
- If successful, this combination could offer a new treatment option for people with advanced HER2+ breast cancer who have run out of standard therapies.
- What could go wrong
- This is a small, early-phase trial (66 people) with no placebo group, so results may not apply broadly. Side effects from the drug combination could be significant.
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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66 people
The number who actually took part.
- Started
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Apr 2021
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- 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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20 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: * Has histologically confirmed HER2+ breast carcinoma * Has received previous treatment with taxane anti-cancer agent, trastuzumab, pertuzumab, and T-DM1 with the exception of when the use of taxanes is contraindicated or judged not to be the best treatment at the investigator's discretion * Has radiographically and/or histologically confirmed disease progression on last systemic anticancer treatment * Has adequate organ function * Female participant is not pregnant or breastfeeding and is not a woman of childbearing potential (WOCBP) or is a WOCBP and using contraception or abstinent from heterosexual intercourse during the intervention period and for at least 30 days after receiving the last dose of tucatinib, 80 days after receiving the last dose of trastuzumab, or 180 days after receiving the last dose of capecitabine, whichever occurs last and agrees to not donate eggs during this period * Male participants refrain from donating sperm and are either abstinent from heterosexual intercourse or agree to use contraception during the intervention period and for at least 7 days after receiving the last dose of tucatinib and 90 days after receiving the last dose of capecitabine, whichever occurs last * Previously treated brain metastasis is stable or progressed, provided there is no clinical indication for immediate re-treatment Exclusion Criteria: * Has been previously treated with lapatinib within 12 months of starting study treatment * Has been previously treated with neratinib, afatinib, tucatinib or capecitabine * Has a history of exposure to doxorubicin, epirubicin, mitoxantrone, idarubicin, liposomal doxorubicin * Has had treatment with any systemic anti-cancer therapy including hormonal therapy, non-central nervous system (CNS) radiation or experimental agent ≤3 weeks before first dose of study treatment * Has any toxicity related to prior cancer therapies that has not resolved with the exception of alopecia, congestive heart failure, anemia * Has clinically significant cardiopulmonary disease * Has known myocardial infarction or unstable angina within 6 months prior to the first dose of study treatment * Has any uncontrolled viral, bacterial or fungal infection within 14 days prior to the first dose of study treatment * Is positive for Hepatitis B, Hepatitis C or has known chronic liver disease * Is known to be positive for human immunodeficiency virus (HIV) * Has evidence within 2 years of the start of study treatment of another malignancy that required systemic treatment * Has ongoing use of systemic corticosteroids for control of symptoms of brain metastases * Has any brain lesion thought to require immediate local therapy * Has known or suspected leptomeningeal disease (LMD) * Has poorly controlled generalized or complex partial seizures or manifest neurologic progression due to brain metastases
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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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Aichi Cancer Center Hospital ( Site 1013)
Nagoya, Aichi-ken, 464-8681, Japan
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Fukushima Medical University Hospital ( Site 1012)
Fukushima, 960-1295, Japan
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Hiroshima City Hiroshima Citizens Hospital ( Site 1024)
Hiroshima, 730-8518, Japan
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Hokkaido University Hospital ( Site 1022)
Sapporo, Hokkaido, 060-8648, Japan
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Hyogo Cancer Center ( Site 1005)
Akashi, Hyōgo, 673-8558, Japan
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Hyogo College of Medicine Hospital ( Site 1019)
Nishinomiya, Hyōgo, 663-8501, Japan
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Juntendo University Hospital ( Site 1025)
Tokyo, 113-0033, Japan
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Kanagawa Cancer Center ( Site 1010)
Yokohama, Kanagawa, 241-8515, Japan
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Kumamoto Shinto General Hospital ( Site 1007)
Kumamoto, 862-8655, Japan
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Medical Corporation Nahanishikai Nahanishi Clinic ( Site 1016)
Naha, Okinawa, 901-0154, Japan
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Nagoya University Hospital ( Site 1021)
Nagoya, Aichi-ken, 466-8560, Japan
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National Cancer Center Hospital ( Site 1003)
Tokyo, 104-0045, Japan
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National Cancer Center Hospital East ( Site 1002)
Kashiwa, Chiba, 2778577, Japan
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National Cheng Kung University Hospital ( Site 3000)
Dawan, Tainan, 704, Taiwan
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National Hospital Organization Hokkaido Cancer Center ( Site 1017)
Sapporo, Hokkaido, 003-0804, Japan
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National Hospital Organization Kyushu Cancer Center ( Site 1009)
Fukuoka, 811-1395, Japan
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National Hospital Organization Osaka National Hospital ( Site 1001)
Osaka, 540-0006, Japan
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National Hospital Organization Shikoku Cancer Center ( Site 1014)
Matsuyama, Ehime, 791-0280, Japan
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Osaka International Cancer Institute ( Site 1004)
Osaka, 541-8567, Japan
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Saitama Cancer Center ( Site 1018)
Kitaadachi-gun, Saitama, 362-0806, Japan
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Samsung Medical Center ( Site 2002)
Seoul, 06351, South Korea
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Seoul National University Hospital ( Site 2003)
Seoul, 03080, South Korea
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Severance Hospital ( Site 2001)
Seoul, 03722, South Korea
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Showa University Hospital ( Site 1023)
Tokyo, 142-8666, Japan
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Social medical corporation Hakuaikai Sagara Hospital ( Site 1008)
Kagoshima, 892-0833, Japan
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The Cancer Institute Hospital of JFCR ( Site 1015)
Tokyo, 135-8550, Japan
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Tokyo Medical University Hospital ( Site 1006)
Tokyo, 160-0023, Japan
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University of Tsukuba Hospital ( Site 1020)
Tsukuba, Ibaraki, 305-8576, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Comparison of efficacy and safety between hypofractionated and conventional fractionated radiotherapy after breast reconstruction in breast cancer patients: a phase III randomized controlled clinical trial
- Omitting the boost to initially involved but undissected nodal stations that achieved clinical complete response after neoadjuvant systemic therapy in cN3 breast cancer: a phase III randomized study
- Radioactive probe lights up CD73 on breast tumors in PET scans
- Can time with horses help cancer patients feel better?
- Can an oral drug replace injections for advanced breast cancer?
- Can a common steroid shield breast cancer patients from a dangerous drug side effect?