New drug cocktail shows promise for Hard-to-Treat gut cancers
NCT ID NCT04430738
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is testing a drug called tucatinib combined with other cancer medicines (trastuzumab, chemotherapy, and pembrolizumab) in people with HER2-positive cancers of the digestive system. The main goals are to find safe doses and see what side effects occur. About 40 adults with advanced stomach, bowel, or gallbladder cancer are taking part.
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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40 people
The number who actually took part.
- Started
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Sep 2020
- 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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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: * Participants must have an unresectable or metastatic solid malignancy that is histologically or cytologically confirmed to be one of the tumor types listed below: * Cohorts 1A, 1B, 1C, and 1D * CRC * Gastric adenocarcinoma * GEJ adenocarcinoma * Esophageal adenocarcinoma * Cholangiocarcinoma * Gallbladder carcinoma * Cohorts 1E, 1F, 1G, and 2A * Gastric adenocarcinoma * GEJ adenocarcinoma * Esophageal adenocarcinoma * Cohort 2B * CRC * Participants must be candidates to receive an oxaliplatin-based regimen as part of their standard-of-care treatment for all cohorts, except Cohort 1G. * HER2+ disease, as determined by historic or local laboratory testing * Phase 1b cohorts: measurable or non-measurable disease according to RECIST v1.1 as determined by the investigator * Phase 2 cohorts: measurable disease according to RECIST v1.1 as determined by the investigator * Eastern Cooperative Oncology Group Performance Status score of 0 or 1. Exclusion Criteria: * History of known hypersensitivity to planned study treatment * Known to be positive for Hepatitis B or C * For Cohorts 2A and 2B: prior anti-HER2 therapies * For Cohorts 1E, 1F, 1G, 2A: Prior therapy with an anti-PD-1, anti-PD-L1, or anti PD L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, CTLA-4, OX 40, CD137), and was discontinued from that treatment due to a Grade 3 or higher immune-related adverse event (irAE) There are additional inclusion criteria. The study center will determine if criteria for participations are met.
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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
Nagoya, Aichi-ken, 464-8681, Japan
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Barnes-Jewish Hospital
St Louis, Missouri, 63110, United States
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Cancer Institute Hospital of Japanese Foundation for Cancer Research.
Koto-ku, Tokyo, 135-8550, Japan
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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Duke University Medical Center, Duke Cancer Center
Durham, North Carolina, 27710, United States
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Fred Hutchinson Cancer Center
Seattle, Washington, 98109, United States
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Mayo Clinic
Scottsdale, Arizona, 85259, United States
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Mayo Clinic Hospital
Phoenix, Arizona, 85054, United States
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National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0045, Japan
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National Cancer Center Hospital East
Kashiwa-shi, Chiba, 277-8577, Japan
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Osaka International Cancer Institute
Osaka, Osaka, 541-8567, Japan
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PCM Trials
Denver, Colorado, 80218, United States
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Sibley Memorial Hospital
Washington D.C., District of Columbia, 20016, United States
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Siteman Cancer Center
St Louis, Missouri, 63108, United States
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Siteman Cancer Center - North County
Florissant, Missouri, 63031, United States
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Siteman Cancer Center - South County
St Louis, Missouri, 63129, United States
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Siteman Cancer Center - St Peters
City of Saint Peters, Missouri, 63376, United States
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Siteman Cancer Center - West County
Creve Coeur, Missouri, 63141, United States
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St. Marianna University Hospital
Kawasaki, Kanagawa, 216-8511, Japan
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University of Colorado Denver CTO(CTRC)
Aurora, Colorado, 80045, United States
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University of Colorado Hospital - Anschutz Cancer Pavilion (ACP)
Aurora, Colorado, 80045, United States
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University of Colorado Hospital - Anschutz Inpatient Pavilion (AIP)
Aurora, Colorado, 80045, United States
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University of Colorado Hospital - Anschutz Outpatient Pavilion (AOP)
Aurora, Colorado, 80045, United States
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University of New Mexico Comprehensive Cancer Center
Albuquerque, New Mexico, 87131, United States
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University of Washington Medical Center
Seattle, Washington, 98195, United States
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Swallowable capsule and lab test take on endoscopy for esophageal cancer screening
- One small incision vs several: robotic stomach cancer surgery put to the test
- Can PET scans reveal which stomach cancers will respond to immunotherapy?
- Can a direct hit to tumors make immunotherapy work better?
- Can a new drug boost immunotherapy against Hard-to-Treat stomach cancer?
- Can a vaccine stop GI cancers from returning?