New drug combo shows promise for Hard-to-Treat HER2 cancers
NCT ID NCT04579380
First seen Jun 27, 2026 · Last updated Aug 21, 2026 · Updated 1 time
Summary
This study tests a two-drug combination (tucatinib and trastuzumab) in people with advanced solid tumors that have HER2 alterations. The goal is to see if the treatment can shrink or control tumors. About 217 participants with various cancers (like lung, uterine, or bile duct) will receive the drugs, and some breast cancer patients will get an additional hormone therapy. The study also tracks side effects.
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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217 people
The number who actually took part.
- Started
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Jan 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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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 * Histologically or cytologically confirmed diagnosis of locally-advanced unresectable or metastatic solid tumor, including primary brain tumors * Participants with non-squamous NSCLC must have progressed during or after standard treatment or for which no standard treatment is available * Participants with other disease types must have progressed during or after ≥1 prior line of systemic therapy for locally-advanced unresectable or metastatic disease * Disease progression during or after, or intolerance of, the most recent line of systemic therapy * Disease demonstrating HER2 alterations (overexpression/amplification or HER2 activating mutations), as determined by local or central testing processed in a Clinical Laboratory Improvement Amendments (CLIA)- or International Organization for Standardization (ISO) accredited laboratory, according to one of the following: * HER2 overexpression/amplification from fresh or archival tumor tissue or blood * Known activating HER2 mutations detected in fresh or archival tumor tissue or blood * Have measurable disease per RECIST v1.1 criteria according to investigator assessment * Have Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 Exclusion Criteria * Participants with breast cancer, gastric or gastroesophageal junction adenocarcinoma, or CRC whose disease shows HER2 amplification/overexpression. * Previous treatment with HER2-directed therapy; participants with uterine serous carcinoma or HER2-mutated gastric or gastroesophageal junction adenocarcinoma without HER2-overexpression/amplification may have received prior trastuzumab * Known hypersensitivity to any component of the drug formulation of tucatinib or trastuzumab (drug substance, excipients, murine proteins), or any component of the drug formulation of fulvestrant in participants with HR+ HER2-mutated breast cancer * History of exposure to a 360 mg/m² doxorubicin-equivalent or \>720 mg/m\^2 epirubicin-equivalent cumulative dose of anthracyclines * Treatment with any systemic anti-cancer therapy, radiation therapy, major surgery, or experimental agent within ≤3 weeks of first dose of study treatment or are currently participating in another interventional clinical trial. There are additional inclusion and exclusion criteria. The study center will determine if criteria for participation 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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1 S Park St Medical Center
Madison, Wisconsin, 53715, United States
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AZ Groeninge
Kortrijk, 8500, Belgium
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AZ Sint-Maarten
Mechelen, 2800, Belgium
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Aichi Cancer Center Hospital
Nagoya, Aichi-ken, 464-8681, Japan
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Ascires Eresa Campanar
Valencia, 46015, Spain
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Barnes-Jewish Hospital Investigational Drug Pharmacy (IDS)
St Louis, Missouri, 63110, United States
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CHU de Liege
Liège, 4000, Belgium
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Cetir Centre Medic
Barcelona, 08029, Spain
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Charite Universitatsmedizin Berlin
Berlin, 12203, Germany
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City of Hope Torrance
Torrance, California, 90505, United States
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City of Hope at Huntington Beach
Huntington Beach, California, 92648, United States
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City of Hope at Irvine Sand Canyon
Irvine, California, 92618, United States
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City of Hope at Long Beach Elm
Long Beach, California, 90813, United States
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City of Hope at Long Beach Worsham
Long Beach, California, 90808, United States
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City of Hope at Newport Beach Lido
Newport Beach, California, 92663, United States
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Cliniques Universitaires Saint-Luc
Brussels, 1200, Belgium
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Diagnostic Centre
London, Others, W1G 7AF, United Kingdom
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Divisione di Sviluppo di Nuovi Farmaci per Terapie Innovative lstituto Europeo di Oncologia
Milan, Milan, 20141, Italy
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Drug Storage and Regulatory location: MMCORC
Saint Louis Park, Minnesota, 55426, 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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Grand Hopital de Charleroi
Charleroi, Hainaut, B- 6060, Belgium
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Guy's Hospital
London, SE1 9RT, United Kingdom
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HonorHealth
Phoenix, Arizona, 85016, United States
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HonorHealth
Tempe, Arizona, 85284, United States
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Hospital Clínico Universitario de Valencia. Fundación Investigación Clínico de Valencia.
Valencia, 46010, Spain
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Hospital Vithas Valencia 9 de Octubre
Valencia, 46015, Spain
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Huntsman Cancer Institute, University of Utah
Salt Lake City, Utah, 84112, United States
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Icahn School of Medicine at Mount Sinai
New York, New York, 10029, United States
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Institut Catala d'Oncologia Hospitalet
L'Hospitalet de Llobregat, Other, 8908, Spain
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Jonathan Poon
London, SE1 9RT, United Kingdom
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Kindai University Hospital
Osakasayama-shi, Osaka, 589-8511, Japan
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Koman Family Outpatient Pavilion
La Jolla, California, 92037, United States
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Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York, New York, 10016, United States
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Metro Minnesota Community Oncology Research Consortium (MMCORC)
Saint Louis Park, Minnesota, 55426, United States
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Minnesota Oncology Hematology, PA
Coon Rapids, Minnesota, 55433, United States
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Moffitt Cancer Center
Tampa, Florida, 33612, United States
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NYU Langone Health - Long Island (Winthrop Hospital)
Mineola, New York, 11501, United States
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NYU Langone Medical Center
New York, New York, 10016, United States
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National Cancer Center Hospital
Cho-ku, Tokyo, 104-0045, Japan
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National Cancer Center Hospital East
Kashiwa-shi, Chiba, 277-8577, Japan
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Northwest Cancer Specialists, P.C.
Portland, Oregon, 97213, United States
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Northwest Cancer Specialists, P.C.
Portland, Oregon, 97227, United States
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Northwest Cancer Specialists, P.C.
Tigard, Oregon, 97223, United States
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Northwest Cancer Specialists, P.C.
Vancouver, Washington, 98684, United States
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OSU Wexner Medical Center, Arther G. James Cancer Hospital, and Solove Research Institute
Columbus, Ohio, 43210, United States
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OSU Wexner Medical Center, CarePoint East
Columbus, Ohio, 43203, United States
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OSU Wexner Medical Center, CarePoint Gahanna
Gahanna, Ohio, 43230, United States
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OSU Wexner Medical Center, Gynecologic Oncology at Mill Run
Hilliard, Ohio, 43026, United States
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OSU Wexner Medical Center, Investigational Drug Services(IP Ship to)
Columbus, Ohio, 43210, United States
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OSU Wexner Medical Center, Martha Morehouse Medical Plaza
Columbus, Ohio, 43221, United States
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OSU Wexner Medical Center, Ohio State University Hospital East
Columbus, Ohio, 43203, United States
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OSU Wexner Medical Center, OutPatient Care Upper Arlington
Columbus, Ohio, 43221, United States
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OSU Wexner Medical Center, Outpatient Care Lewis Center
Lewis Center, Ohio, 43035, United States
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OSU Wexner Medical Center, Outpatient Care New Albany
Westerville, Ohio, 43081, United States
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OSU Wexner Medical Center, Stephanie Spielman Comprehensive Breast Center
Columbus, Ohio, 43212, United States
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Oncology Hematology West P.C. dba Nebraska Cancer Specialists
Omaha, Nebraska, 68114, United States
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Oncology Hematology West P.C. dba Nebraska Cancer Specialists
Omaha, Nebraska, 68130, United States
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Osu Wexner Medical Center, The Ohio State University Hospital
Columbus, Ohio, 43210, United States
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Perlmutter Cancer Center at NYU Langone GYN Oncology Associates
Mineola, New York, 11501, United States
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Perlmutter Cancer Center at NYU Langone Hospital - Long Island
Mineola, New York, 11501, United States
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Prisma Health Cancer Institute
Boiling Springs, South Carolina, 29316, United States
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Prisma Health Cancer Institute
Easley, South Carolina, 29640, United States
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Prisma Health Cancer Institute
Greenville, South Carolina, 29605, United States
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Prisma Health Cancer Institute
Greenville, South Carolina, 29615, United States
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Prisma Health Cancer Institute
Greer, South Carolina, 29650, United States
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Prisma Health Cancer Institute
Seneca, South Carolina, 29672, United States
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Radiology
London, W1G 8PP, United Kingdom
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Rocky Mountain Cancer Centers
Aurora, Colorado, 80012, United States
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Rocky Mountain Cancer Centers
Boulder, Colorado, 80303, United States
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Rocky Mountain Cancer Centers
Thornton, Colorado, 80260, United States
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Royal Marsden NHS Foundation Trust
Sutton, Surrey, SM2 5PT, United Kingdom
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Samsung Medical Center
Seoul, 06351, South Korea
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Sarah Cannon Research Institute UK
London, Budapest, W1G 6AD, United Kingdom
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Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620, South Korea
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Seoul National University Hospital
Seoul, 03080, South Korea
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Severance Hospital Yonsei University Health System
Seoul, Other, 03722, South Korea
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St. Marianna University School of Medicine Hospital
Kawasaki, Kanagawa, 216-8511, Japan
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Tennessee Oncology, PLLC
Gallatin, Tennessee, 37066, United States
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Tennessee Oncology, PLLC
Hendersonville, Tennessee, 37075, United States
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Tennessee Oncology, PLLC
Nashville, Tennessee, 37203, United States
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Tennessee Oncology, PLLC
Shelbyville, Tennessee, 37160, United States
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Texas Oncology - Central South
Waco, Texas, 76712, United States
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Texas oncology-West Texas
Abilene, Texas, 79606, United States
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The Cancer Institute Hospital of JFCR
Tokyo, 135-8550, Japan
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The Harley Street Clinic
London, W1G 8BJ, United Kingdom
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The Royal Marsden NHS Foundation Trust
Sutton, Surrey, SM2 5PT, United Kingdom
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The Royal Marsden NHS Foundation Trust
London, SW3 6JJ, United Kingdom
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The University of Arizona Cancer Center-North Campus
Tucson, Arizona, 85719, United States
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UC San Diego Medical Center - La Jolla (Jacobs Medical Center / Thornton Pavilion)
La Jolla, California, 92037, United States
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UC San Diego Moores Cancer Center
La Jolla, California, 92037, United States
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UC San Diego Moores Cancer Center- Investigational Drug Services
La Jolla, California, 92037, United States
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UH Minoff Health Center at Chagrin Highlands
Orange, Ohio, 44122, United States
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UPMC Hillman Cancer Center - Washington
Washington, Pennsylvania, 15301, United States
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US Oncology Investigational Product Center (IPC)
Irving, Texas, 75063, United States
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US Oncology Investigational Products Center (IPC)
Irving, Texas, 75063, United States
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US Oncology lnvestigational Products Center (IPC)
Irving, Texas, 75063, United States
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Universitair Ziekenhuis Antwerpen
Edegem, 2650, Belgium
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University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106, United States
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University of Washington Medical Center
Seattle, Washington, 98195, United States
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University of Wisconsin Clinical Science Center
Madison, Wisconsin, 53792, United States
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Virginia Cancer Specialists, PC
Alexandria, Virginia, 22304, United States
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Virginia Cancer Specialists, PC
Arlington, Virginia, 22205, United States
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Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031, United States
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Virginia Cancer Specialists, PC
Gainesville, Virginia, 20155, United States
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Washington University School of Medicine - Obstetrics & Gynecology
St Louis, Missouri, 63110, United States
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Washington University School of Medicine - Obstetrics & Gynecology [Academic Offices)
St Louis, Missouri, 63108, United States
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Washington University School of Medicine [Patient Clinics]
St Louis, Missouri, 63110, United States
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