Experimental drug targets Hard-to-Treat cancers in new trial
NCT ID NCT04659603
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tested a drug called tusamitamab ravtansine, alone or with chemotherapy (gemcitabine), in 50 people with advanced breast or pancreatic cancers that have a specific marker (CEACAM5). The goal was to see if the drug could shrink tumors. The study was terminated early, so full results are not available.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tusamitamab ravtansine (an antibody-drug conjugate) and gemcitabine (a chemotherapy drug)
- What this could lead to
- If successful, this could point toward a new treatment option for people with certain advanced breast or pancreatic cancers that express the CEACAM5 marker.
- What could go wrong
- This early-phase trial was terminated, so results are limited. The drug may cause serious side effects like low blood cell counts or eye problems, and it is unclear if it will work better than existing therapies.
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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50 people
The number who actually took part.
- Started
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Mar 2021
- Finished
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Jan 2025
- 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: * Participant must be at least 18 years of age * Participants with at least one measurable lesion according to the RECIST v1.1 criteria that has not been irradiated (ie, newly arising lesions in previously irradiated areas are accepted). * Participants with ECOG performance status 0 to 1. * Evidence of metastatic disease. * Expression of CEACAM 5 by centrally assessed IHC assay. * Male and female participants willing to comply with contraceptive use consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Cohort A: mBC * Histological or cytologic diagnosis of breast cancer. * Have received at least 2 prior cytotoxic chemotherapy regimens for non-TNBC tumor type or at least 1 for TNBC tumor type but not more than 4 in the locally recurrent or metastatic setting. Cohorts B and C: mPAC \- Have confirmed diagnosis of pancreatic ductal adenocarcinoma. Cohort B: mPAC: \- Have documented radiographic progression or documented intolerance after at least 1 prior systemic chemotherapy line which included either gemcitabine (or relapsed within 6 months of completion of gemcitabine adjuvant therapy) or a 5-fluorouracil based regimen (including capecitabine) but no more than 2 prior chemotherapy lines for locally advanced/metastatic disease. Cohort C: mPAC \- Have documented radiographic progression or documented intolerance after 1st line fluoropyrimidine-containing chemotherapy (or relapsed within 6 months of completion of chemotherapy as adjuvant therapy) for locally advanced/metastatic disease. Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: * Medical condition requiring concomitant administration of a medication with a narrow therapeutic window, that is metabolized by cytochrome P450 (CYP450), and for which a dose reduction cannot be considered. * Medical conditions requiring concomitant administration of strong CYP3A inhibitor, unless it can be discontinued at least 2 weeks before the first administration of study intervention. * Life expectancy less than 3 months. * Untreated brain metastases or history of leptomeningeal disease. * Significant concomitant illness * History within the last 3 years of an invasive malignancy other than the one treated in this study, with the exception of resected/ablated basal or squamous-cell carcinoma of the skin or carcinoma in situ of the cervix, or other local tumors considered cured by local treatment. * History of known acquired immunodeficiency syndrome (AIDS) related illnesses or known human immunodeficiency virus (HIV) disease requiring antiretroviral treatment, or active hepatitis A, B or C infection. * Non-resolution of any prior treatment-related toxicity to \<Grade 2 according to NCI CTCAE v5.0, with the exception of alopecia, vitiligo, or active thyroiditis controlled with hormone replacement therapy (HRT). * Unresolved corneal disorder or any previous corneal disorder considered by an ophthalmologist to predict higher risk of drug-induced keratopathy. * Use of contact lenses. Participants using contact lenses who are not willing to stop wearing them for the duration of the study intervention are excluded. * Concurrent treatment with any other anti cancer therapy. * Washout period before the first administration of study intervention of less than 3 weeks or less than 5 times the half-life, whichever is shorter, for prior antitumor therapy (chemotherapy, targeted agents, immunotherapy and radiotherapy, or any investigational treatment). * Any prior therapy targeting CEACAM5. * Prior maytansinoid DM4 treatment (ADC). * Any major surgery within the preceding 2 weeks of the first study intervention administration. * Previous enrollment in this study or current participation in any other clinical study involving an investigational study treatment or any other type of medical research. * Poor renal function * Poor hepatic function * Poor bone marrow function Cohort C: mPAC \- Any previous systemic therapy with taxane or gemcitabine (for Cohort C only). The above information is not intended to contain all considerations relevant to the potential participation in a clinical trial.
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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 Orlando Site Number : 8400001
Orlando, Florida, 32804, United States
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Investigational Site Number : 0320001
Pergamino, Buenos Aires, B2700CPM, Argentina
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Investigational Site Number : 0320002
Rosario, Santa Fe Province, 2000, Argentina
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Investigational Site Number : 0320003
Capital Federal, Buenos Aires, 1012, Argentina
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Investigational Site Number : 1520001
Santiago, Reg Metropolitana de Santiago, 8420383, Chile
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Investigational Site Number : 1520002
Temuco, La Araucanía, 4800827, Chile
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Investigational Site Number : 1520003
Santiago, Reg Metropolitana de Santiago, 7500921, Chile
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Investigational Site Number : 1580001
Taichung, 40447, Taiwan
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Investigational Site Number : 1580002
Tainan, 704, Taiwan
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Investigational Site Number : 1580003
Taipei, 11217, Taiwan
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Investigational Site Number : 3480003
Budapest, 1122, Hungary
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Investigational Site Number : 4100001
Seoul, Seoul-teukbyeolsi, 03080, South Korea
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Investigational Site Number : 4100002
Seoul, Seoul-teukbyeolsi, 06351, South Korea
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Investigational Site Number : 4100003
Goyang-si, Gyeonggi-do, 10408, South Korea
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Investigational Site Number : 5280001
Rotterdam, 3015 GD, Netherlands
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Investigational Site Number : 5280002
Amsterdam, 1066 CX, Netherlands
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Investigational Site Number : 5280003
Utrecht, 3584 CX, Netherlands
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Investigational Site Number : 6430001
Moscow, 115478, Russia
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Investigational Site Number : 6430002
Saint Petersburg, 197758, Russia
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Investigational Site Number : 6430004
Pushkin, Saint- Petersburg, 196603, Russia
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Investigational Site Number : 7240001
Barcelona, Barcelona [Barcelona], 08035, Spain
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Investigational Site Number : 7240002
Majadahonda, Madrid, 28222, Spain
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Investigational Site Number : 7240003
Madrid, Madrid, Comunidad de, 28046, Spain
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Investigational Site Number : 7920001
Istanbul, 34722, Turkey (Türkiye)
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Investigational Site Number : 7920002
Izmir, Turkey (Türkiye)
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Investigational Site Number : 7920003
Adana, 01250, Turkey (Türkiye)
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Investigational Site Number : 7920004
Ankara, 06100, Turkey (Türkiye)
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Massachusetts General Hospital Site Number : 8400002
Boston, Massachusetts, 02114, United States
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University of Wisconsin Site Number : 8400004
Madison, Wisconsin, 53792, United States
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