A Phase 2 Basket Study of Tucatinib in Combination With Trastuzumab in Subjects With Previously Treated, Locally Advanced Unresectable or Metastatic Solid Tumors Driven by HER2 Alterations
This trial studies how well tucatinib works for solid tumors that make either more HER2 or a different type of HER2 than usual (HER2 alterations) The solid tumors studied in this trial have either spread to other parts of the body (metastatic) or cannot be removed completely with surgery (unresectable). All participants will get both tucatinib and trastuzumab. People with hormone-receptor positive breast cancer will also get a drug called fulvestrant. The trial will also look at what side effects happen. A side effect is anything a drug does besides treating cancer.
• 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