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RecruitingInterventionalPhase 2

A Phase 2, Open-label, Multicenter Study to Evaluate Efficacy and Safety of Zanidatamab for the Treatment of Participants With Previously Treated HER2-expressing Solid Tumors (DiscovHER PAN-206)

NCT ID: NCT06695845Sponsor: Jazz PharmaceuticalsLast updated: 2026-06-09

Summary

The purpose of this study is to evaluate the efficacy and safety of zanidatamab for the treatment of participants with previously treated solid tumors that have Human Epidermal Growth Factor Receptor 2 (HER2) Immunohistochemistry (IHC) 3+ overexpression.

Arms & interventions

  • DrugZanidatamab

    Administered by intravenous (IV) infusion

Outcome measures

Primary

  • Confirmed Objective Response Rate (cORR) per RECIST Version 1.1, as assessed by ICR

    The Independent Central Review (ICR) assessed cORR is defined as the proportion of participants who had a best overall response of Complete Response (CR), or Partial Response (PR) based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)

    Time frame: Up to 2.5 years

Secondary

  • Duration of Response (DOR) Per RECIST Version 1.1, as assessed by ICR

    Time frame: Up to 2.5 years

  • cORR by RECIST Version 1.1, as assessed by Investigator

    Time frame: Up to 2.5 years

  • Duration of Response (DOR) Per RECIST Version 1.1, as assessed by Investigator

    Time frame: Up to 2.5 years

  • Time to Response (TTR), as assessed by ICR

    Time frame: Up to 2.5 years

  • Time to Response (TTR), as assessed by Investigator

    Time frame: Up to 2.5 years

  • Disease control rate (DCR), as assessed by ICR

    Time frame: Up to 2.5 years

  • Disease control rate (DCR), as assessed by Investigator

    Time frame: Up to 2.5 years

  • Progression Free Survival (PFS), as assessed by ICR

    Time frame: Up to 2.5 years

  • Progression Free Survival (PFS), as assessed by Investigator

    Time frame: Up to 2.5 years

  • Overall Survival (OS)

    Time frame: Up to 3.5 years

  • Number of Participants Reporting Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) As Graded by NCI CTCAE Version 5.0

    Time frame: Up to 2.5 years

  • Number of Participants With Dose Reductions

    Time frame: Up to 2.5 years

  • Number of Participants Discontinuing Study Treatment Due to TEAEs

    Time frame: Up to 2.5 years

  • Serum Concentrations of Zanidatamab

    Time frame: Up to 2.5 years

  • Number of Participants Positive for Anti-drug Antibodies to Zanidatamab

    Time frame: Up to 2.5 years

  • Number of participants reporting Symptomatic Adverse Events based on Patient-reported Outcome-Common Terminology Criteria for AEs (PRO-CTCAE)

    Time frame: Up to 2.5 years

  • Number of participants reporting Symptomatic Adverse Events based on European Organisation for Research and Treatment of Cancer (EORTC) Item Library

    Time frame: Up to 2.5 years

  • Percentage of all treated participants reporting overall side-effect bother on the Functional Assessment of Chronic Illness Therapy General Physical Item 5 (FACIT-GP5)

    Time frame: Up to 2.5 years

  • Percentage of time when participants on treatment reported a high side-effect bother on the Functional Assessment of Chronic Illness Therapy General Physical Item 5 (FACIT-GP5)

    Time frame: Up to 2.5 years

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: 1. Is at least 18 years of age inclusive at the time of signing the informed consent 2. Participants with locally advanced, unresectable, or metastatic solid tumors (except Biliary Tract Cancer (BTC), defined as gallbladder cancer or cholangiocarcinoma) who have progressed following at least 1 prior systemic treatment for metastatic or advanced disease and have no available treatment options that have confirmed benefit. Prior treatment with HER2-targeted therapy is not permitted (Cohort 1 only). For participants with breast cancer (Cohort 2) or GEA (Cohort 3), prior HER2-targeted therapy is permitted and prior therapy with trastuzumab deruxtecan (T-DXd) is required. 3. HER2 overexpression (IHC 3+) must be determined by a sponsor designated central laboratory. 4. All participants must have adequate tumor sample for submission to allow central HER2 testing. 5. Presence of at least 1 measurable lesion as assessed by Independent Central Review (ICR) based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) 6. Has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. 7. Has a life expectancy of at least 3 months, in the opinion of the investigator. 8. Participants with history of treated and stable CNS metastases are eligible, provided the following criteria are met: 1. Participants also have measurable metastatic disease with HER2 overexpression (IHC 3+) outside the CNS. 2. Participants with treated CNS metastases that are no longer symptomatic may be included in the study if they recovered to \< Grade 1 (CTCAE Version 5.0 or higher) or baseline from the acute toxic effect associated with the treatment \> 7 days prior to Cycle 1 Day 1. 3. Prior stereotactic radiosurgery or stereotactic radiotherapy should be completed at least 7 days (≥ 7 days) before the first dose of study intervention. 9. Adequate organ functions. 10. Females of childbearing potential must have a negative pregnancy test result. 11. Females of childbearing potential and males with a partner of childbearing potential must be willing to use 2 methods of birth control. Exclusion Criteria: 1. Has known or suspected leptomeningeal disease and/or untreated brain metastasis. 2. Has uncontrolled or significant cardiovascular disease 3. Has ongoing toxicity related to prior cancer therapy 4. Has uncontrolled infection or requiring IV antibiotics, antivirals, or antifungals. 5. Has known Human Immunodeficiency Virus (HIV) infection. 6. Has active hepatitis B or C infection. 7. Has an active SARS-CoV-2 infection. 8. Has a history of life-threatening hypersensitivity to monoclonal antibody (mAbs) or to recombinant proteins or excipients in the drug formulation of zanidatamab. 9. Has any serious underlying medical or psychiatric condition that would impair the ability of the participant to receive or tolerate the planned treatment at the investigational site. 10. Has any issue or condition that, in the opinion of the investigator, would contraindicate the participant's participation in the study or confound the results of the study. 11. Prior treatment with HER2-targeted therapy (Cohort 1 only). 12. Has a history of trauma or major surgery 13. Was treated with systemic antineoplastic therapy, including hormonal therapies for breast cancer, or any investigational therapy within 4 weeks or 5 half-lives (whichever is longer) prior to Cycle 1 Day 1. 14. Received zanidatamab at any time prior to the current study. 15. Colorectal Cancer (CRC) participants with known KRAS/NRAS and BRAF mutations. 16. Non-Small Cell Lung Cancer (NSCLC) participants with known ALK, EGFR mutations and ROS1 fusion. 17. Female participants who are breastfeeding or pregnant, and female and male participants planning a pregnancy. 18. Prior or concurrent invasive malignancy other than the disease under study, whose natural history or treatment has, in the opinion of the investigator or medical monitor, the potential to interfere with the safety or efficacy assessment of the investigational regimen.

Study locations (17)

Arizona Oncology Associates, PC - NAHOA

Prescott, Arizona, 86301

Withdrawn

Rocky Mountain Cancer Center

Littleton, Colorado, 80120

Recruiting

Florida Cancer Specialists - South

Fort Myers, Florida, 33901

Withdrawn

Florida Cancer Specialists - Lake Nona

Orlando, Florida, 32827

Active Not Recruiting

Florida Cancer Specialists - North

St. Petersburg, Florida, 33705

Withdrawn

Florida Cancer Specialists - East

West Palm Beach, Florida, 33401

Withdrawn

Affiliated Oncologists

Chicago Ridge, Illinois, 60415

Withdrawn

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, 48201

Withdrawn

Memorial Sloan Kettering Cancer Center

New York, New York, 10065

Recruiting

Alliance Cancer Specialists

Horsham, Pennsylvania, 19044

Withdrawn

Tennessee Cancer Specialists

Knoxville, Tennessee, 37909

Withdrawn

SCRI Oncology Partners

Nashville, Tennessee, 37203

Recruiting

Texas Oncology - West Texas

Amarillo, Texas, 79124

Withdrawn

Texas Oncology - DFW

Dallas, Texas, 75246

Recruiting

MD Anderson Cancer Center

Houston, Texas, 77030

Recruiting

Texas Oncology - San Antonio

San Antonio, Texas, 78217

Withdrawn

Blue Ridge Cancer Care

Roanoke, Virginia, 24014

Withdrawn
A Phase 2 Study of Zanidatamab in Patients With HER2-expressing Tumors | Cancerify