A Phase 2 interventional study of Enzalutamide and Trastuzumab in HER2 Amplified, Advanced Breast Cancer and Human Epidermal Growth Factor Receptor 2 (HER2), sponsored by Astellas Pharma Global Development, Inc.. Completed at 39 sites in 6 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-04.
Sponsored by Astellas Pharma Global Development, Inc. · Phase 2, Interventional, and Treatment
The purpose of this study was to evaluate the efficacy of enzalutamide with trastuzumab in patients with HER2+ AR+ metastatic or locally advanced breast cancer.
12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.
This study's enrollment of 103 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.
Browse Breast Neoplasms studies →Astellas Pharma Global Development, Inc. is the lead sponsor of 204 studies on the registry; 25 are open to participants now.
Of its 80 completed or terminated interventional studies of FDA-regulated products, 38 (48%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
The subject has a history of a non-breast cancer malignancy with the following exceptions:
Participants received 160 mg enzalutamide orally once daily and 6 mg/kg trastuzumab administered by intravenous infusion or subcutaneous injection every 21 days. Participants continued on treatment until disease progression, unacceptable toxicity or any other discontinuation criteria were met.
Drug: Enzalutamide · Drug: Trastuzumab
Capsules for oral administration
Also known as: MDV3100, Xtandi
Intravenous infusion (IV) or subcutaneous injection if it is standard of care within a country
Also known as: Herceptin
Clinical Benefit Rate (CBR)
Clinical benefit rate was defined as the percentage of evaluable participants with best objective response of confirmed complete response or partial response per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, or prolonged stable disease (≥ 24 weeks). Complete response (CR) was defined as the disappearance of all target and non-target lesions and no new lesions, and lymph nodes all \< 10 mm in short axis. Partial response (PR) was defined as disappearance of target lesions or a ≥ 30% decrease in the size of target lesions, with persistence of non-target lesions and no new lesions. Stable disease (SD) was defined as \< 30% decrease and \< 20% increase in the size of target lesions, persistence of non-target lesions, and no new lesions. PR and CR required confirmation with equivalent or improved assessment no less than 4 weeks after the date that PR or CR was first observed. SD required confirmation with equivalent or improved assessment no less than 8 weeks after enrollment.
Time frame: Tumor assessments were performed every 8 weeks through week 49, and then every 12 weeks thereafter until disease progression or death; the median duration of treatment was 70 days, and the maximum was 660 days.
Overall Response Rate at Week 24
Overall response rate was defined as the percentage of evaluable participants with a best objective response of confirmed complete response (CR) or partial response (PR) per RECIST 1.1. Complete response was defined as the disappearance of all target and non-target lesions and no new lesions, and lymph nodes all \< 10 mm in short axis. Partial response was defined as disappearance of target lesions or a ≥ 30% decrease in the size of target lesions with persistence of non-target lesions and no new lesions. PR and CR required confirmation with equivalent or improved assessment no less than 4 weeks after the date of scan that PR or CR was first observed.
Time frame: 24 weeks
Best Overall Response Rate
Best overall response was the best response across all time points, based on investigator assessments. Best overall response rate was defined as the percentage of evaluable participants with a best objective response of confirmed complete response (CR) or partial response (PR) at any time during the study per RECIST 1.1. Complete response was defined as the disappearance of all target and non-target lesions and no new lesions, and lymph nodes all \< 10 mm in short axis. Partial response was defined as disappearance of target lesions or a ≥ 30% decrease in the size of target lesions with persistence of non-target lesions and no new lesions. PR and CR required confirmation with equivalent or improved assessment no less than 4 weeks after the date of scan that PR or CR was first observed.
Time frame: Tumor assessments were performed every 8 weeks through week 49, and then every 12 weeks thereafter until disease progression or death; the median duration of treatment was 70 days, and the maximum was 660 days.
Progression-free Survival
Progression-free survival was defined as the time from the date of first dose of enzalutamide until the date of disease progression per RECIST 1.1, or death from any cause on study, whichever occurred first. Participants who initiated another antitumor therapy before documented progressive disease (PD) or death, or who progressed or died after missing 2 or more consecutive radiological assessments were censored at the date of the last radiological assessment showing no progression. Progressive disease was defined as a ≥ 20% increase in the size of target lesions and at least a 5 mm increase in size of target lesions from smallest size on study, or unequivocal progression of non-target lesions, or any new lesions.
Time frame: From the date of first dose of study drug until disease progression or death; the median duration of treatment was 70 days, and the maximum was 660 days.
Time to Progression
Time to progression was defined as the time from the first date of enzalutamide treatment until the date of disease progression per RECIST 1.1. Participants who initiated another anti-tumor therapy before documented PD, who progressed after missing two or more consecutive radiological assessments or who died before disease progression were censored at the date of the last radiological assessment showing no progression.
Time frame: From the date of first dose of study drug until disease progression or death; the median duration of treatment was 70 days, and the maximum was 660 days.
Duration of Response
Duration of response was defined as the time from the date of first documentation of response (CR or PR) until the date of disease progression per RECIST 1.1. Participants who initiated another anti-tumor therapy before documented PD, progressed after missing two or more consecutive radiological assessments or who died before disease progression were censored at the date of the last radiological assessment showing no progression.
Time frame: Tumor assessments were performed every 8 weeks through week 49, and then every 12 weeks thereafter until disease progression or death; the median duration of treatment was 70 days, and the maximum was 660 days..
Time to Response
Time to response was defined as the time from the first date of enzalutamide treatment to initial CR or PR and was calculated for participants with a CR or PR.
Time frame: From the date of first dose of study drug until disease progression or death; the median duration of treatment was 70 days, and the maximum was 660 days.
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
An AE was defined as any untoward medical occurrence in a participant administered study drug/who underwent study procedures and did not necessarily have a causal relationship with treatment. Abnormalities identified during medical tests were defined as an AE if they induced clinical signs/symptoms, required active intervention, interruption or discontinuation of study medication, or were clinically significant to the investigator. An AE was defined as serious if any of the following resulted: Death, was life-threatening, persistent or significant disability/incapacity or substantial disruption of ability to conduct normal life functions, congenital anomaly/ birth defect, inpatient hospitalization/prolongation of hospitalization or other medically important event. TEAE was defined as an AE observed during the treatment emergent period, which is from first dose date of study drug to 30 days after last dose date or the start of subsequent treatment or date of death, whichever is first.
Time frame: From the first dose date of study drug to 30 days after the last dose date of study drug or the start of subsequent treatment or date of death, whichever was first (Up to 3031 days)
The study was conducted at 35 clinical sites in Belgium, Canada, Italy, Spain, the United Kingdom and the United States.
| Milestone | Enzalutamide + Trastuzumab |
|---|---|
| Started | 103 |
| Received treatment | 103 |
| Completed | 58 |
| Not completed | 45 |
| Withdrew: Death | 7 |
| Withdrew: Withdrawal by subject | 1 |
| Withdrew: Miscellaneous reasons | 37 |
Clinical benefit rate was defined as the percentage of evaluable participants with best objective response of confirmed complete response or partial response per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, or prolonged stable disease (≥ 24 weeks). Complete response (CR) was defined as the disappearance of all target and non-target lesions and no new lesions, and lymph nodes all \< 10 mm in short axis. Partial response (PR) was defined as disappearance of target lesions or a ≥ 30% decrease in the size of target lesions, with persistence of non-target lesions and no new lesions. Stable disease (SD) was defined as \< 30% decrease and \< 20% increase in the size of target lesions, persistence of non-target lesions, and no new lesions. PR and CR required confirmation with equivalent or improved assessment no less than 4 weeks after the date that PR or CR was first observed. SD required confirmation with equivalent or improved assessment no less than 8 weeks after enrollment.
| percentage of participants | Enzalutamide + Trastuzumab |
|---|---|
| Clinical Benefit Rate (CBR) | 23.6 (15.2 to 33.8) |
Overall response rate was defined as the percentage of evaluable participants with a best objective response of confirmed complete response (CR) or partial response (PR) per RECIST 1.1. Complete response was defined as the disappearance of all target and non-target lesions and no new lesions, and lymph nodes all \< 10 mm in short axis. Partial response was defined as disappearance of target lesions or a ≥ 30% decrease in the size of target lesions with persistence of non-target lesions and no new lesions. PR and CR required confirmation with equivalent or improved assessment no less than 4 weeks after the date of scan that PR or CR was first observed.
| percentage of participants | Enzalutamide + Trastuzumab |
|---|---|
| Overall Response Rate at Week 24 | 3.4 (0.7 to 9.5) |
Best overall response was the best response across all time points, based on investigator assessments. Best overall response rate was defined as the percentage of evaluable participants with a best objective response of confirmed complete response (CR) or partial response (PR) at any time during the study per RECIST 1.1. Complete response was defined as the disappearance of all target and non-target lesions and no new lesions, and lymph nodes all \< 10 mm in short axis. Partial response was defined as disappearance of target lesions or a ≥ 30% decrease in the size of target lesions with persistence of non-target lesions and no new lesions. PR and CR required confirmation with equivalent or improved assessment no less than 4 weeks after the date of scan that PR or CR was first observed.
| percentage of participants | Enzalutamide + Trastuzumab |
|---|---|
| Best Overall Response Rate | 4.5 (1.2 to 11.1) |
Progression-free survival was defined as the time from the date of first dose of enzalutamide until the date of disease progression per RECIST 1.1, or death from any cause on study, whichever occurred first. Participants who initiated another antitumor therapy before documented progressive disease (PD) or death, or who progressed or died after missing 2 or more consecutive radiological assessments were censored at the date of the last radiological assessment showing no progression. Progressive disease was defined as a ≥ 20% increase in the size of target lesions and at least a 5 mm increase in size of target lesions from smallest size on study, or unequivocal progression of non-target lesions, or any new lesions.
| days | Enzalutamide + Trastuzumab |
|---|---|
| Progression-free Survival | 105.0 (61 to 116) |
Time to progression was defined as the time from the first date of enzalutamide treatment until the date of disease progression per RECIST 1.1. Participants who initiated another anti-tumor therapy before documented PD, who progressed after missing two or more consecutive radiological assessments or who died before disease progression were censored at the date of the last radiological assessment showing no progression.
| days | Enzalutamide + Trastuzumab |
|---|---|
| Time to Progression | 108.0 (61 to 116) |
Duration of response was defined as the time from the date of first documentation of response (CR or PR) until the date of disease progression per RECIST 1.1. Participants who initiated another anti-tumor therapy before documented PD, progressed after missing two or more consecutive radiological assessments or who died before disease progression were censored at the date of the last radiological assessment showing no progression.
| days | Enzalutamide + Trastuzumab |
|---|---|
| Duration of Response | NA (NA to NA) |
Time to response was defined as the time from the first date of enzalutamide treatment to initial CR or PR and was calculated for participants with a CR or PR.
| days | Enzalutamide + Trastuzumab |
|---|---|
| Time to Response | 57 (57 to 222) |
An AE was defined as any untoward medical occurrence in a participant administered study drug/who underwent study procedures and did not necessarily have a causal relationship with treatment. Abnormalities identified during medical tests were defined as an AE if they induced clinical signs/symptoms, required active intervention, interruption or discontinuation of study medication, or were clinically significant to the investigator. An AE was defined as serious if any of the following resulted: Death, was life-threatening, persistent or significant disability/incapacity or substantial disruption of ability to conduct normal life functions, congenital anomaly/ birth defect, inpatient hospitalization/prolongation of hospitalization or other medically important event. TEAE was defined as an AE observed during the treatment emergent period, which is from first dose date of study drug to 30 days after last dose date or the start of subsequent treatment or date of death, whichever is first.
| Participants | Enzalutamide + Trastuzumab |
|---|---|
| Any treatment emergent adverse events (TEAE) | 97 |
| Enzalutamide Related TEAE | 75 |
| Trastuzumab Related TEAE | 40 |
| Any Drug Related TEAE | 78 |
| Deaths | 4 |
| Serious TEAE | 24 |
| Enzalutamide Related Serious TEAE | 3 |
| Trastuzumab Related Serious TEAE | 0 |
| Any Drug Related Serious TEAE | 3 |
| TEAE leading to discontinuation of enzalutamide | 23 |
| TEAE leading to discontinuation of trastuzumab | 21 |
| TEAE leading to discontinuation of any study drug | 24 |
| Discontinuation due to enzalutamide Related TEAE | 5 |
| Discontinuation due to trastuzumab Related TEAE | 5 |
| Discontinuation due to Any Drug Related TEAE | 9 |
| TEAE Leading to Dose Reduction | 7 |
| TEAE Leading to Dose Interruption | 23 |
Collected over From the first dose date of study drug to 30 days after the last dose date of study drug or the start of subsequent treatment or date of death, whichever is first (Up to 3031 days).. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Enzalutamide + Trastuzumab | 7/103 (6.8%) | 24/103 (23.3%) | 89/103 (86.4%) |
| Event | Enzalutamide + Trastuzumab |
|---|---|
| Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 5/103 |
| NauseaGastrointestinal disorders | 3/103 |
| VomitingGastrointestinal disorders | 3/103 |
| Back painMusculoskeletal and connective tissue disorders | 3/103 |
| Abdominal painGastrointestinal disorders | 2/103 |
| PneumoniaInfections and infestations | 2/103 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 2/103 |
| DiarrhoeaGastrointestinal disorders | 1/103 |
| DyspepsiaGastrointestinal disorders | 1/103 |
| AstheniaGeneral disorders | 1/103 |
| Event | Enzalutamide + Trastuzumab |
|---|---|
| FatigueGeneral disorders | 37/103 |
| NauseaGastrointestinal disorders | 28/103 |
| HeadacheNervous system disorders | 17/103 |
| Hot flushVascular disorders | 17/103 |
| ConstipationGastrointestinal disorders | 15/103 |
| Decreased appetiteMetabolism and nutrition disorders | 15/103 |
| Back painMusculoskeletal and connective tissue disorders | 15/103 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 15/103 |
| DiarrhoeaGastrointestinal disorders | 14/103 |
| DizzinessNervous system disorders | 14/103 |
| Age, Continuous(years) | Enzalutamide + Trastuzumab |
|---|---|
| Mean | 59.3 ± 10.0 |
| Sex: Female, Male(Participants) | Enzalutamide + Trastuzumab |
|---|---|
| Female | 103 |
| Male | 0 |
| Ethnicity (NIH/OMB)(Participants) | Enzalutamide + Trastuzumab |
|---|---|
| Hispanic or Latino | 5 |
| Not Hispanic or Latino | 98 |
| Unknown or Not Reported | 0 |
| Race/Ethnicity, Customized(Participants) | Enzalutamide + Trastuzumab |
|---|---|
| Race — White | 90 |
| Race — Black or African American | 8 |
| Race — Asian | 3 |
| Race — American Indian or Alaskan Native | 0 |
| Race — Native Hawaiian or other Pacific Islander | 1 |
| Race — Other | 1 |
| Eastern Cooperative Oncology Group (ECOG) Performance Status(Participants) | Enzalutamide + Trastuzumab |
|---|---|
| Grade 0 | 51 |
| Grade 1 | 51 |
| Missing | 1 |
| Time from Initial Diagnosis of Primary Cancer to Enrollment(days) | Enzalutamide + Trastuzumab |
|---|---|
| Median | 1199 (30 to 4713) |
| Histopathology at Diagnosis(Participants) | Enzalutamide + Trastuzumab |
|---|---|
| Ductal | 73 |
| Inflammatory | 5 |
| Intraductal | 6 |
| Lobular | 6 |
| Mixed | 1 |
| Not otherwise specified | 1 |
| Other | 5 |
| Unknown | 6 |
| Anatomic Stage(Participants) | Enzalutamide + Trastuzumab |
|---|---|
| Stage 0 | 3 |
| Stage IA | 6 |
| Stage IB | 1 |
| Stage IIA | 14 |
| Stage IIB | 12 |
| Stage IIIA | 5 |
| Stage IIIB | 7 |
| Stage IIIC | 7 |
| Stage IV | 28 |
| Unknown | 20 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
Supporting information: Study protocol, Sap, Csr
This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Astellas Pharma Global Development, Inc.