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Active, not recruitingNCT03448042Updated Aug 26, 2026

A Study of Runimotamab in Participants With Locally Advanced or Metastatic HER2-Expressing Cancers

A Phase 1 interventional study of Runimotamab and Trastuzumab in Solid Tumors, sponsored by Genentech, Inc.. Active, not recruiting at 26 sites in 13 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-26.

Sponsored by Genentech, Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
123
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate the safety, tolerability, and pharmacokinetics of Runimotamab administered intravenously as a single agent and in combination with Trastuzumab in participants with locally advanced or metastatic Human Epidermal Growth Factor Receptor 2 (HER2)-expressing cancers.

02

Conditions studied

  • Solid Tumors
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • Life expectancy of at least 12 weeks
  • Adequate hematologic and end-organ function
  • Acute, clinically significant treatment-related toxicity from prior therapy must have resolved to Grade \</=1 prior to study entry
  • Left Ventricular Ejection Fraction (LVEF) >/=50%

HER2-Expressing Breast Cancer-Specific Inclusion Criteria

  • Locally tested, Human Epidermal Growth Factor Receptor 2 (HER2)-expressing BC
  • Locally advanced or metastatic BC that has relapsed or is refractory to established therapies

HER2-Expressing Gastric/Gastroesophageal (GEJ) Cancer-Specific Inclusion Criteria

  • Adenocarcinoma of the stomach or GEJ with inoperable locally advanced or recurrent and/or metastatic disease, not amenable to curative therapy
  • HER2-expressing tumor (primary tumor or metastasis) as assessed by local lab testing
  • HER2-positive gastric/GEJ cancer must have received prior trastuzumab, cisplatin (or carboplatin or oxaliplatin or investigational platinum agent) and 5-fluorouracil (5-FU)/capecitabine

HER2-Positive Solid Tumor Specific Inclusion Criteria

  • HER2-positive tumor (primary tumor or metastasis) as assessed by local (non-central) laboratory testing
  • Locally advanced, recurrent, or metastatic incurable malignancy that has progressed after at least one available standard therapy; or for whom standard therapy has proven to be ineffective or intolerable, or is considered inappropriate; or for whom a clinical trial of an investigational agent is a recognized standard of care; or for whom a clinical trial of an investigational agent is considered an acceptable treatment option

Exclusion criteria

Exclusion Criteria

  • Pregnant or breastfeeding, or intending to become pregnant during the study or within 140 days after the last dose of runimotamab
  • Significant cardiopulmonary dysfunction
  • Known clinically significant liver disease
  • Positive for acute or chronic Hepatitis B virus (HBV) infection
  • Acute or chronic Hepatitis C virus (HCV) infection
  • Human Immunodeficiency Virus (HIV) seropositivity
  • Poorly controlled Type 2 diabetes mellitus
  • History of ventricular dysrhythmias or risk factors for ventricular dysrhythmias
  • Current treatment with medications that are well known to prolong the Q-wave/T-wave (QT) interval
  • Known clinically significant liver disease
  • Primary central nervous system (CNS) malignancy, untreated CNS metastases, or active CNS metastases (progressing or requiring corticosteroids for symptomatic control)
  • Leptomeningeal disease
  • Spinal cord compression that has not definitively treated with surgery and/or radiation
  • History of autoimmune disease
  • Prior allogeneic stem cell or solid organ transplantation
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
123 participants (actual)

Study arms

  • Experimental
    Dose Escalation

    Participants will be assigned sequentially to escalating doses of runimotamab up to the maximum tolerated dose (MTD).

    Drug: Runimotamab · Drug: Trastuzumab · Drug: Tocilizumab

  • Experimental
    Dose Expansion

    Participants will receive runimotamab based on the MTD or maximum allowed dose (MAD) identified during dose escalation.

    Drug: Runimotamab · Drug: Trastuzumab · Drug: Tocilizumab

Interventions

  • DrugRunimotamab

    Runimotamab will be administered via IV infusion until disease progression, intolerable toxicity, or any other discontinuation criteria are met.

    Also known as: BTRC4017A, RO7227780

  • DrugTrastuzumab

    Trastuzumab will be administered via IV infusion

  • DrugTocilizumab

    Participants will receive IV tocilizumab if needed

05

What researchers measure

Primary outcomes

  1. Percentage of Participants with Adverse Events

    Time frame: From baseline through end of study (approximately 78 months)

Secondary outcomes

  1. Serum Concentration of Runimotamab

    Time frame: At predefined intervals from Cycle 1, Day 1 (approximately 1 year)

  2. Area Under the Serum Concentration vs. Time Curve (AUC) of Runimotamab

    Time frame: At predefined intervals from Cycle 1, Day 1 (approximately 1 year)

  3. Maximum Observed Serum Concentration (Cmax) of Runimotamab

    Time frame: At predefined intervals from Cycle 1, Day 1 (approximately 1 year)

  4. Minimum Observed Serum Concentration (Cmin) of Runimotamab

    Time frame: At predefined intervals from Cycle 1, Day 1 (approximately 1 year)

  5. Clearance (CL) of Runimotamab

    Time frame: At predefined intervals from Cycle 1, Day 1 (approximately 1 year)

  6. Volume of Distribution at Steady State (Vss) of Runimotamab

    Time frame: At predefined intervals from Cycle 1, Day 1 (approximately 1 year)

  7. Objective Response (OR) as Determined by the Investigator According to Response Evaluation Criteria In Solid Tumors v1.1 (RECIST v1.1)

    Time frame: Baseline through the end of study (approximately 78 months)

  8. Duration of Response (DOR)

    Time frame: From the first occurrence of a documented objective response to first documented disease progression or death from any cause, through the end of the study (approximately 78 months)

  9. Anti-Drug Antibody (ADA) Levels of Runimotamab

    Time frame: At predefined intervals from Cycle 1, Day 1 (approximately 1 year)

06

Study locations

26 sites
  • Yale University
    New Haven, Connecticut 06511, United States
  • Washington University
    Saint Louis, Michigan 63130, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10017, United States
  • SCRI Oncology Partners
    Nashville, Tennessee 37203, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Peter MacCallum Cancer Centre
    Melbourne, Victoria 3000, Australia
  • Grand Hopital de Charleroi asbl
    Charleroi, 6000, Belgium
  • Princess Margaret Hospital
    Toronto, Ontario M5G 2M9, Canada
  • Rigshospitalet-Blegdamsvej 9
    Copenhagen, 2100, Denmark
  • EDOG - Institut Bergonie - PPDS
    Bordeaux, Gironde 33000, France
  • Centre Léon Bérard
    Lyon, Rhône 69008, France
  • Gustave Roussy
    Villejuif, Val-de-Marne 94805, France
  • Institut Claudius Regaud
    Toulouse, 31059, France
  • ASST Grande Ospedale Metropolitano Niguarda - Presidio Ospedaliero Ospedale Niguarda Ca' Granda
    Milan, Lombardy 20162, Italy
  • Het Nederlands Kanker Instituut Antoni Van Leeuwenhoek Ziekenhuis
    Amsterdam, 1066 CX, Netherlands
  • National Cancer Centre
    Singapore, 168583, Singapore
  • Asan Medical Center
    Seoul, 05505, South Korea
  • Seoul National University Hospital
    Seoul, 110-744, South Korea
  • Hospital Universitario Quironsalud Madrid
    Pozuelo de Alarcón, Madrid 28223, Spain
  • Hospital Universitari Vall d'Hebron
    Barcelona, 08035, Spain
  • START MADRID_Hospital Universiario Fundacion Jimenez Diaz
    Madrid, 28040, Spain
  • START MADRID_Hospital Universitario HM Sanchinarro - CIOCC - EDOS
    Madrid, 28050, Spain
  • Hospital Clinico Universitario de Valencia
    Valencia, 46010, Spain
  • China Medical University Hospital
    Taichung, 40447, Taiwan
  • National Taiwan University Hospital
    Taipei, 10048, Taiwan
  • Churchill Hospital
    Oxford, Oxfordshire OX3 7LJ, United Kingdom
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03448042
Lead sponsor
Genentech, Inc.
Responsible party
Sponsor
First posted
Feb 27, 2018
Start date
Jun 6, 2018
Primary completion
Apr 30, 2027 (estimated)
Completion
Apr 30, 2027 (estimated)
Last update
Aug 26, 2026

Study contacts

Clinical Trials
study director · Genentech, Inc.

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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