A Phase 2 interventional study of SYD985 in Endometrial Cancer, sponsored by Byondis B.V.. Completed at 36 sites in 7 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-30.
Sponsored by Byondis B.V. · Phase 2, Interventional, and Treatment
The purpose of this study is to evaluate the safety and efficacy of SYD985 in recurrent, advanced or metastatic endometrial cancer.
This is an open-label, single-arm study in patients with HER2-expressing recurrent, advanced or metastatic endometrial carcinoma. HER2-expression is defined as a 1+, 2+ or 3+ score on immunohistochemistry (IHC) or positive by in situ hybridization (ISH). Eligible patients for this study should have progressed on or after first line platinum-based chemotherapy. Patients who have had two or more lines of chemotherapy for advanced/metastatic disease are not eligible.
Eligible patients will receive SYD985 until disease progression or unacceptable toxicity. Patients who have stopped study treatment for other reasons than disease progression will continue their tumor evaluations in an observation period until disease progression or start of a new anticancer therapy.
Main Inclusion Criteria:
Eligible patients should have progressed on or after first line platinum-based chemotherapy for advanced/metastatic endometrial cancer. Patients who have had two or more lines of chemotherapy for advanced/metastatic disease are not eligible, taking into account the following:
Exclusion Criteria:
SYD985, Intravenous, every 3 weeks (Q3W)
Drug: SYD985
SYD985 powder for concentrate for solution for infusion
Also known as: Trastuzumab vc-seco-DUBA, (vic-)trastuzumab duocarmazine
Objective Response Rate (ORR)
ORR is defined as the proportion of patients with an assessed best overall response of complete response or partial response according to Response Evaluation Criteria In Solid Tumors (RECIST) v1.1.
Time frame: 2 years
Progression-Free Survival (PFS)
PFS is defined as the time from the date of randomization to the date of first documented disease progression by investigator assessment according to RECIST v1.1 or death due to any cause, whichever occurred earlier.
Time frame: 2 years
Overall Survival (OS)
OS is defined as the time from date of randomization to death due to any cause.
Time frame: 2 years
Number of Participants With Treatment-Emergent Adverse Events (AEs)
AEs will be graded by the investigator as assessed by CTCAE v5.0.
Time frame: 2 years
A total of 80 participants were screened, out of which 64 patients were enrolled in the study.
| Milestone | SYD985 |
|---|---|
| Started | 64 |
| Full analysis set (all patients who received at least 1 dose of study treatment) | 64 |
| Efficacy analysis set (all patients who had at least one post-baseline tumour evaluation assessment) | 61 |
| Completed | 0 |
| Not completed | 64 |
| Withdrew: Disease progression per recist 1.1 | 37 |
| Withdrew: Disease clinical progression | 7 |
| Withdrew: Withdrawal by subject | 2 |
| Withdrew: Adverse event | 17 |
| Withdrew: Other | 1 |
ORR is defined as the proportion of patients with an assessed best overall response of complete response or partial response according to Response Evaluation Criteria In Solid Tumors (RECIST) v1.1.
| Participants | SYD985 |
|---|---|
| Objective Response Rate (ORR) | 20 |
PFS is defined as the time from the date of randomization to the date of first documented disease progression by investigator assessment according to RECIST v1.1 or death due to any cause, whichever occurred earlier.
| months | SYD985 |
|---|---|
| Progression-Free Survival (PFS) | 5.6 (4.0 to 7.6) |
OS is defined as the time from date of randomization to death due to any cause.
| months | SYD985 |
|---|---|
| Overall Survival (OS) | 16.3 (11.6 to 20.5) |
AEs will be graded by the investigator as assessed by CTCAE v5.0.
| Participants | SYD985 |
|---|---|
| Number of Participants With Treatment-Emergent Adverse Events (AEs) | 51 |
Collected over Adverse events were collected for each participant from the time of signing the main informed consent form (ICF) up to 30 days after the treatment discontinuation visit, up to 2 years 9 months.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| SYD985 | 36/64 (56.3%) | 12/64 (18.8%) | 51/64 (79.7%) |
| Event | SYD985 |
|---|---|
| COVID-19 pneumoniaInfections and infestations | 3/64 |
| AnaemiaBlood and lymphatic system disorders | 2/64 |
| Abdominal herniaGastrointestinal disorders | 1/64 |
| NauseaGastrointestinal disorders | 1/64 |
| Oesophageal haemorrhageGastrointestinal disorders | 1/64 |
| Cardiac failureCardiac disorders | 1/64 |
| Cardiac failure acuteCardiac disorders | 1/64 |
| General physical health deteriorationGeneral disorders | 1/64 |
| Sudden deathGeneral disorders | 1/64 |
| Cervical spinal stenosisMusculoskeletal and connective tissue disorders | 1/64 |
| Event | SYD985 |
|---|---|
| KeratitisEye disorders | 20/64 |
| Dry eyeEye disorders | 18/64 |
| ConjunctivitisEye disorders | 14/64 |
| Skin hyperpigmentationSkin and subcutaneous tissue disorders | 11/64 |
| FatigueGeneral disorders | 9/64 |
| AnaemiaBlood and lymphatic system disorders | 8/64 |
| Infusion related reactionInjury, poisoning and procedural complications | 8/64 |
| Periorbital oedemaEye disorders | 7/64 |
| AlopeciaSkin and subcutaneous tissue disorders | 7/64 |
| LeukopeniaBlood and lymphatic system disorders | 7/64 |
| Age, Continuous(years) | SYD985 |
|---|---|
| Mean | 66.3 ± 7.31 |
| Sex: Female, Male(Participants) | SYD985 |
|---|---|
| Female | 64 |
| Male | 0 |
| Ethnicity (NIH/OMB)(Participants) | SYD985 |
|---|---|
| Hispanic or Latino | 0 |
| Not Hispanic or Latino | 64 |
| Unknown or Not Reported | 0 |
| Race (NIH/OMB)(Participants) | SYD985 |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 13 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 3 |
| White | 48 |
| More than one race | 0 |
| Unknown or Not Reported | 0 |
| Region of Enrollment(participants) | SYD985 |
|---|---|
| South Korea | 7 |
| Singapore | 5 |
| United States | 9 |
| Ukraine | 19 |
| Poland | 4 |
| Serbia | 6 |
| Russia | 14 |
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Byondis B.V.