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CompletedNCT04205630Updated May 30, 2024Results posted

SYD985 in Patients With HER2-expressing Recurrent, Advanced or Metastatic Endometrial Carcinoma

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

Phase
Phase 2
Study type
Interventional
Enrollment
64
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Study summary

The purpose of this study is to evaluate the safety and efficacy of SYD985 in recurrent, advanced or metastatic endometrial cancer.

Read the detailed description

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.

02

Conditions studied

  • Endometrial Cancer
03

Who can participate

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

Eligibility criteria

Main Inclusion Criteria:

  • Females with histologically confirmed recurrent, advanced or metastatic endometrial carcinoma
  • 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:

    • Patients may have received up to one additional line of chemotherapy if given in the neoadjuvant or adjuvant setting. If such treatment was completed less than 6 months prior to the current tumor recurrence or progression it is to be considered first-line treatment;
    • No more than one line of non-cytotoxic systemic cancer therapy (such as immunotherapy, trastuzumab or protein kinase inhibitors) is allowed.
  • HER2 tumor expression defined as a 1+, 2+ or 3+ score on IHC or positive by ISH
  • At least one measurable cancer lesion as defined by the Response Evaluation Criteria for Solid Tumours (RECIST version 1.1);
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2;

Exclusion Criteria:

  • Current or previous use of a prohibited medication as listed in the protocol;
  • History of infusion-related reactions and/or hypersensitivity to trastuzumab;
  • History of keratitis;
  • Severe, uncontrolled systemic disease at screening;
  • Left Ventricular Ejection Fraction (LVEF) \< 50%, or a history of clinically significant decrease in LVEF during previous treatment with trastuzumab;
  • History of clinically significant cardiovascular disease;
  • Symptomatic brain metastases, brain metastases requiring steroids to manage symptoms, or treatment for brain metastases within 8 weeks prior to randomization;
  • History or presence of idiopathic pulmonary fibrosis, organizing pneumonia (e.g. bronchiolitis obliterans), drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan.
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
64 participants (actual)

Study arms

  • Experimental
    SYD985

    SYD985, Intravenous, every 3 weeks (Q3W)

    Drug: SYD985

Interventions

  • DrugSYD985

    SYD985 powder for concentrate for solution for infusion

    Also known as: Trastuzumab vc-seco-DUBA, (vic-)trastuzumab duocarmazine

05

What researchers measure

Primary outcomes

  1. 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

Secondary outcomes

  1. 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

  2. Overall Survival (OS)

    OS is defined as the time from date of randomization to death due to any cause.

    Time frame: 2 years

  3. 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

06

Results

Posted May 30, 2024

Participant flow

A total of 80 participants were screened, out of which 64 patients were enrolled in the study.

Participant flow — Overall Study
MilestoneSYD985
Started64
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
Completed0
Not completed64
Withdrew: Disease progression per recist 1.137
Withdrew: Disease clinical progression7
Withdrew: Withdrawal by subject2
Withdrew: Adverse event17
Withdrew: Other1

Outcome measures

PrimaryObjective 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
Reported as:
Count of participants · Participants
Objective Response Rate (ORR)
ParticipantsSYD985
Objective Response Rate (ORR)20
SecondaryProgression-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
Reported as:
Median · months
Progression-Free Survival (PFS)
monthsSYD985
Progression-Free Survival (PFS)5.6 (4.0 to 7.6)
SecondaryOverall Survival (OS)

OS is defined as the time from date of randomization to death due to any cause.

Time frame:
2 years
Reported as:
Median · months
Overall Survival (OS)
monthsSYD985
Overall Survival (OS)16.3 (11.6 to 20.5)
SecondaryNumber 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
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events (AEs)
ParticipantsSYD985
Number of Participants With Treatment-Emergent Adverse Events (AEs)51

Adverse events

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.

Adverse event summary by group
GroupDeathsSeriousOther
SYD98536/64 (56.3%)12/64 (18.8%)51/64 (79.7%)
Most frequent serious events
Showing 10 of 14
Most frequent serious events
EventSYD985
COVID-19 pneumoniaInfections and infestations3/64
AnaemiaBlood and lymphatic system disorders2/64
Abdominal herniaGastrointestinal disorders1/64
NauseaGastrointestinal disorders1/64
Oesophageal haemorrhageGastrointestinal disorders1/64
Cardiac failureCardiac disorders1/64
Cardiac failure acuteCardiac disorders1/64
General physical health deteriorationGeneral disorders1/64
Sudden deathGeneral disorders1/64
Cervical spinal stenosisMusculoskeletal and connective tissue disorders1/64
Most frequent other events
Showing 10 of 24
Most frequent other events
EventSYD985
KeratitisEye disorders20/64
Dry eyeEye disorders18/64
ConjunctivitisEye disorders14/64
Skin hyperpigmentationSkin and subcutaneous tissue disorders11/64
FatigueGeneral disorders9/64
AnaemiaBlood and lymphatic system disorders8/64
Infusion related reactionInjury, poisoning and procedural complications8/64
Periorbital oedemaEye disorders7/64
AlopeciaSkin and subcutaneous tissue disorders7/64
LeukopeniaBlood and lymphatic system disorders7/64

Baseline characteristics

Age, Continuous
Age, Continuous(years)SYD985
Mean66.3 ± 7.31
Sex: Female, Male
Sex: Female, Male(Participants)SYD985
Female64
Male0
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)SYD985
Hispanic or Latino0
Not Hispanic or Latino64
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)SYD985
American Indian or Alaska Native0
Asian13
Native Hawaiian or Other Pacific Islander0
Black or African American3
White48
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)SYD985
South Korea7
Singapore5
United States9
Ukraine19
Poland4
Serbia6
Russia14
07

Study locations

36 sites
  • Smilow Cancer Hospital (Yale)
    New Haven, Connecticut 06520-8063, United States
  • Seoul National University Bundang Hospital
    Seongnam-si, 13605, Korea, Republic of
  • Seoul National University Hospital
    Seoul, 3080, Korea, Republic of
  • Severance Hospital, Yonsei University Health System
    Seoul, 3722, Korea, Republic of
  • Samsung Medical Center
    Seoul, 6351, Korea, Republic of
  • The Catholic University of Korea, Seoul St. Mary's Hospital
    Seoul, 6591, Korea, Republic of
  • MedTrials
    Kraków, 30-820, Poland
  • St. John of Dukla Oncology Center of Lublin Land
    Lublin, 20-090, Poland
  • Arkhangelsk Clinical Oncology Center
    Arkhangelsk, 163045, Russian Federation
  • Chelyabinsk Regional Clinical Oncology and Nuclear Medicine Center
    Chelyabinsk, 454087, Russian Federation
  • Regional Oncology Center
    Irkutsk, 664035, Russian Federation
  • Clinical Oncology Center
    Omsk, 644013, Russian Federation
  • Orenburg Regional Clinical Oncology Center
    Orenburg, 460021, Russian Federation
  • Private Medical Institution "EVROMEDSERVIS"
    Saint Petersburg, 196603, Russian Federation
  • Oncology Center #2
    Sochi, 354057, Russian Federation
  • Oncology Center of Moskovskiy District
    St. Petersburg, 196247, Russian Federation
  • AV Medical Group
    St. Petersburg, 197082, Russian Federation
  • Tambov Regional Oncological Clinical Center
    Tambov, 392013, Russian Federation
  • Republican Clinical Oncology Center
    Ufa, 450054, Russian Federation
  • Volgograd Regional Clinical Oncology Center
    Volgograd, 400138, Russian Federation
  • National Cancer Research Center
    Belgrade, 11000, Serbia
  • Clinical Center Nis, Clinic of Oncology
    Nis, 18000, Serbia
  • Oncology Institute of Vojvodina (IOV), Clinic of Surgical Oncology, Department of Gynecology
    Sremska Kamenica, 21204, Serbia
  • National University Hospital, Department of Hematology-Oncology
    Singapore, 119074, Singapore
  • National Cancer Centre Singapore
    Singapore, 169610, Singapore
  • Cherkasy Regional Oncology Dispensary of Cherkasy Oblast Council
    Cherkasy, 18099, Ukraine
  • Chernivtsi Regional Clinical Oncology Center
    Chernivtsi, 58013, Ukraine
  • "City Clinical Hospital #4" under Dnipro City Council
    Dnipro, 49102, Ukraine
  • Prykarpattia Clinical Oncology Center
    Ivano-Frankivsk, 76018, Ukraine
  • State Institution: S.P. Hryhoriev Institute of Medical Radiology under the Ukrainian Academy of Medical Sciences
    Kharkiv, 61024, Ukraine
  • Communal Non-profit enterprise "Regional Center of Oncology"
    Kharkiv, 61070, Ukraine
  • Medical Center "Verum"
    Kyiv, 3039, Ukraine
  • Odesa Regional Clinical Hospital
    Odesa, 65025, Ukraine
  • Public Non-Profit Enterprise Ternopil Regional Clinical Oncology Center
    Ternopil, 46023, Ukraine
  • Podilla Regional Oncology Center
    Vinnytsia, 21029, Ukraine
  • Medical Center ONCOLIFE LLC
    Zaporizhzhia, 69059, Ukraine
08

References and documents

Study documents

  • Study protocol · Sep 30, 2020
  • Statistical analysis plan · Apr 19, 2023

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Registry details

Key details

Study ID
NCT04205630
Lead sponsor
Byondis B.V.
Responsible party
Sponsor
First posted
Dec 19, 2019
Start date
May 28, 2020
Primary completion
Jan 26, 2023
Completion
Apr 25, 2023
Results posted
May 30, 2024
Last update
May 30, 2024

Study contacts

Clinical Development
study director · Byondis B.V., The Netherlands

Oversight

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

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