CClinicalTrials.gg
Active, not recruitingNCT04721977Updated Sep 10, 2026Results posted

A Study of Tucatinib (MK-7119) in Combination With Trastuzumab and Capecitabine in Participants With Previously Treated Locally Advanced Unresectable or Metastatic Human Epidermal Growth Factor Receptor 2 Positive (HER2+) Breast Carcinoma (MK-7119-001)

A Phase 2 interventional study of Tucatinib and Trastuzumab in Breast Cancer, sponsored by Pfizer. Active, not recruiting at 28 sites in 3 countries. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2026-09-10.

Sponsored by Pfizer · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
66
Allocation
Not applicable
Ages
20 Years and older
Sex
All
01

Study summary

The goal of this study is to evaluate the efficacy and safety of tucatinib in combination with trastuzumab and capecitabine in participants with unresectable locally advanced or metastatic HER2+ breast cancer who have had prior treatment with taxane anti-cancer agent, trastuzumab, pertuzumab and trastuzumab emtansine (T-DM1). The primary hypothesis is that the confirmed objective response rate (cORR) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) as determined by independent central review (ICR) for the combination of tucatinib, trastuzumab and capecitabine, is greater than 20%.

02

Conditions studied

  • Breast Cancer

Browse trials for

03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 66 is close to the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Inclusion criteria

  • Has histologically confirmed HER2+ breast carcinoma
  • Has received previous treatment with taxane anti-cancer agent, trastuzumab, pertuzumab, and T-DM1 with the exception of when the use of taxanes is contraindicated or judged not to be the best treatment at the investigator's discretion
  • Has radiographically and/or histologically confirmed disease progression on last systemic anticancer treatment
  • Has adequate organ function
  • Female participant is not pregnant or breastfeeding and is not a woman of childbearing potential (WOCBP) or is a WOCBP and using contraception or abstinent from heterosexual intercourse during the intervention period and for at least 30 days after receiving the last dose of tucatinib, 80 days after receiving the last dose of trastuzumab, or 180 days after receiving the last dose of capecitabine, whichever occurs last and agrees to not donate eggs during this period
  • Male participants refrain from donating sperm and are either abstinent from heterosexual intercourse or agree to use contraception during the intervention period and for at least 7 days after receiving the last dose of tucatinib and 90 days after receiving the last dose of capecitabine, whichever occurs last
  • Previously treated brain metastasis is stable or progressed, provided there is no clinical indication for immediate re-treatment

Exclusion criteria

Exclusion Criteria:

  • Has been previously treated with lapatinib within 12 months of starting study treatment
  • Has been previously treated with neratinib, afatinib, tucatinib or capecitabine
  • Has a history of exposure to doxorubicin, epirubicin, mitoxantrone, idarubicin, liposomal doxorubicin
  • Has had treatment with any systemic anti-cancer therapy including hormonal therapy, non-central nervous system (CNS) radiation or experimental agent ≤3 weeks before first dose of study treatment
  • Has any toxicity related to prior cancer therapies that has not resolved with the exception of alopecia, congestive heart failure, anemia
  • Has clinically significant cardiopulmonary disease
  • Has known myocardial infarction or unstable angina within 6 months prior to the first dose of study treatment
  • Has any uncontrolled viral, bacterial or fungal infection within 14 days prior to the first dose of study treatment
  • Is positive for Hepatitis B, Hepatitis C or has known chronic liver disease
  • Is known to be positive for human immunodeficiency virus (HIV)
  • Has evidence within 2 years of the start of study treatment of another malignancy that required systemic treatment
  • Has ongoing use of systemic corticosteroids for control of symptoms of brain metastases
  • Has any brain lesion thought to require immediate local therapy
  • Has known or suspected leptomeningeal disease (LMD)
  • Has poorly controlled generalized or complex partial seizures or manifest neurologic progression due to brain metastases
05

Study design

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

Study arms

  • Experimental
    Tucatinib + Trastuzumab + Capecitabine

    Participants will receive tucatinib plus trastuzumab plus capecitabine. Tucatinib 300 mg will be administered orally twice daily (BID). Trastuzumab 8 mg/kg loading dose followed by 6 mg/kg maintenance dose thereafter, will be administered intravenously (IV) on Day 1 of each 21-day cycle. Capecitabine 1000 mg/m\^2 will be administered orally BID on Days 1-14 of each 21-day cycle. Tucatinib, trastuzumab and capecitabine treatment will continue until unacceptable toxicity, disease progression, death, withdrawal of consent or study closure.

    Drug: Tucatinib · Biological: Trastuzumab · Drug: Capecitabine

Interventions

  • DrugTucatinib

    Tucatinib 300 mg administered BID via oral tablet

    Also known as: MK-7119, Tukysa

  • BiologicalTrastuzumab

    Trastuzumab 8 mg/kg loading dose followed by 6 mg/kg maintenance dose, administered via IV infusion

    Also known as: Herceptin, Herceptin Hylecta

  • DrugCapecitabine

    Capecitabine 1000 mg/m\^2 administered BID via oral tablet

    Also known as: Xeloda

06

What researchers measure

Primary outcomes

  1. Confirmed Objective Response Rate(cORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 Determined by Independent Central Review (ICR): Japanese Participants

    cORR was defined as percentage of participants with confirmed complete response (CR) or partial response (PR), per RECIST version 1.1. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 millimeter(mm). PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented progressive disease(PD) or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study(included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Participants with missing data were considered non-responders. cORR was determined by ICR. Two-sided 90% exact confidence interval was based on Clopper-Pearson method.

    Time frame: From date of first dose until first documented disease progression or start of new anticancer therapy, whichever occurred first (maximum up to 17.8 months)

Secondary outcomes

  1. Confirmed Objective Response Rate(cORR) Per RECIST Version 1.1 Determined by ICR: All Participants

    cORR was defined as percentage of participants with confirmed CR or PR, per RECIST version 1.1. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Participants with missing data were considered non-responders. cORR was determined by ICR. Two-sided 90% exact confidence interval was based on Clopper-Pearson method.

    Time frame: From date of first dose until first documented disease progression or start of new anticancer therapy, whichever occurred first

  2. Confirmed Objective Response Rate(cORR) Per RECIST Version 1.1 Determined by Investigator Assessment (INV): Japanese Participants

    cORR was defined as percentage of participants with confirmed CR or PR, per RECIST version 1.1. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Participants with missing data were considered non-responders. cORR was determined by INV. Two-sided 90% exact confidence interval was based on Clopper-Pearson method.

    Time frame: From date of first dose until first documented disease progression or start of new anticancer therapy, whichever occurred first

  3. Confirmed Objective Response Rate(cORR) Per RECIST Version 1.1 Determined by INV: All Participants

    cORR was defined as percentage of participants with confirmed CR or PR, per RECIST version 1.1. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Participants with missing data were considered non-responders. cORR was determined by ICR. Two-sided 90% exact confidence interval was based on Clopper-Pearson method.

    Time frame: From date of first dose until first documented disease progression or start of new anticancer therapy, whichever occurred first

  4. Duration of Response (DOR) Per RECIST Version 1.1 Determined by INV: All Participants

    DOR was defined as the time from the first objective response (CR or PR that is subsequently confirmed) to documented PD per RECIST version 1.1 or death from any cause, whichever occurred first. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Only those participants who achieved a confirmed response will be included in the analysis. DOR was determined by INV.

    Time frame: From date of first objective response (CR or PR that is subsequently confirmed) to documented PD, or death from any cause whichever occurred first

  5. Duration of Response (DOR) Per RECIST Version 1.1 Determined by INV: Japanese Participants

    DOR was defined as the time from the first objective response (CR or PR that is subsequently confirmed) to documented PD per RECIST version 1.1 or death from any cause, whichever occurred first. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Only those participants who achieved a confirmed response will be included in the analysis. DOR was determined by INV.

    Time frame: From date of first objective response (CR or PR that is subsequently confirmed) to documented PD, or death from any cause whichever occurred first

  6. Duration of Response (DOR) Per RECIST Version 1.1 Determined by ICR: All Participants

    DOR was defined as the time from the first objective response (CR or PR that is subsequently confirmed) to documented PD per RECIST version 1.1 or death from any cause, whichever occurred first. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Only those participants who achieved a confirmed response will be included in the analysis. DOR was determined by ICR.

    Time frame: From date of first objective response (CR or PR that is subsequently confirmed) to documented PD, or death from any cause whichever occurred first

  7. Duration of Response (DOR) Per RECIST Version 1.1 Determined by ICR: Japanese Participants

    DOR was defined as the time from the first objective response (CR or PR that is subsequently confirmed) to documented PD per RECIST version 1.1 or death from any cause, whichever occurred first. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Only those participants who achieved a confirmed response will be included in the analysis. DOR was determined by ICR.

    Time frame: From date of first objective response (CR or PR that is subsequently confirmed) to documented PD, or death from any cause whichever occurred first

  8. Progression Free Survival (PFS) Per RECIST Version 1.1 Determined by ICR: All Participants

    PFS time was defined as the time from the first date of study treatment to the date of documented disease progression using RECIST v1.1 or death from any cause, whichever occurred first. Participants who were alive and had not progressed at the time of the analysis were censored at the time of their last tumor assessment documenting absence of PD. Participants lacking an evaluation of tumor response after their start of study treatment had their event time censored at 1 day. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. PFS was determined by ICR.

    Time frame: From date of first dose to the date of documented disease progression or death from any cause whichever occurred first or censoring date

  9. Progression Free Survival (PFS) Per RECIST Version 1.1 Determined by ICR: Japanese Participants

    PFS time was defined as the time from the first date of study treatment to the date of documented disease progression using RECIST v1.1 or death from any cause, whichever occurred first. Participants who were alive and had not progressed at the time of the analysis were censored at the time of their last tumor assessment documenting absence of PD. Participants lacking an evaluation of tumor response after their start of study treatment had their event time censored at 1 day. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. PFS was determined by ICR.

    Time frame: From date of first dose to the date of documented disease progression or death from any cause whichever occurred first or censoring date

  10. Progression Free Survival (PFS) Per RECIST Version 1.1 Determined by INV: All Participants

    PFS time was defined as the time from the first date of study treatment to the date of documented disease progression using RECIST v1.1 or death from any cause, whichever occurred first. Participants who were alive and had not progressed at the time of the analysis were censored at the time of their last tumor assessment documenting absence of PD. Participants lacking an evaluation of tumor response after their start of study treatment had their event time censored at 1 day. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. PFS was determined by INV.

    Time frame: From date of first dose to the date of documented disease progression or death from any cause whichever occurred first or censoring date

  11. Progression Free Survival (PFS) Per RECIST Version 1.1 Determined by INV: Japanese Participants

    PFS time was defined as the time from the first date of study treatment to the date of documented disease progression using RECIST v1.1 or death from any cause, whichever occurred first. Participants who were alive and had not progressed at the time of the analysis were censored at the time of their last tumor assessment documenting absence of PD. Participants lacking an evaluation of tumor response after their start of study treatment had their event time censored at 1 day. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. PFS was determined by INV.

    Time frame: From date of first dose to the date of documented disease progression or death from any cause whichever occurred first or censoring date

  12. Overall Survival: All Participants

    OS was defined as the time from start of study treatment to date of death due to any cause. In the absence of confirmation of death, survival time was censored at the last date the participant was known to be alive. Participants lacking data beyond their start of study treatment had their survival time censored at 1 day.

    Time frame: From start of study treatment to date of death from any cause or censoring date

  13. Overall Survival: Japanese Participants

    OS was defined as the time from start of study treatment to date of death due to any cause. In the absence of confirmation of death, survival time was censored at the last date the participant was known to be alive. Participants lacking data beyond their start of study treatment had their survival time censored at 1 day.

    Time frame: From start of study treatment to date of death from any cause or censoring date

  14. Number of Participants With Adverse Events, Serious Adverse Events and Treatment Related Adverse Events and Serious Adverse Events: All Participants

    An adverse event was defined as any untoward medical occurrence in a participant or clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. Serious adverse event was any untoward medical occurrence at any dose that resulted in death; life-threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); congenital anomaly/birth defect or that was considered as an important medical event. Treatment related adverse events and serious adverse events was judged by investigator.

    Time frame: From date of first dose of study treatment to up to 30 days after last dose of study treatment

  15. Number of Participants With Adverse Events, Serious Adverse Events and Treatment Related Adverse Events and Serious Adverse Events: Japanese Participants

    An adverse event was defined as any untoward medical occurrence in a participant or clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. t intervention indicated and Grade 5 indicates death related to AE. Participants who discontinued treatment due to AEs were captured under AEs leading to treatment discontinuation. SAE was any untoward medical occurrence at any dose that resulted in death; life-threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); congenital anomaly/birth defect or that was considered as an important medical event. Treatment related adverse events and serious adverse events was judged by investigator.

    Time frame: From date of first dose of study treatment to up to 30 days after last dose of study treatment

  16. Number of Participants With Abnormalities in Laboratory Parameters: All Participants

    Time frame: From date of first dose of study treatment to up to 30 days after last dose of study treatment

  17. Number of Participants With Abnormalities in Laboratory Parameters: Japanese Participants

    Time frame: From date of first dose of study treatment to up to 30 days after last dose of study treatment

  18. Number of Participants With Dose Modifications and Treatment Discontinuations: All Participants

    Time frame: From date of first dose of study treatment to up to 30 days after last dose of study treatment

  19. Number of Participants With Dose Modifications and Treatment Discontinuations: Japanese Participants

    Time frame: From date of first dose of study treatment to up to 30 days after last dose of study treatment

  20. Number of Participants With Clinically Significant Changes in Vital Signs: All Participants

    Time frame: From date of first dose of study treatment to up to 30 days after last dose of study treatment

  21. Number of Participants With Clinically Significant Changes in Vital Signs: Japanese Participants

    Time frame: From date of first dose of study treatment to up to 30 days after last dose of study treatment

07

Results

Posted Aug 9, 2024

Participant flow

Participant flow — Overall Study
MilestoneTucatinib + Capecitabine + Trastuzumab
Started66
Japanese participants53
Completed0
Not completed66
Withdrew: Death15
Withdrew: Ongoing51

Outcome measures

PrimaryConfirmed Objective Response Rate(cORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 Determined by Independent Central Review (ICR): Japanese Participants

cORR was defined as percentage of participants with confirmed complete response (CR) or partial response (PR), per RECIST version 1.1. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 millimeter(mm). PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented progressive disease(PD) or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study(included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Participants with missing data were considered non-responders. cORR was determined by ICR. Two-sided 90% exact confidence interval was based on Clopper-Pearson method.

Time frame:
From date of first dose until first documented disease progression or start of new anticancer therapy, whichever occurred first (maximum up to 17.8 months)
Reported as:
Number · Percentage of participants
Confirmed Objective Response Rate(cORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 Determined by Independent Central Review (ICR): Japanese Participants
Percentage of participantsTucatinib + Capecitabine + Trastuzumab
Confirmed Objective Response Rate(cORR) Per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 Determined by Independent Central Review (ICR): Japanese Participants35.4 (24.0 to 48.3)
SecondaryConfirmed Objective Response Rate(cORR) Per RECIST Version 1.1 Determined by ICR: All Participants

cORR was defined as percentage of participants with confirmed CR or PR, per RECIST version 1.1. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Participants with missing data were considered non-responders. cORR was determined by ICR. Two-sided 90% exact confidence interval was based on Clopper-Pearson method.

Time frame:
From date of first dose until first documented disease progression or start of new anticancer therapy, whichever occurred first

Results for this outcome have not been posted.

SecondaryConfirmed Objective Response Rate(cORR) Per RECIST Version 1.1 Determined by Investigator Assessment (INV): Japanese Participants

cORR was defined as percentage of participants with confirmed CR or PR, per RECIST version 1.1. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Participants with missing data were considered non-responders. cORR was determined by INV. Two-sided 90% exact confidence interval was based on Clopper-Pearson method.

Time frame:
From date of first dose until first documented disease progression or start of new anticancer therapy, whichever occurred first

Results for this outcome have not been posted.

SecondaryConfirmed Objective Response Rate(cORR) Per RECIST Version 1.1 Determined by INV: All Participants

cORR was defined as percentage of participants with confirmed CR or PR, per RECIST version 1.1. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Participants with missing data were considered non-responders. cORR was determined by ICR. Two-sided 90% exact confidence interval was based on Clopper-Pearson method.

Time frame:
From date of first dose until first documented disease progression or start of new anticancer therapy, whichever occurred first

Results for this outcome have not been posted.

SecondaryDuration of Response (DOR) Per RECIST Version 1.1 Determined by INV: All Participants

DOR was defined as the time from the first objective response (CR or PR that is subsequently confirmed) to documented PD per RECIST version 1.1 or death from any cause, whichever occurred first. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Only those participants who achieved a confirmed response will be included in the analysis. DOR was determined by INV.

Time frame:
From date of first objective response (CR or PR that is subsequently confirmed) to documented PD, or death from any cause whichever occurred first

Results for this outcome have not been posted.

SecondaryDuration of Response (DOR) Per RECIST Version 1.1 Determined by INV: Japanese Participants

DOR was defined as the time from the first objective response (CR or PR that is subsequently confirmed) to documented PD per RECIST version 1.1 or death from any cause, whichever occurred first. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Only those participants who achieved a confirmed response will be included in the analysis. DOR was determined by INV.

Time frame:
From date of first objective response (CR or PR that is subsequently confirmed) to documented PD, or death from any cause whichever occurred first

Results for this outcome have not been posted.

SecondaryDuration of Response (DOR) Per RECIST Version 1.1 Determined by ICR: All Participants

DOR was defined as the time from the first objective response (CR or PR that is subsequently confirmed) to documented PD per RECIST version 1.1 or death from any cause, whichever occurred first. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Only those participants who achieved a confirmed response will be included in the analysis. DOR was determined by ICR.

Time frame:
From date of first objective response (CR or PR that is subsequently confirmed) to documented PD, or death from any cause whichever occurred first

Results for this outcome have not been posted.

SecondaryDuration of Response (DOR) Per RECIST Version 1.1 Determined by ICR: Japanese Participants

DOR was defined as the time from the first objective response (CR or PR that is subsequently confirmed) to documented PD per RECIST version 1.1 or death from any cause, whichever occurred first. CR: disappearance of all target lesions. Any pathological lymph nodes must have a reduction in short axis to \<10 mm. PR: a \>=30% decrease in the sum of diameters of target lesions, taking as a reference the baseline sum diameters. Only response assessments before first documented PD or new anti-cancer therapies were considered. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. Only those participants who achieved a confirmed response will be included in the analysis. DOR was determined by ICR.

Time frame:
From date of first objective response (CR or PR that is subsequently confirmed) to documented PD, or death from any cause whichever occurred first

Results for this outcome have not been posted.

SecondaryProgression Free Survival (PFS) Per RECIST Version 1.1 Determined by ICR: All Participants

PFS time was defined as the time from the first date of study treatment to the date of documented disease progression using RECIST v1.1 or death from any cause, whichever occurred first. Participants who were alive and had not progressed at the time of the analysis were censored at the time of their last tumor assessment documenting absence of PD. Participants lacking an evaluation of tumor response after their start of study treatment had their event time censored at 1 day. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. PFS was determined by ICR.

Time frame:
From date of first dose to the date of documented disease progression or death from any cause whichever occurred first or censoring date

Results for this outcome have not been posted.

SecondaryProgression Free Survival (PFS) Per RECIST Version 1.1 Determined by ICR: Japanese Participants

PFS time was defined as the time from the first date of study treatment to the date of documented disease progression using RECIST v1.1 or death from any cause, whichever occurred first. Participants who were alive and had not progressed at the time of the analysis were censored at the time of their last tumor assessment documenting absence of PD. Participants lacking an evaluation of tumor response after their start of study treatment had their event time censored at 1 day. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. PFS was determined by ICR.

Time frame:
From date of first dose to the date of documented disease progression or death from any cause whichever occurred first or censoring date

Results for this outcome have not been posted.

SecondaryProgression Free Survival (PFS) Per RECIST Version 1.1 Determined by INV: All Participants

PFS time was defined as the time from the first date of study treatment to the date of documented disease progression using RECIST v1.1 or death from any cause, whichever occurred first. Participants who were alive and had not progressed at the time of the analysis were censored at the time of their last tumor assessment documenting absence of PD. Participants lacking an evaluation of tumor response after their start of study treatment had their event time censored at 1 day. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. PFS was determined by INV.

Time frame:
From date of first dose to the date of documented disease progression or death from any cause whichever occurred first or censoring date

Results for this outcome have not been posted.

SecondaryProgression Free Survival (PFS) Per RECIST Version 1.1 Determined by INV: Japanese Participants

PFS time was defined as the time from the first date of study treatment to the date of documented disease progression using RECIST v1.1 or death from any cause, whichever occurred first. Participants who were alive and had not progressed at the time of the analysis were censored at the time of their last tumor assessment documenting absence of PD. Participants lacking an evaluation of tumor response after their start of study treatment had their event time censored at 1 day. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study (included baseline sum if smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions was also considered PD. PFS was determined by INV.

Time frame:
From date of first dose to the date of documented disease progression or death from any cause whichever occurred first or censoring date

Results for this outcome have not been posted.

SecondaryOverall Survival: All Participants

OS was defined as the time from start of study treatment to date of death due to any cause. In the absence of confirmation of death, survival time was censored at the last date the participant was known to be alive. Participants lacking data beyond their start of study treatment had their survival time censored at 1 day.

Time frame:
From start of study treatment to date of death from any cause or censoring date

Results for this outcome have not been posted.

SecondaryOverall Survival: Japanese Participants

OS was defined as the time from start of study treatment to date of death due to any cause. In the absence of confirmation of death, survival time was censored at the last date the participant was known to be alive. Participants lacking data beyond their start of study treatment had their survival time censored at 1 day.

Time frame:
From start of study treatment to date of death from any cause or censoring date

Results for this outcome have not been posted.

SecondaryNumber of Participants With Adverse Events, Serious Adverse Events and Treatment Related Adverse Events and Serious Adverse Events: All Participants

An adverse event was defined as any untoward medical occurrence in a participant or clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. Serious adverse event was any untoward medical occurrence at any dose that resulted in death; life-threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); congenital anomaly/birth defect or that was considered as an important medical event. Treatment related adverse events and serious adverse events was judged by investigator.

Time frame:
From date of first dose of study treatment to up to 30 days after last dose of study treatment

Results for this outcome have not been posted.

SecondaryNumber of Participants With Adverse Events, Serious Adverse Events and Treatment Related Adverse Events and Serious Adverse Events: Japanese Participants

An adverse event was defined as any untoward medical occurrence in a participant or clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. t intervention indicated and Grade 5 indicates death related to AE. Participants who discontinued treatment due to AEs were captured under AEs leading to treatment discontinuation. SAE was any untoward medical occurrence at any dose that resulted in death; life-threatening (immediate risk of death); required inpatient hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); congenital anomaly/birth defect or that was considered as an important medical event. Treatment related adverse events and serious adverse events was judged by investigator.

Time frame:
From date of first dose of study treatment to up to 30 days after last dose of study treatment

Results for this outcome have not been posted.

SecondaryNumber of Participants With Abnormalities in Laboratory Parameters: All Participants
Time frame:
From date of first dose of study treatment to up to 30 days after last dose of study treatment

Results for this outcome have not been posted.

SecondaryNumber of Participants With Abnormalities in Laboratory Parameters: Japanese Participants
Time frame:
From date of first dose of study treatment to up to 30 days after last dose of study treatment

Results for this outcome have not been posted.

SecondaryNumber of Participants With Dose Modifications and Treatment Discontinuations: All Participants
Time frame:
From date of first dose of study treatment to up to 30 days after last dose of study treatment

Results for this outcome have not been posted.

SecondaryNumber of Participants With Dose Modifications and Treatment Discontinuations: Japanese Participants
Time frame:
From date of first dose of study treatment to up to 30 days after last dose of study treatment

Results for this outcome have not been posted.

SecondaryNumber of Participants With Clinically Significant Changes in Vital Signs: All Participants
Time frame:
From date of first dose of study treatment to up to 30 days after last dose of study treatment

Results for this outcome have not been posted.

SecondaryNumber of Participants With Clinically Significant Changes in Vital Signs: Japanese Participants
Time frame:
From date of first dose of study treatment to up to 30 days after last dose of study treatment

Results for this outcome have not been posted.

Adverse events

Collected over From date of first dose of study treatment up to 30 days after last dose of study treatment, death date, or data cut-off date, whichever is earlier (up to 24.6 months). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Tucatinib + Capecitabine + Trastuzumab15/66 (22.7%)6/66 (9.1%)65/66 (98.5%)
Most frequent serious events
Most frequent serious events
EventTucatinib + Capecitabine + Trastuzumab
COVID-19Infections and infestations2/66
Febrile neutropeniaBlood and lymphatic system disorders1/66
Pneumonia bacterialInfections and infestations1/66
HypercalcaemiaMetabolism and nutrition disorders1/66
HypophagiaMetabolism and nutrition disorders1/66
Brain oedemaNervous system disorders1/66
Pleural effusionRespiratory, thoracic and mediastinal disorders1/66
Most frequent other events
Showing 10 of 37
Most frequent other events
EventTucatinib + Capecitabine + Trastuzumab
Palmar-plantar erythrodysaesthesia syndromeSkin and subcutaneous tissue disorders41/66
DiarrhoeaGastrointestinal disorders40/66
NauseaGastrointestinal disorders32/66
Alanine aminotransferase increasedInvestigations20/66
Neutrophil count decreasedInvestigations19/66
StomatitisGastrointestinal disorders18/66
Blood bilirubin increasedInvestigations18/66
Aspartate aminotransferase increasedInvestigations16/66
White blood cell count decreasedInvestigations16/66
AnaemiaBlood and lymphatic system disorders13/66

Baseline characteristics

All treated participants set included all participants who received any amount of study drug.

Age, Continuous
Age, Continuous(Years)Tucatinib + Capecitabine + Trastuzumab
Mean54.6 ± 10.3
Sex: Female, Male
Sex: Female, Male(Participants)Tucatinib + Capecitabine + Trastuzumab
Female66
Male0
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Tucatinib + Capecitabine + Trastuzumab
Asian66
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Tucatinib + Capecitabine + Trastuzumab
Not Hispanic, Latino/a, or of Spanish Origin66
08

Study locations

28 sites
  • Aichi Cancer Center Hospital ( Site 1013)
    Nagoya, Aichi-ken 464-8681, Japan
  • Nagoya University Hospital ( Site 1021)
    Nagoya, Aichi-ken 466-8560, Japan
  • National Cancer Center Hospital East ( Site 1002)
    Kashiwa, Chiba 2778577, Japan
  • National Hospital Organization Shikoku Cancer Center ( Site 1014)
    Matsuyama, Ehime 791-0280, Japan
  • National Hospital Organization Hokkaido Cancer Center ( Site 1017)
    Sapporo, Hokkaido 003-0804, Japan
  • Hokkaido University Hospital ( Site 1022)
    Sapporo, Hokkaido 060-8648, Japan
  • Hyogo Cancer Center ( Site 1005)
    Akashi, Hyōgo 673-8558, Japan
  • Hyogo College of Medicine Hospital ( Site 1019)
    Nishinomiya, Hyōgo 663-8501, Japan
  • University of Tsukuba Hospital ( Site 1020)
    Tsukuba, Ibaraki 305-8576, Japan
  • Kanagawa Cancer Center ( Site 1010)
    Yokohama, Kanagawa 241-8515, Japan
  • Medical Corporation Nahanishikai Nahanishi Clinic ( Site 1016)
    Naha, Okinawa 901-0154, Japan
  • Saitama Cancer Center ( Site 1018)
    Kitaadachi-gun, Saitama 362-0806, Japan
  • National Hospital Organization Kyushu Cancer Center ( Site 1009)
    Fukuoka, 811-1395, Japan
  • Fukushima Medical University Hospital ( Site 1012)
    Fukushima, 960-1295, Japan
  • Hiroshima City Hiroshima Citizens Hospital ( Site 1024)
    Hiroshima, 730-8518, Japan
  • Social medical corporation Hakuaikai Sagara Hospital ( Site 1008)
    Kagoshima, 892-0833, Japan
  • Kumamoto Shinto General Hospital ( Site 1007)
    Kumamoto, 862-8655, Japan
  • National Hospital Organization Osaka National Hospital ( Site 1001)
    Osaka, 540-0006, Japan
  • Osaka International Cancer Institute ( Site 1004)
    Osaka, 541-8567, Japan
  • National Cancer Center Hospital ( Site 1003)
    Tokyo, 104-0045, Japan
  • Juntendo University Hospital ( Site 1025)
    Tokyo, 113-0033, Japan
  • The Cancer Institute Hospital of JFCR ( Site 1015)
    Tokyo, 135-8550, Japan
  • Showa University Hospital ( Site 1023)
    Tokyo, 142-8666, Japan
  • Tokyo Medical University Hospital ( Site 1006)
    Tokyo, 160-0023, Japan
  • Seoul National University Hospital ( Site 2003)
    Seoul, 03080, South Korea
  • Severance Hospital ( Site 2001)
    Seoul, 03722, South Korea
  • Samsung Medical Center ( Site 2002)
    Seoul, 06351, South Korea
  • National Cheng Kung University Hospital ( Site 3000)
    Dawan, Tainan 704, Taiwan
09

References and documents

Study documents

  • Study protocol · Feb 28, 2024
  • Statistical analysis plan · Apr 14, 2023

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

Individual participant data

Plan to share: Yes — http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04721977
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Jan 25, 2021
Start date
Apr 8, 2021
Primary completion
Jul 17, 2023
Completion
Dec 31, 2026 (estimated)
Results posted
Aug 9, 2024
Last update
Sep 10, 2026

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
No
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.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions 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.

Start the discussion