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RecruitingNCT07081555Updated Oct 1, 2025

A First-in-Human Phase 1 Safety and Biodistribution of [177Lu]Lu-ABY-271 in Subjects With HER2-positive Metastatic Breast Cancer

A Phase 1 interventional study of [177Lu]Lu-ABY-271 in Metastatic Breast Cancer and HER2 + Breast Cancer, sponsored by Affibody. Recruiting at 3 sites in Sweden. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-10-01.

Sponsored by Affibody · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This is a FiH phase 1, open-label, two-stage, randomized trial to assess the safety, tolerability, and biodistribution of [177Lu]Lu-ABY-271 in subjects with HER2 positive metastatic breast cancer.

Read the detailed description

The trial consists of two parts:

Part A in which the uptake of [177Lu]Lu-ABY-271 in tumors and critical organs will be evaluated and up to 6 subjects will be enrolled sequentially.

Part B in which the optimal protein mass dose range (mg) to be utilized in subsequent clinical trials will be evaluated. 15 subjects will be randomized to 3 different protein mass dose levels (1:1:1), divided into two sequential cohorts with different radioactivity levels.

02

Conditions studied

  • Metastatic Breast Cancer
  • HER2 + Breast Cancer

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Keywords

  • Radiopharmaceutical
  • Biodistribution
  • First-in-human
  • phase 1
  • safety
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 planned enrollment of 21 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Affibody is the lead sponsor of 5 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Subject has unresectable locally advanced or metastatic breast cancer
  • Subject with histologically or cytologically confirmed carcinoma with documented HER2 overexpression (biopsy not older than 2 years): immunohistochemistry (IHC) score 3+; OR 2+ and fluorescence in situ hybridization (ISH) positive
  • At least one known tumor lesion ≥ 15 mm
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2

Part A only

- Subject is in treatment, or planned to start a new line of standard systemic anti-tumor therapy

Part B only

  • Subject has progressive disease, documented radiologically in the last three months
  • Subject has received at least 3 lines of standard systemic anti-tumor therapy in the palliative setting
  • Subject has received last dose of previous line of systemic anti-tumor therapy, and has no ongoing treatment related toxicities > grade 1 (except alopecia) prior to planned first dose of [177Lu]Lu-ABY-271

Exclusion criteria

Exclusion Criteria:

  • Active brain metastases
  • Administration of another IMP within 5 half-lives (for experimental biologics: 6 months or 5 half-lives, whichever is longer) of the planned first dose of [177Lu]Lu-ABY-271
  • Exposure to any anti-tumor therapy since the last documented progression, including any radiotherapy within 7 days prior to the planned first dose of [177Lu]Lu-ABY-271
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
21 participants (estimated)

Study arms

  • Experimental
    Part A

    \[177Lu\]Lu-ABY-271

    Drug: [177Lu]Lu-ABY-271

  • Experimental
    Part B - Cohort 1

    \[177Lu\]Lu-ABY-271 with protein mass dose A

    Drug: [177Lu]Lu-ABY-271

  • Experimental
    Part B - Cohort 2

    \[177Lu\]Lu-ABY-271 with protein mass dose B

    Drug: [177Lu]Lu-ABY-271

  • Experimental
    Part B - Cohort 3

    \[177Lu\]Lu-ABY-271 with Protein mass dose C

    Drug: [177Lu]Lu-ABY-271

Interventions

  • Drug[177Lu]Lu-ABY-271

    A single infusion of \[177Lu\]Lu-ABY-271

06

What researchers measure

Primary outcomes

  1. Treatment emergent adverse events

    Time frame: From baseline to the end-of-trial visit, for part A Day 29 and for part B Day 43

  2. Dose Limiting Toxicities

    Time frame: From baseline to the end-of-trial visit, for part A Day 29 and for part B Day 43

Secondary outcomes

  1. Absorbed dose in gray (Gy) per organ and selected tumors

    Time frame: From baseline to day 8

  2. Absorbed dose coefficient (Gy/GBq) per organ and selected tumors

    Time frame: From baseline to day 8

  3. Normalized whole-body effective dose (millisieverts [mSv]/MBq)

    Time frame: From baseline to day 8

07

Study locations

3 of 3 sites recruiting
  • Sahlgrenska University Hospital
    Gothenburg, S-413 45, Sweden
    Recruiting
  • Karolinska University Hospital
    Stockholm, SE-17164, Sweden
    Recruiting
  • Akademiska Sjukhuset
    Uppsala, SE-751 85, Sweden
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07081555
Lead sponsor
Affibody
Responsible party
Sponsor
First posted
Jul 23, 2025
Start date
Oct 6, 2025 (estimated)
Primary completion
Jan 1, 2027 (estimated)
Completion
Jun 1, 2028 (estimated)
Last update
Oct 1, 2025

Study contacts

Affibody AB
Contact
ABY-271-101@affibody.se
46859883800

Oversight

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

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