- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04578444
An Expanded Access Treatment Protocol of Zanidatamab (ZW25) in Patients With HER2-Positive Advanced Biliary Tract Cancer
April 22, 2024 updated by: Jazz Pharmaceuticals
Expanded Access Use of Zanidatamab for the Treatment of HER2-Positive Advanced Solid Tumor
This is an intermediate-size Expanded Access Protocol (EAP) for use of zanidatamab (ZW25) in patients with human epidermal growth factor receptor 2 (HER2)-positive advanced biliary tract cancer (BTC) who are not eligible for other zanidatamab clinical trials, and who in the opinion of the treating oncologist, would potentially benefit from treatment with zanidatamab.
Study Overview
Status
Available
Conditions
Intervention / Treatment
Study Type
Expanded Access
Expanded Access Type
- Intermediate-size Population
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Early Access Care
- Phone Number: 203-441-7938
- Email: Zymeworks.EAP@earlyaccesscare.com
Study Contact Backup
- Name: Clinical Trial Disclosure & Transparency
- Phone Number: 215-832-3750
- Email: ClinicalTrialDisclosure@JazzPharma.com
Study Locations
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Besançon, France, 25030
- Available
- Jean Minjoz Hospital
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Marseille cedex 5, France, 13385
- Available
- Hopital Timone Marseille
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Pessac, France, 33604
- Available
- Hopital Haut-Leveque - CHU Bordeaux
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Villejuif, France, 94805
- Available
- Gustave Roussy Cancer Center
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Candiolo, Italy, 10060
- Available
- ICCRS Candiolo
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Milan, Italy, 20072
- Available
- Istituto Clinico Humanitas
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Milano, Italy, 20133
- Available
- Istituto Nazionale Tumori
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Barcelona, Spain, 08035
- Available
- Vall D'Hebron University Hospital
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Madrid, Spain, 28041
- Available
- Hospital Universitario 12 De Octubre
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Madrid, Spain, 28040
- Available
- Fundacion Jimenez Diaz University Hospital - Autonomous University of Madrid
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Harlow, United Kingdom, CM20 1QX
- Available
- The Princess Alexandra Hospital NHS Trust (Joanne Kwa, Pharmacist)
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London, United Kingdom, WC1E 6AG
- Available
- UCLH Cancer Institute (Meera Desai, Pharmacist)
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London, United Kingdom, WC1E 6JA
- Available
- HCA Healthcare UK
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Arizona
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Gilbert, Arizona, United States, 85234
- Available
- NoCo Banner MD Anderson Cancer Center
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California
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Cerritos, California, United States, 90603
- Available
- TOI Clinical Research
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Salinas, California, United States, 93901
- Available
- Salinas Valley Memorial Healthcare System
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Missouri
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Saint Louis, Missouri, United States, 63110
- Available
- Washington University School of Medicine
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Histologically confirmed HER2-positive locally advanced or metastatic biliary tract cancer that has progressed after receipt of available therapies known to confer clinical benefit.
- Adequate cardiac left ventricular function, as defined by left ventricular ejection fraction (LVEF) ≥ 50%
- Adequate organ function
- Ineligible to participate or has no access to an ongoing zanidatamab or other Zymeworks clinical study (e.g., ZW49 clinical study).
- Females of childbearing potential and non-sterile males must agree to practice highly effective methods of birth control for the duration of the study and for 12 months after the last dose of study drug. In addition, non-sterile males must avoid sperm donation for the duration of the study and for 12 months after the last dose of study drug.
Exclusion Criteria:
- Participating in other studies involving investigational drug(s) ≤ 3 weeks before the first dose of zanidatamab.
- Systemic anti-cancer therapy ≤ 3 weeks before the first dose of zanidatamab.
- Radiotherapy ≤ 2 weeks of the first dose of zanidatamab
The following central nervous system (CNS) brain lesions are excluded from the study:
- Untreated or unstable brain lesions requiring immediate local therapy or symptomatic CNS metastases.
- Radiation treatment for CNS metastases within 4 weeks before the first dose of zanidatamab.
- Known history of or ongoing leptomeningeal disease (LMD). If LMD has been reported radiographically, but is not suspected clinically by the investigator, the patient must be free of neurological symptoms of LMD.
The following CNS brain lesions are permitted:
- Stable brain lesions are permitted if stable, as defined by patients who are off steroids and anticonvulsants and are neurologically stable with no evidence of radiographic progression for at least 4 weeks at the time of screening.
- Concurrent uncontrolled or active hepatobiliary disorders or untreated or ongoing complications after laparoscopic procedures or stent placement, including but not limited to active cholangitis, unresolved biliary obstruction, biloma or abscess. Any complications should be resolved within 2 weeks prior to the first dose of zanidatamab.
- Active hepatitis
- Infection with human immunodeficiency virus (HIV) with uncontrolled disease.
- Females who are breastfeeding or pregnant, and females and males planning a pregnancy.
- History of myocardial infarction or unstable angina within 6 months prior to enrollment, congestive heart failure (NYHA Class 3 or 4), or clinically significant cardiac disease
- QTc Fridericia (QTcF) > 470 ms assessed within 30 days of screening
- Acute or chronic uncontrolled pancreatitis or Child-Pugh Class C liver disease
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
December 7, 2022
Primary Completion
December 7, 2022
Study Completion
December 7, 2022
Study Registration Dates
First Submitted
September 30, 2020
First Submitted That Met QC Criteria
September 30, 2020
First Posted (Actual)
October 8, 2020
Study Record Updates
Last Update Posted (Estimated)
April 23, 2024
Last Update Submitted That Met QC Criteria
April 22, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ZWI-ZW25-EAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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