Official Title: MATCH Treatment Subprotocol Q Ado-trastuzumab Emtansine in Patients With Tumors With HER2 Amplification Except Breast and GastricGastro-Esophageal Junction GEJ Adenocarcinomas
Status: ACTIVE_NOT_RECRUITING
Status Verified Date: 2024-05
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: This phase II MATCH treatment trial identifies the effects of ado-trastuzumab emtansine in patients whose cancer has a genetic change called HER2 amplification Ado-trastuzumab emtansine is a monoclonal antibody called trastuzumab linked to a chemotherapy drug called DM1 Trastuzumab is a form of targeted therapy because it works by attaching itself to specific molecules receptors on the surface of cancer cells known as HER2 receptors and delivers DM1 to kill them Researchers hope to learn if the study drug will shrink this type of cancer or stop its growth
Detailed Description: PRIMARY OBJECTIVE
I To evaluate the proportion of patients with objective response OR to targeted study agents in patients with advanced refractory cancerslymphomasmultiple myeloma
SECONDARY OBJECTIVES
I To evaluate the proportion of patients alive and progression free at 6 months of treatment with targeted study agent in patients with advanced refractory cancerslymphomasmultiple myeloma
II To evaluate time until death or disease progression III To identify potential predictive biomarkers beyond the genomic alteration by which treatment is assigned or resistance mechanisms using additional genomic ribonucleic acid RNA protein and imaging-based assessment platforms
IV To assess whether radiomic phenotypes obtained from pre-treatment imaging and changes from pre- through post-therapy imaging can predict objective response and progression free survival and to evaluate the association between pre-treatment radiomic phenotypes and targeted gene mutation patterns of tumor biopsy specimens
OUTLINE
Patients receive trastuzumab emtansine intravenously IV over 30-90 minutes on day 1 Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity
After completion of study treatment patients are followed up every 3 months if less than 2 years from study entry and then every 6 months for year 3 from study entry