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OncoMatch/Clinical Trials/NCT06172478

A Study of HER3-DXd in Subjects With Locally Advanced or Metastatic Solid Tumors

Is NCT06172478 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies HER3-DXd for advanced solid tumor.

Phase 2RecruitingDaiichi SankyoNCT06172478Data as of May 2026

Treatment: HER3-DXdThis is a proof-of-concept study designed to investigate HER3-DXd monotherapy in locally advanced unresectable or metastatic solid tumors. The study is enrolling cohorts of participants with melanoma \[cutaneous/acral\], squamous cell carcinomas of the head and neck (SCCHN), HER2-negative gastric cancer ovarian carcinoma, cervical cancer, endometrial cancer, bladder cancer, esophageal carcinoma, pancreatic carcinoma, prostate cancer, second-line gastric cancer, lung cancer, and breast cancer.

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Extracted eligibility criteria

Cancer type

Tumor Agnostic

Melanoma

Head and Neck Squamous Cell Carcinoma

Gastric Cancer

Ovarian Cancer

Cervical Cancer

Endometrial Cancer

Urothelial Carcinoma

Esophageal Carcinoma

Pancreatic Cancer

Prostate Cancer

Non-Small Cell Lung Carcinoma

Breast Carcinoma

Biomarker criteria

Required: HER2 (ERBB2) negative expression (IHC 0/1+ or IHC 2+/ISH-) (IHC 0/1+ or IHC 2+/ISH-)

gastric or GEJ adenocarcinoma confirmed as negative for HER2 expression (IHC 0/1+ or IHC 2+/in situ hybridization negative)

Required: HER2 (ERBB2) negative expression (IHC 0/1+ or IHC 2+/ISH-) (IHC 0/1+ or IHC 2+/ISH-)

gastric or GEJ adenocarcinoma confirmed as negative for HER2 expression (IHC 0/1+ or IHC 2+/in situ hybridization negative)

Required: HER2 (ERBB2) negative expression (IHC2+/ISH-, IHC1+, or IHC0) (IHC2+/ISH-, IHC1+, or IHC0)

breast cancer that is assessed as HER2 negative (IHC2+/ISH-, IHC1+, or IHC0 per ASCO/CAP guidelines)

Required: ALK wild-type

absence of actionable driver mutation (ie, ALK rearrangement)

Required: BRAF wild-type

absence of actionable driver mutation (ie, BRAF V600E mutation)

Required: EGFR wild-type

absence of actionable driver mutation (ie, EGFR-activating mutations [exon 19 deletion or L858R mutation], EGFR exon 20 insertion mutation)

Required: HER2 (ERBB2) wild-type

absence of actionable driver mutation (ie, HER2 mutation)

Required: KRAS wild-type

absence of actionable driver mutation (ie, KRAS G12C mutation)

Required: MET wild-type

absence of actionable driver mutation (ie, MET exon 14 skipping mutation)

Required: NTRK1 wild-type

absence of actionable driver mutation (ie, NTRK 1/2/3 gene fusion)

Required: NTRK2 wild-type

absence of actionable driver mutation (ie, NTRK 1/2/3 gene fusion)

Required: NTRK3 wild-type

absence of actionable driver mutation (ie, NTRK 1/2/3 gene fusion)

Required: RET wild-type

absence of actionable driver mutation (ie, RET rearrangement)

Required: ROS1 wild-type

absence of actionable driver mutation (ie, ROS1 rearrangement)

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot have received: anti-HER3 antibody and/or ADC with exatecan derivative topoisomerase I inhibitor (trastuzumab deruxtecan)

prior treatment with an anti-HER3 antibody and/or antibody-drug conjugate (ADC) that consists of an exatecan derivative that is a topoisomerase I inhibitor (eg, trastuzumab deruxtecan)

Cannot have received: topoisomerase-1 inhibitor (irinotecan)

previously received topoisomerase-1 inhibitors (e.g., irinotecan) treatment in the advanced or metastatic disease setting

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • City of Hope · Duarte, California
  • Yale Cancer Center · New Haven, Connecticut
  • AdventHealth Medical Group Oncology Research at Celebration · Kissimmee, Florida
  • University of Illinois Cancer Center · Chicago, Illinois
  • Johns Hopkins University · Baltimore, Maryland

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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