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OncoMatch/Clinical Trials/NCT07007559

ASPEN-09-03: A Study of Evorpacept in Combination With Trastuzumab and Chemotherapy in Metastatic HER2-Positive Breast Cancer

Is NCT07007559 recruiting? Yes, currently enrolling (Sep 2026). This Phase 2 trial studies multiple treatments for breast cancer, metastatic.

Phase 2RecruitingALX Oncology Inc.NCT07007559Data as of Sep 2026Location: International · 8 countries

Treatment: Evorpacept (ALX148) · Trastuzumab · Paclitaxel · Capecitabine · Eribulin · Gemcitabine · VinorelbineThe Substudy Protocol ASPEN-09-03 is a Phase 2, single-arm, multicenter study evaluating the efficacy, safety, and tolerability of evorpacept in combination with trastuzumab and chemotherapy in participants with HER2-positive metastatic breast cancer who have previously received trastuzumab-deruxtecan. This substudy is actively recruiting. ASPEN-09-03 is a substudy under Master Protocol ASPEN-09, and additional substudies are as follows: * Metastatic colorectal cancer (CRC) - dose escalation phase to evaluate evorpacept in combination with other drugs. This substudy is not open. * Recurrent/metastatic head and neck cancer (HNSCC) - dose escalation phase to evaluate evorpacept in combination with other drugs. This substudy is not open.

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Trastuzumab

Chemotherapy

PaclitaxelCapecitabineGemcitabineVinorelbine

Other

Evorpacept (ALX148)Eribulin

Cancer type

Breast Carcinoma

Biomarker criteria

Required: HER2 (ERBB2) overexpression

HER2+ breast cancer based on an evaluable tumor tissue biopsy

Disease stage

Required: Stage IV

Metastatic disease required

Measurable disease as defined by RECIST v1.1

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Max 4 prior lines
Min 1 prior line

Must have received: HER2-targeted therapy (trastuzumab deruxtecan) — locally advanced/metastatic HER2+ breast cancer

including at least one prior line of T-DXd (ENHERTU) for locally advanced/metastatic HER2+ breast cancer

Cannot have received: anti-CD47 therapy

Prior exposure to any anti-CD47 or anti-SIRPα agent

Lab requirements

Kidney function

estimated creatinine clearance ≥30 mL/min as calculated using the Cockcroft-Gault equation or CKD-EPI equation

Liver function

Total bilirubin ≤1.5 x ULN (≤3.0 x ULN if the participant has documented Gilbert syndrome); AST and ALT ≤3 x ULN (≤5.0 x ULN if liver involved by metastatic disease)

Cardiac function

LVEF ≥50%

LVEF ≥50%. Adequate renal function (estimated creatinine clearance ≥30 mL/min as calculated using the Cockcroft-Gault equation or CKD-EPI equation). Adequate liver function: Total bilirubin ≤1.5 x ULN (≤3.0 x ULN if the participant has documented Gilbert syndrome); AST and ALT ≤3 x ULN (≤5.0 x ULN if liver involved by metastatic disease).

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

US trial sites

  • The University of Arizona Cancer Center - North Campus · Tucson, Arizona
  • City of Hope · Duarte, California
  • UC San Diego Moores Cancer Center · La Jolla, California
  • UC Irvine Health - Chao Family Comprehensive Cancer Center · Orange, California
  • Saint Joseph Hospital - Cancer Centers of Colorado · Denver, Colorado

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT07007559 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior anti-CD47 therapy disqualifies patients from enrollment.

Does this trial require ERBB2?

Yes, ERBB2 overexpression is a required biomarker for enrollment.

What disease stage is eligible?

Stage IV is required (metastatic disease required).

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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