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OncoMatch/Clinical Trials/NCT07309770

Trastuzumab Rezetecan in Advanced Solid Tumors Refractory to Standard Therapies

Is NCT07309770 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including SHR-A1811 and Trastuzumab Rezetecan for urachal cancer.

Phase 2RecruitingSheng ZhangNCT07309770Data as of May 2026

Treatment: SHR-A1811 · Trastuzumab RezetecanThis study is a single-center, multi-cohort, phase II clinical trial. Eligible patients with HER2-positive advanced solid tumors were enrolled after providing informed consent. A total of 90 patients were allocated into three cohorts (30 patients each): those with Extramammary Paget's Disease (EMPD), rare solid tumors, or urothelial carcinoma, who had experienced failure of standard treatment or for whom no standard treatment was available. The participant recruitment period was 12 months, and the follow-up duration was 12 months. All patients received Trastuzumab Rezetecan (SHR-A1811) at a dose of 4.8 mg/kg administered every three weeks (q3w). They were followed until disease progression, withdrawal from the study, loss to follow-up, or death, whichever occurred first. Tumor response was assessed radiologically every 6 weeks during treatment. Safety follow-up was conducted 30 days after the last dose, followed by survival follow-up every 3 months thereafter.

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Extracted eligibility criteria

Cancer type

Tumor Agnostic

Biomarker criteria

Required: HER2 (ERBB2) overexpression (HER2 ≥ 1+ by immunohistochemistry [IHC]) (HER2 ≥ 1+ by IHC)

pathologically confirmed as HER2-positive (i.e., HER2 ≥ 1+ by immunohistochemistry [IHC])

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Must have received: PD-1/PD-L1 inhibitor combined with enfortumab vedotin or disitamab vedotin (enfortumab vedotin, disitamab vedotin) — first-line

disease progression following first-line treatment with a PD-1/PD-L1 inhibitor combined with enfortumab vedotin or disitamab vedotin

Lab requirements

Blood counts

ANC ≥ 1.5 × 10⁹/L; Platelet count ≥ 70 × 10⁹/L; Hemoglobin ≥ 80 g/L

Kidney function

Serum creatinine (Cr) ≤ 1.5 × ULN or Creatinine clearance ≥ 50 mL/min (Cockcroft-Gault)

Liver function

Serum total bilirubin (TBIL) ≤ 1.5 × ULN; ALT and AST ≤ 3 × ULN (≤ 5 × ULN if liver metastases are present); serum albumin ≥ 28 g/L

Hematological function: ANC ≥ 1.5 × 10⁹/L, Platelet count ≥ 70 × 10⁹/L, Hemoglobin ≥ 80 g/L; Hepatic function: TBIL ≤ 1.5 × ULN, ALT/AST ≤ 3 × ULN (≤ 5 × ULN if liver metastases), albumin ≥ 28 g/L; Renal function: Cr ≤ 1.5 × ULN or CrCl ≥ 50 mL/min

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

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