A Study of XMT-2056 in Advanced/Recurrent Solid Tumors That Express HER2

NCT ID: NCT05514717

Last Updated: 2025-07-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-24

Study Completion Date

2027-04-30

Brief Summary

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A Study of XMT-2056 in advanced/recurrent solid tumors that express HER2.

Detailed Description

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The first-in-human (FIH) study of XMT-2056 is a Phase 1, open-label study of XMT-2056 in previously treated patients with advanced/recurrent solid tumors expressing HER2. The XMT-2056 monotherapy trial will consist of dose escalation (DES) and expansion (EXP) parts.

DES will be the dose-finding portion of the study to assess the safety and tolerability of XMT-2056 and determine the maximum tolerated dose (MTD) and/or Recommended Phase 2 Dose (RP2D). The RP2D will be determined based on the totality of the clinical data, including safety and preliminary anti-tumor effect, PK, and relevant biomarker data.

Conditions

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HER2-positive Breast Cancer HER2-positive Gastric Cancer HER2-positive Non-Small Cell Lung Cancer HER2-positive Colorectal Cancer HER2-positive Tumors HER2 Low Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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XMT-2056

XMT-2056 alone (monotherapy)

Group Type EXPERIMENTAL

XMT-2056

Intervention Type DRUG

XMT-2056 will be administered through a vein in your arm or port catheter (intravenously)

Interventions

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XMT-2056

XMT-2056 will be administered through a vein in your arm or port catheter (intravenously)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participant has recurrent or metastatic solid tumors with HER2 expression and has disease progression after treatment, is intolerant to treatment, or is contraindicated with available anti-cancer therapies known to confer benefit, based on investigator's judgement. Note: Participants must have HER2 positivity per the results of their most recent tumor tissue testing, defined as IHC 3+ or IHC 2+ in combination with in situ hybridization (ISH)+. Participants with ERBB2-activating mutations or ERBB2 gene amplification in the absence of HER2 positivity are considered ineligible.
* Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
* Participant must have measurable disease as defined by RECIST version 1.1.
* Participant has fresh tumor biopsy tissue available for submission to central laboratory. If obtaining fresh tumor tissue is medically contraindicated, archival tumor tissue can be submitted following written approval of the request by the study Medical Monitor. Samples must be obtained after the participant's most recent HER2-targeting therapy unless determined to be medically contraindicated after discussion with the medical monitor.

Exclusion Criteria

* • Participant is receiving immunosuppressive doses of systemic medications, (doses \>10 mg/day prednisone or equivalent) that cannot be discontinued for at least 2 weeks before the first dose and during study drug treatment administration. Note: physiologic hormone replacement therapy is an exception.
* Participant has received prior treatment targeting STING pathway.
* Diagnosis of additional malignancy that required active treatment (including surgery, systemic therapy, and radiation) within the last 2 years, expect for adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the breast or the cervix. Participants with an additional malignancy that has a low risk for recurrence may be eligible after discussion with the study Medical Monitor.
* Participants have untreated CNS metastases (including new and progressive brain metastases), history of leptomeningeal metastasis, or carcinomatous meningitis.

1. Participants are eligible if CNS metastases are adequately treated and participants are neurologically stable for at least 2 weeks prior to enrollment.
2. In addition, participants must be either off corticosteroids, or on a stable/decreasing dose of ≤ 10 mg prednisone daily (or equivalent).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mersana Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Brad Sumrow, MD

Role: STUDY_DIRECTOR

Mersana Therapeutics

Locations

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University of South California

Los Angeles, California, United States

Site Status RECRUITING

University of California Los Angeles

Los Angeles, California, United States

Site Status RECRUITING

Stanford University Medical Center

Stanford, California, United States

Site Status RECRUITING

AdventHealth Celebration

Celebration, Florida, United States

Site Status RECRUITING

Emory Healthcare, Emory Clinic

Atlanta, Georgia, United States

Site Status RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status RECRUITING

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status RECRUITING

New York University Medical Oncology Associates

New York, New York, United States

Site Status RECRUITING

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status RECRUITING

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status RECRUITING

The Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States

Site Status RECRUITING

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status RECRUITING

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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June Buchanan

Role: CONTACT

617-844-8613

Facility Contacts

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Anthony El-Khoueiry, MD

Role: primary

Nicholas McAndrew, MD

Role: primary

Christopher Chen, MD

Role: primary

Guru Sonpavde, MD

Role: primary

Manali Bhave, MD

Role: primary

Samuel Klempner, MD

Role: primary

Jailan Elayoubi, MD

Role: primary

Martin Gutierrez, MD

Role: primary

Kristen Spencer, MD

Role: primary

Deborah Doroshow, MD

Role: primary

Ezra Rosen, MD

Role: primary

Arya Roy, MD

Role: primary

Erika P Hamilton, MD

Role: primary

Ecaterina Dumbrava, MD

Role: primary

Other Identifiers

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MER-XMT-2056-1

Identifier Type: -

Identifier Source: org_study_id

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