A First-in-Human Phase 1 Safety and Biodistribution of [177Lu]Lu-ABY-271 in Subjects With HER2-positive Metastatic Breast Cancer

NCT ID: NCT07081555

Last Updated: 2025-10-01

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

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-06

Study Completion Date

2028-06-01

Brief Summary

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This is a FiH phase 1, open-label, two-stage, randomized trial to assess the safety, tolerability, and biodistribution of \[177Lu\]Lu-ABY-271 in subjects with HER2 positive metastatic breast cancer.

Detailed Description

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The trial consists of two parts:

Part A in which the uptake of \[177Lu\]Lu-ABY-271 in tumors and critical organs will be evaluated and up to 6 subjects will be enrolled sequentially.

Part B in which the optimal protein mass dose range (mg) to be utilized in subsequent clinical trials will be evaluated. 15 subjects will be randomized to 3 different protein mass dose levels (1:1:1), divided into two sequential cohorts with different radioactivity levels.

Conditions

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Metastatic Breast Cancer HER2 + Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

The trial consists of two parts:

Part A in which up to 6 subjects will be enrolled sequentially. Part B in which 15 subjects will be randomized to 3 different protein mass dose levels (1:1:1), divided into two sequential cohorts
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part A

\[177Lu\]Lu-ABY-271

Group Type EXPERIMENTAL

[177Lu]Lu-ABY-271

Intervention Type DRUG

A single infusion of \[177Lu\]Lu-ABY-271

Part B - Cohort 1

\[177Lu\]Lu-ABY-271 with protein mass dose A

Group Type EXPERIMENTAL

[177Lu]Lu-ABY-271

Intervention Type DRUG

A single infusion of \[177Lu\]Lu-ABY-271

Part B - Cohort 2

\[177Lu\]Lu-ABY-271 with protein mass dose B

Group Type EXPERIMENTAL

[177Lu]Lu-ABY-271

Intervention Type DRUG

A single infusion of \[177Lu\]Lu-ABY-271

Part B - Cohort 3

\[177Lu\]Lu-ABY-271 with Protein mass dose C

Group Type EXPERIMENTAL

[177Lu]Lu-ABY-271

Intervention Type DRUG

A single infusion of \[177Lu\]Lu-ABY-271

Interventions

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[177Lu]Lu-ABY-271

A single infusion of \[177Lu\]Lu-ABY-271

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subject has unresectable locally advanced or metastatic breast cancer
* Subject with histologically or cytologically confirmed carcinoma with documented HER2 overexpression (biopsy not older than 2 years): immunohistochemistry (IHC) score 3+; OR 2+ and fluorescence in situ hybridization (ISH) positive
* At least one known tumor lesion ≥ 15 mm
* Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2

Part A only

\- Subject is in treatment, or planned to start a new line of standard systemic anti-tumor therapy

Part B only

* Subject has progressive disease, documented radiologically in the last three months
* Subject has received at least 3 lines of standard systemic anti-tumor therapy in the palliative setting
* Subject has received last dose of previous line of systemic anti-tumor therapy, and has no ongoing treatment related toxicities \> grade 1 (except alopecia) prior to planned first dose of \[177Lu\]Lu-ABY-271

Exclusion Criteria

* Active brain metastases
* Administration of another IMP within 5 half-lives (for experimental biologics: 6 months or 5 half-lives, whichever is longer) of the planned first dose of \[177Lu\]Lu-ABY-271
* Exposure to any anti-tumor therapy since the last documented progression, including any radiotherapy within 7 days prior to the planned first dose of \[177Lu\]Lu-ABY-271
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Affibody

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sahlgrenska University Hospital

Gothenburg, , Sweden

Site Status RECRUITING

Karolinska University Hospital

Stockholm, , Sweden

Site Status RECRUITING

Akademiska Sjukhuset

Uppsala, , Sweden

Site Status RECRUITING

Countries

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Sweden

Central Contacts

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Affibody AB

Role: CONTACT

46859883800

Other Identifiers

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Affibody AB

Identifier Type: -

Identifier Source: org_study_id

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