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Brief Title: A Phase 2 Single-Arm Open-Label Pilot Trial Evaluating Zanidatamab (ZW25) in Patients With Early Stage HER2/Neu Positive (HER2+) Breast Cancer (BC)
Official Title: A Phase 2 Single-Arm Open-Label Pilot Trial Evaluating Zanidatamab (ZW25) in Patients With Early Stage HER2/Neu Positive (HER2+) Breast Cancer (BC)
Study ID: NCT05035836
Brief Summary: This is a Phase 2, single-site, single-arm open-label trial of zanidatamab in patients with early stage, low risk HER2+ BC. The primary objective is to determine the efficacy of zanidatamab for patients with early stage HER2/neu positive (HER2+) breast cancer (BC) as determined by pathologic complete response (pCR) .
Detailed Description: Primary Objective: To determine the efficacy of zanidatamab for patients with early stage HER2/neu positive (HER2+) breast cancer (BC) as determined by pathologic complete response (pCR) 1 Secondary Objective(s): * To determine pathologic response by residual cancer burden (RCB). 1-3 * To evaluate the radiographic response and volumetric change in tumor size by ultrasound and MRI * To evaluate tolerability and safety of zanidatamab for treatment-naïve early stage HER2+ breast cancer (BC). * To evaluate the rate of adverse events and treatment-emergent adverse events with zanidatamab alone (for patients with hormone receptor negative tumors) or with endocrine therapy tamoxifen or letrozole (in hormone receptor positive tumors) * To evaluate the feasibility of treating patients with early stage HER2+ breast cancer with monotherapy zanidatamab * To determine tumor-based predictive biomarkers of response Exploratory Objective(s): * To assess circulating free DNA levels and dynamics as biomarkers of response * To assess effect of zanidatamab on immune environment
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: FEMALE
Healthy Volunteers: No
M D Anderson Cancer Center, Houston, Texas, United States
Name: Vicente Valero
Affiliation: M.D. Anderson Cancer Center
Role: PRINCIPAL_INVESTIGATOR