Overview
Sponsor-declared trial summary
HER2 mutation
To evaluate the efficacy of sevabertinib in objective response rate (ORR) as assessed by blinded independent central review (BICR)
Key facts
- Sponsor
- Bayer Consumer Care AG, Bayer AG
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 28 Feb 2025 → ongoing
- Decision date (initial)
- 2025-02-18
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Bayer Consumer Care AG
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy
To evaluate the efficacy of sevabertinib in objective response rate (ORR) as assessed by blinded independent central review (BICR)
Secondary objectives 5
- To further evaluate the efficacy of sevabertinib on tumor growth as assessed by BICR and investigator
- To further characterize the efficacy of sevabertinib on tumor growth as assessed by BICR and investigator
- To evaluate the efficacy of sevabertinib in overall survival (OS)
- To assess the safety and tolerability of sevabertinib
- To evaluate patient-reported outcomes (PROs) of sevabertinib
Conditions and MedDRA coding
HER2 mutation
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | LLT | 10065147 | Malignant solid tumor | 10029104 |
| 23.0 | PT | 10071975 | EGFR gene mutation | 100000004850 |
| 21.0 | LLT | 10033604 | Pancreatic cancer | 10029104 |
| 20.0 | PT | 10017614 | Gallbladder cancer | 100000004864 |
| 20.0 | PT | 10033128 | Ovarian cancer | 100000004864 |
| 27.0 | PT | 10025697 | Malignant neoplasm of ampulla of Vater | 100000004864 |
| 21.0 | PT | 10014733 | Endometrial cancer | 100000004864 |
| 21.0 | LLT | 10015362 | Esophageal cancer | 10029104 |
| 20.0 | PT | 10061934 | Salivary gland cancer | 100000004864 |
| 20.0 | PT | 10004593 | Bile duct cancer | 100000004864 |
| 20.0 | PT | 10039491 | Sarcoma | 100000004864 |
| 21.1 | LLT | 10008229 | Cervical cancer | 10029104 |
| 21.0 | LLT | 10017985 | Gastrointestinal neoplasm malignant | 10029104 |
| 21.0 | PT | 10061451 | Colorectal cancer | 100000004864 |
| 20.0 | PT | 10006187 | Breast cancer | 100000004864 |
| 20.0 | PT | 10005003 | Bladder cancer | 100000004864 |
| 21.1 | PT | 10017758 | Gastric cancer | 100000004864 |
| 27.0 | LLT | 10062427 | Gastrointestinal stromal tumor | 10029104 |
| 20.0 | LLT | 10064467 | Urothelial carcinoma | 10029104 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Treatment Period Participants will receive BAY2927088 20 mg BID until disease progression per RECICST 1.1, unacceptable toxicity, or until any other withdrawal criteria. RECIST 1.1 = Response Evaluation Criteria in Solid Tumors, version 1.1; BID: twice a day
|
Not Applicable | None | Experimental - BAY2927088: Adult participants with metastatic or unresectable solid tumors with HER-2 activating mutations including: colorectal, biliary tract, bladder, cervical, endometrial, and other solid tumor types. |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 5
- Documented histologically or cytologically confirmed locally advanced, unresectable or metastatic solid tumor cancer (colorectal carcinoma; biliary tract cancer; bladder and urothelial tract cancer; cervical cancer; endometrial cancer; breast cancer; other solid tumor cancer, excluding NSCLC)
- Participant must be ≥18 years of age or over the legal age of consent
- Patients who have received prior standard therapy appropriate for their tumor type and stage of disease, or who have no satisfactory alternative treatments
- Documented activating HER2 mutation
- At least one measurable lesion that would qualify as a target lesion by RECIST 1.1 criteria
Exclusion criteria 4
- Primary diagnosis of non-small cell lung cancer(NSCLC)
- Prior treatment with a HER2 tyrosine kinase inhibitor (TKI)
- Active brain metastases
- Uncontrolled, severe, intercurrent illness
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Objective response rate (ORR) per RECIST 1.1 as assessed by blinded independent central review (BICR)
Secondary endpoints 16
- Duration of response (DOR) per RECIST 1.1 as assessed by BICR
- Time to response (TTR) per RECIST 1.1 as assessed by BICR
- ORR per RECIST 1.1 as assessed by the investigator
- Disease control rate (DCR) per RECIST 1.1 as assessed by BICR
- DCR ≥12 weeks per RECIST 1.1 as assessed by BICR
- Progression-free survival (PFS) per RECIST 1.1 as assessed by BICR
- Disease control rate (DCR) per RECIST 1.1 as assessed by the investigator
- DCR ≥12 weeks per RECIST 1.1 as assessed by the investigator
- Progression-free survival (PFS) per RECIST 1.1 as assessed by the investigator
- DOR per RECIST 1.1 as assessed by the investigator
- TTR per RECIST 1.1 as assessed by the investigator
- Overall survival (OS)
- Number of participants with treatment-emergent adverse events (TEAEs) and treatment-emergent serious adverse events (TESAEs) per CTCAE v 5.0, categorized by severity. Number of participants who discontinue study treatment due to an AE
- Time to deterioration in EORTC QLQ-C30 physical functioning domain score
- Change from baseline in EORTC QLQ-C30 physical functioning domain score
- Change from baseline in EORTC QLQ-C30 global health status/quality of life (QoL)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 4
PRD10029166 · Product
- Active substance
- BAY 2927088
- Pharmaceutical form
- COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 40 mg milligram(s)
- Max total dose
- 48.83 g gram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- BAYER AG
- Paediatric formulation
- No
- Orphan designation
- No
PRD12373041 · Product
- Active substance
- Sevabertinib
- Pharmaceutical form
- COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 30 mg milligram(s)
- Max total dose
- 32.87 g gram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- BAYER AG
- Paediatric formulation
- No
- Orphan designation
- No
PRD10861154 · Product
- Active substance
- BAY 2927088
- Pharmaceutical form
- COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 40 mg milligram(s)
- Max total dose
- 48.83 g gram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- BAYER AG
- Paediatric formulation
- No
- Orphan designation
- No
PRD11367245 · Product
- Active substance
- 3-3-CHLORO-2-METHOXYANILINO-2-3-2S-14-DIOXAN-2-YLMETHOXYPYRIDIN-4-YL-1567-TETRAHYDRO-4H-PYRROLO32-CPYRIDIN-4-ONE
- Pharmaceutical form
- COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 30 mg milligram(s)
- Max total dose
- 32.87 g gram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- BAYER AG
- Paediatric formulation
- No
- Orphan designation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Bayer Consumer Care AG
- Sponsor organisation
- Bayer Consumer Care AG
- Address
- Peter Merian-Strasse 84
- City
- Basel
- Postcode
- 4052
- Country
- Switzerland
Scientific contact point
- Organisation
- Bayer AG
- Contact name
- Bayer Clinical Trials Contact
Public contact point
- Organisation
- Bayer AG
- Contact name
- Therapeutic Area Head
Third parties 11
| Organisation | City, country | Duties |
|---|---|---|
| 4g Clinical LLC ORG-100042775
|
Wellesley, United States | Interactive response technologies (IRT) |
| Almac Diagnostic Services LLC ORG-100039919
|
Durham, United States | Laboratory analysis |
| Q Squared Solutions (Beijing) Co. Ltd. ORG-100043283
|
Beijing, China | Laboratory analysis |
| Guangzhou Burning Rock Dx Co. Ltd. ORG-100044360
|
Guangzhou, China | Laboratory analysis |
| Laboratory Corporation Of America Holdings ORG-100041800
|
Torrance, United States | Laboratory analysis |
| Labcorp Early Development Laboratories Inc. ORG-100012865
|
Greenfield, United States | Other |
| Almac Diagnostic Services Limited ORG-100040447
|
Craigavon, United Kingdom (Northern Ireland) | Laboratory analysis |
| Predicine Inc. ORG-100043724
|
Hayward, United States | Laboratory analysis |
| Life Technologies Clinical Services Lab Inc. ORG-100046606
|
West Sacramento, United States | Laboratory analysis |
| Labcorp Central Laboratory Services SARL ORG-100011524
|
Meyrin, Switzerland | Laboratory analysis |
| Nuvisan GmbH ORG-100011873
|
Neu-Ulm, Germany | Laboratory analysis |
Bayer AG
- Sponsor organisation
- Bayer AG
- Address
- -
- City
- Leverkusen
- Postcode
- 51368
- Country
- Germany
Sponsor responsibilities
- Article 77 compliance
- Bayer Consumer Care AG
- Article 77 implementation
- Bayer Consumer Care AG
Locations
4 EU/EEA countries · 18 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Denmark | Ongoing, recruiting | 8 | 3 |
| France | Ongoing, recruiting | 12 | 6 |
| Italy | Ongoing, recruiting | 8 | 4 |
| Spain | Ongoing, recruiting | 9 | 5 |
| Rest of world
United States, Australia, China, Japan, Canada, Korea, Republic of, Switzerland
|
— | 74 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Denmark | 2025-03-05 | 2025-03-13 | |||
| France | 2025-03-03 | 2025-03-20 | |||
| Italy | 2025-03-07 | 2025-10-08 | |||
| Spain | 2025-02-28 | 2025-03-13 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 49 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_EN_Public_2024-517419-62-00 | 3 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_Public_DK_DA | 1.1 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_Public_DK_DE | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_Public_DK_FI | 1.1 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_Public_DK_NO | 1.1 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_Public_DK_SV | 1.2 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_Public_EN | 1.1 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_Public_ES_ES | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_Public_FR_FR | 1.2 |
| Protocol (for publication) | D4_Patient facing documents_EQ-5D-5L_Public_IT_IT | 1.1 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_Public_DK_DA | 2.4 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_Public_DK_DE | 2.1 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_Public_DK_FI | 1.4 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_Public_DK_NO | 2.1 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_Public_DK_SV | 2.2 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_Public_EN | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_Public_ES_ES | 1.2 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_Public_FR_FR | 3.0 |
| Protocol (for publication) | D4_Patient facing documents_QLQ-C30_Public_IT_IT | 3 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_Public__FR_FR | 2 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_Public_DK_EN | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_Public_ES_EN | 2 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements_Public_IT_IT | 3 |
| Recruitment arrangements (for publication) | K2_Recruitment_material_Brochure_Public_IT_IT | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment_material_Public_ES_ES | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment_material_Public_FR_FR | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment_material_Public_IT_IT | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Core_Appendix_1_Public_ES_ES | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Core_Public__FR_FR | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Core_Public_DK_DA | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Core_Public_ES_ES | 3 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Core_Public_IT_IT | 5 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Expecting Parents Female_Public_DK_DA | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Expecting Parents Female_Public_ES_ES | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Expecting Parents Female_Public_IT_IT | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Expecting Parents Male_Public__IT_IT | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Expecting Parents Male_Public_DK_DA | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Expecting Parents Male_Public_ES_ES | 1 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_Study_update_Public_ES_ES | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_Study_Update_Public_FR_FR | 1.1 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_Study_update_Public_FR_FR | 2 |
| Subject information and informed consent form (for publication) | L1_SIS_and_ICF_Study_Update_Public_IT_IT | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Public__FR_FR_Pregnancy_Partner of participant | 1.1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Public_FR_FR_Health of newborn after birth | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Public_participant rights in CTA DK_DK_DA | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_Public__IT_IT_2024-517419-62-00 | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_Public_ES_ES_2024-517419-62-00 | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_Public_EU_EN_2024-517419-62-00 | 3 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_Public_FR_FR_2024-517419-62-00 | 3 |
Application history
7 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-10-21 | Denmark | Acceptable 2025-02-12
|
2025-02-13 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-03-20 | Denmark | Acceptable | 2025-03-25 |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-05-08 | Denmark | Acceptable 2025-07-23
|
2025-07-24 |
| 4 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-08-13 | Denmark | Acceptable 2025-09-26
|
2025-09-26 |
| 5 | SUBSTANTIAL MODIFICATION | SM-4 | 2025-11-14 | Denmark | Acceptable 2026-01-09
|
2026-01-12 |
| 6 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2026-02-11 | Denmark | Acceptable 2026-01-09
|
2026-02-11 |
| 7 | SUBSTANTIAL MODIFICATION | SM-5 | 2026-02-12 | Acceptable | 2026-03-12 |