A study to learn more about how well treatment with sevabertinib (BAY2927088) tablets works and how safe it is in participants who have a solid tumor with mutations of the human epidermal growth factor receptor 2 (HER2)

2024-517419-62-00 Protocol 22752 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 28 Feb 2025 · Status Ongoing, recruiting · 4 EU/EEA countries · 18 sites · Protocol 22752

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 111
Countries 4
Sites 18

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

  1. To further evaluate the efficacy of sevabertinib on tumor growth as assessed by BICR and investigator
  2. To further characterize the efficacy of sevabertinib on tumor growth as assessed by BICR and investigator
  3. To evaluate the efficacy of sevabertinib in overall survival (OS)
  4. To assess the safety and tolerability of sevabertinib
  5. To evaluate patient-reported outcomes (PROs) of sevabertinib

Conditions and MedDRA coding

HER2 mutation

VersionLevelCodeTermSystem 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

#TitleAllocationBlindingRoles blindedArms
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

  1. 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)
  2. Participant must be ≥18 years of age or over the legal age of consent
  3. Patients who have received prior standard therapy appropriate for their tumor type and stage of disease, or who have no satisfactory alternative treatments
  4. Documented activating HER2 mutation
  5. At least one measurable lesion that would qualify as a target lesion by RECIST 1.1 criteria

Exclusion criteria 4

  1. Primary diagnosis of non-small cell lung cancer(NSCLC)
  2. Prior treatment with a HER2 tyrosine kinase inhibitor (TKI)
  3. Active brain metastases
  4. Uncontrolled, severe, intercurrent illness

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Objective response rate (ORR) per RECIST 1.1 as assessed by blinded independent central review (BICR)

Secondary endpoints 16

  1. Duration of response (DOR) per RECIST 1.1 as assessed by BICR
  2. Time to response (TTR) per RECIST 1.1 as assessed by BICR
  3. ORR per RECIST 1.1 as assessed by the investigator
  4. Disease control rate (DCR) per RECIST 1.1 as assessed by BICR
  5. DCR ≥12 weeks per RECIST 1.1 as assessed by BICR
  6. Progression-free survival (PFS) per RECIST 1.1 as assessed by BICR
  7. Disease control rate (DCR) per RECIST 1.1 as assessed by the investigator
  8. DCR ≥12 weeks per RECIST 1.1 as assessed by the investigator
  9. Progression-free survival (PFS) per RECIST 1.1 as assessed by the investigator
  10. DOR per RECIST 1.1 as assessed by the investigator
  11. TTR per RECIST 1.1 as assessed by the investigator
  12. Overall survival (OS)
  13. 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
  14. Time to deterioration in EORTC QLQ-C30 physical functioning domain score
  15. Change from baseline in EORTC QLQ-C30 physical functioning domain score
  16. 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

BAY 2927088

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

BAY 2927088 Bayer (CM)

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

BAY 2927088 Bayer (CM)

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

BAY 2927088 Bayer

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

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
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

Denmark

3 sites · Ongoing, recruiting
Odense University Hospital
Oncology, J B Winsloews Vej 4, 5000, Odense C
Rigshospitalet
Oncology, Blegdamsvej 9, 2100, Copenhagen Oe
Region Midtjylland
Oncology, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N

France

6 sites · Ongoing, recruiting
Centre Hospitalier Regional Et Universitaire De Brest
Oncologie, Boulevard Tanguy Prigent, 29200, Brest
Institut Bergonie
Oncologie médicale, 180 R De Saint Genes, 229 Cours De L Argonne, Bordeaux
Hospices Civils De Lyon
Oncologie médicale, 165 Chemin Du Grand Revoyet, 69310, Pierre Benite
Institut Regional Du Cancer De Montpellier
Oncologie médicale, 208 Avenue Des Apothicaires, 34298, Montpellier Cedex 5
Centre Oscar Lambret
Oncologie, 3 Rue Frederic Combemale, 59000, Lille
Institut Gustave Roussy
Oncologie, 114 Rue Edouard Vaillant, 94800, Villejuif

Italy

4 sites · Ongoing, recruiting
Fondazione IRCCS Istituto Nazionale Dei Tumori
Oncologia Medica 1, Via Giacomo Venezian 1, 20133, Milan
Azienda USL IRCCS Di Reggio Emilia
S.C. Oncologia Provinciale, Viale Risorgimento 80, 42123, Reggio Emilia
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
UOC Oncologia Medica, Largo Francesco Vito 1, 00168, Rome
Istituto Europeo Di Oncologia S.r.l.
Ginecologia Oncologica Medica, Via Giuseppe Ripamonti 435, 20141, Milan

Spain

5 sites · Ongoing, recruiting
Hospital Universitario Fundacion Jimenez Diaz
Oncology, Avenida De Los Reyes Catolicos 2, 28040, Madrid
Clinica Universidad De Navarra
Oncology, Calle Marquesado De Santa Marta 1, 28027, Madrid
Hospital Universitari Vall D Hebron
Oncology, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona
Institut Catala D'oncologia
Oncology, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital Universitari Dexeus Grupo Quironsalud
Oncology, Calle De Sabino Arana 5-19, 08028, Barcelona

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment 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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision 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