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tucatinib

Phase 3

HER2-positive Breast Cancer | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Mar 30, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment466
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03975647A Study of Tucatinib vs. Placebo in Combination With Ado-trastuzumab Emtansine (T-DM1) for Patients With Advanced or Metastatic HER2+ Breast CancerPHASE3 ACTIVE NOT_RECRUITING 466Oct 2, 2019Mar 10, 2029Mar 30, 2026486 United States, Australia +18
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Study Endpoints
Primary Endpoints
Progression-Free Survival (PFS) as Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v)1.1 Based on Investigator Assessment
From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 43 months)

PFS as per investigator was defined as the time from the date of randomization to the investigator assessment of disease progression (PD) as per RECIST v1.1 or death from any cause, whichever occurred first. PD: at least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimiter (mm). Participants without documentation of PD, or death at the time of analysis were censored at the date of the last tumor assessment.

Secondary Endpoints
Overall Survival (OS)
Up to approximately 5 years
Progression-Free Survival as Per RECIST v1.1 in Participants With Brain Metastases at Baseline Based on Investigator Assessment
From the date of randomization to the date of PD or death from any cause or censoring date, whichever occurred first (maximum up to 45 months)
Objective Response Rate (ORR) as Per RECIST v1.1 Based on Investigator Assessment
From the date of first CR or PR until the date of the first documentation of PD or death, whichever occurred first (maximum up to 43 months)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Tucatinib + T-DM1EXPERIMENTALTucatinib + T-DM1
Placebo + T-DM1ACTIVE_COMPARATORPlacebo + T-DM1
Interventions
NameTypeDescription
tucatinibDRUG300mg given twice per day by mouth (orally)
placeboDRUGGiven twice per day orally
T-DM1DRUG3.6 mg/kg given into the vein (IV; intravenously) every 21 days
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites486

* Inclusion Criteria: * Histologically confirmed HER2+ breast carcinoma as determined by a sponsor-designated central laboratory * History of prior treatment with a taxane and trastuzumab in any setting, separately or in combination * Have progression of unresectable locally advanced/metastat...

Countries:United StatesAustraliaAustriaBelgiumCanadaChinaDenmarkFranceGermanyIsraelItalyJapanNetherlandsSingaporeSouth KoreaSpainSwedenSwitzerlandTaiwanUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT03975647primaryCompletionDate: changed
LOWMay 24, 2026NCT03975647studyFirstPostDate: changed