Clinical Trials

Numerous clinical trials evaluate tucatinib across phases 1 through 3—including phase 2 combination studies and healthy volunteer trials—primarily targeting HER2-positive metastatic breast cancer, colorectal adenocarcinoma, gastric or gastroesophageal junction adenocarcinoma, and solid malignancies with leptomeningeal disease. Sponsored by pharmaceutical leaders, academic institutions, and clinical research entities, these studies demonstrate recruitment statuses ranging from actively recruiting and active, not recruiting to completed, not yet recruiting, or withdrawn.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07768358 NOT_YET_RECRUITING
HER2-positive Breast Cancer; Cervical Cancer; Biliary Tract Neoplasms; Urothelial Cancer; Advanced Non-Small Cell Lung Cancer; Gastric or Gastroesophageal Junction Adenocarcinoma (GEC); Colorectal Cancer
Pfizer
2026-11-06 PHASE4
NCT05868226 RECRUITING
HER2-positive Breast Cancer; Metastatic Cancer; Metastatic Breast Cancer; Metastatic; HER2-positive Metastatic Breast Cancer; HER2 Mutation-Related Tumors; HER-2 Protein Overexpression; HER2-negative Breast Cancer; Triple Negative Breast Cancer; HR Positive; Hormone Receptor-positive Breast Cancer; Estrogen Receptor Positive Tumor; Progesterone Receptor-positive Breast Cancer; Hormone Receptor Negative Breast Carcinoma; Solid Tumor; Solid Tumor, Adult; Solid Carcinoma; HER2 Low Breast Cancer; HER2 Low Breast Carcinoma; ER Positive Breast Cancer; PR-positive Breast Cancer; Minimal Residual Disease; Colo-rectal Cancer; Colon Cancer; Rectal Cancer; ctDNA Monitoring; Colorectal Neoplasms; Colonic Neoplasms; Rectal Neoplasms; Neoplasm, Residual; Adenocarcinoma of Colon; Adenocarcinoma
QuantumLeap Healthcare Collaborative
2023-02-15 PHASE1; PHASE2
NCT01042379 RECRUITING
Breast Neoplasms; Breast Cancer; Breast Tumors; Angiosarcoma; TNBC - Triple-Negative Breast Cancer; HER2-positive Breast Cancer; HER2-negative Breast Cancer; Hormone Receptor Positive Tumor; Hormone Receptor Negative Tumor; Early-stage Breast Cancer; Locally Advanced Breast Cancer
QuantumLeap Healthcare Collaborative
2010-03-01 PHASE2
NCT06686394 RECRUITING
Breast Neoplasms; Breast Cancer
Merck Sharp & Dohme LLC
2025-02-26 PHASE1; PHASE2
NCT06439693 RECRUITING
Breast Cancer Female; Breast Cancer; Breast Cancer Metastatic; Estrogen Receptor-positive Breast Cancer; HER2-positive Breast Cancer; Stage IV Breast Cancer
Dana-Farber Cancer Institute
2024-08-08 PHASE2
NCT06157892 ACTIVE_NOT_RECRUITING
Breast Neoplasms; Gastroesophageal Junction Adenocarcinoma; HER2 Low Breast Neoplasms; HER2 Positive Breast Neoplasms; Stomach Neoplasms; Triple Negative Breast Neoplasms; Metastatic Breast Cancer; Metastatic Gastric Cancer; Advanced Breast Cancer; Advanced Gastric Cancer
Seagen, a wholly owned subsidiary of Pfizer
2024-05-20 PHASE2
NCT07413939 RECRUITING
HER2-positive Breast Cancer
Hoffmann-La Roche
2026-05-21 PHASE2; PHASE3
NCT07193394 RECRUITING
Metastatic Breast Cancer ( HER2 Negative); Unresectable Breast Cancer
Institut Curie
2026-01-31 PHASE2
NCT05892068 ACTIVE_NOT_RECRUITING
Metastatic Breast Cancer
Memorial Sloan Kettering Cancer Center
2023-05-09 PHASE2
NCT04457596 ACTIVE_NOT_RECRUITING
Anatomic Stage II Breast Cancer AJCC v8; Anatomic Stage III Breast Cancer AJCC v8; HER2 Positive Breast Carcinoma; Invasive Breast Carcinoma; Multifocal Breast Carcinoma; Synchronous Bilateral Breast Carcinoma; Anatomic Stage I Breast Cancer AJCC v8
Alliance for Clinical Trials in Oncology
2021-03-02 PHASE3
NCT07494448 NOT_YET_RECRUITING
HER 2 Positive Advanced Breast Cancer; Breast Cancer
MedSIR
2026-07-01 PHASE1; PHASE2
NCT05253651 RECRUITING
Colorectal Neoplasms
Seagen, a wholly owned subsidiary of Pfizer
2022-10-24 PHASE3
NCT02693535 RECRUITING
Lymphoma, Non-Hodgkin; Multiple Myeloma; Advanced Solid Tumors
American Society of Clinical Oncology
2016-03-14 PHASE2
NCT05955170 RECRUITING
HER2-positive Breast Cancer
Institut Curie
2023-12-19 PHASE2
NCT07318389 NOT_YET_RECRUITING
Dynamic Tumor Resistance; Metastatic Colorectal Cancer
M.D. Anderson Cancer Center
2026-06-10 EARLY_PHASE1
NCT05748834 RECRUITING
Breast Cancer
SCRI Development Innovations, LLC
2023-07-24 PHASE2
NCT05062889 SUSPENDED
Stage II Colon Cancer; Stage III Colon Cancer; HER2-positive Colon Cancer; RAS Wild-type Colon Cancer
Gruppo Oncologico del Nord-Ovest
2023-05-17 PHASE2
NCT05672524 RECRUITING
Adenocarcinoma of the Rectum; Locally Advanced Rectal Adenocarcinoma; Rectal Adenocarcinoma; HER2 Positive Rectal Adenocarcinoma; Rectal Cancer
Memorial Sloan Kettering Cancer Center
2022-12-30 PHASE2
NCT05458674 ACTIVE_NOT_RECRUITING
Breast Cancer; Pretreated Unresectable Locally Advanced or Metastatic HER2+ Breast Cancer
Criterium, Inc.
2024-01-30 PHASE2
NCT05319873 ACTIVE_NOT_RECRUITING
Anatomic Stage II Breast Cancer AJCC v8; Anatomic Stage IIA Breast Cancer AJCC v8; Anatomic Stage IIB Breast Cancer AJCC v8; Anatomic Stage III Breast Cancer AJCC v8; Anatomic Stage IIIA Breast Cancer AJCC v8; Anatomic Stage IIIB Breast Cancer AJCC v8; Anatomic Stage IIIC Breast Cancer AJCC v8; Anatomic Stage IV Breast Cancer AJCC v8; Invasive Breast Carcinoma; Locally Advanced HER2-Positive Breast Carcinoma; Metastatic HER2-Positive Breast Carcinoma; Prognostic Stage IB Breast Cancer AJCC v8; Prognostic Stage II Breast Cancer AJCC v8; Prognostic Stage IIA Breast Cancer AJCC v8; Prognostic Stage IIB Breast Cancer AJCC v8; Prognostic Stage III Breast Cancer AJCC v8; Prognostic Stage IIIA Breast Cancer AJCC v8; Prognostic Stage IIIB Breast Cancer AJCC v8; Prognostic Stage IIIC Breast Cancer AJCC v8; Prognostic Stage IV Breast Cancer AJCC v8
Jonsson Comprehensive Cancer Center
2022-04-07 PHASE1; PHASE2
NCT05673928 RECRUITING
Metastatic Solid Tumor; Brain Metastases
M.D. Anderson Cancer Center
2023-05-16 PHASE2
NCT06983691 NOT_YET_RECRUITING
HER2+ Metastatic Breast Cancer (MBC)
Duke University
2026-08
NCT03297606 RECRUITING
Lymphoma, Non-Hodgkin; Multiple Myeloma; Advanced Solid Tumors
Canadian Cancer Trials Group
2018-03-23 PHASE2
NCT06016387 RECRUITING
HER2-positive Breast Cancer; LMD
Sunnybrook Health Sciences Centre
2023-11-25 PHASE2
NCT06239467 ACTIVE_NOT_RECRUITING
Advanced Cancer; Breast Cancer; Advanced Solid Tumors; PI3K Gene Mutation
OnKure, Inc.
2024-02-26 PHASE1
NCT05382364 ACTIVE_NOT_RECRUITING
Metastatic HER2+ Advanced Breast Cancer; Breast Neoplasms; Gastric or Gastroesophageal Junction Adenocarcinoma (GEC); Colorectal Cancer
Pfizer
2022-06-29 PHASE1
NCT05800275 RECRUITING
Leptomeningeal Metastasis; Leptomeningeal Disease; HER2-positive Metastatic Breast Cancer
UNICANCER
2023-12-18 PHASE2
NCT05323955 ACTIVE_NOT_RECRUITING
Brain Metastases; Human Epidermal Growth Factor 2 Positive Carcinoma of Breast; Advanced Breast Cancer
Carey Anders, M.D.
2023-03-23 PHASE2
NCT06162559 RECRUITING
Breast Cancer
The Netherlands Cancer Institute
2023-12-18 PHASE1
NCT05230810 ACTIVE_NOT_RECRUITING
HER2-positive Metastatic Breast Cancer
Criterium, Inc.
2022-08-25 PHASE1; PHASE2
NCT05553522 TERMINATED
Brain Metastases; HER2-positive Breast Cancer
Baptist Health South Florida
2024-01-29 PHASE1
NCT05132582 ACTIVE_NOT_RECRUITING
HER2 Positive Breast Cancer
Seagen, a wholly owned subsidiary of Pfizer
2022-03-07 PHASE3
NCT04789096 TERMINATED
Breast Cancer; HER2-positive Breast Cancer
Breast Cancer Trials, Australia and New Zealand
2023-03-07 PHASE2
NCT05583110 TERMINATED
HER2-positive Metastatic Breast Cancer; Locally Advanced HER2 Positive Breast Carcinoma
Spanish Breast Cancer Research Group
2023-03-08 PHASE2
NCT05041842 ACTIVE_NOT_RECRUITING
Metastatic Breast Cancer With a Isolated Brain Progression
UNICANCER
2021-12-17 PHASE2
NCT04538742 ACTIVE_NOT_RECRUITING
Metastatic Breast Cancer
AstraZeneca
2020-12-28 PHASE1; PHASE2
NCT06067776 NOT_YET_RECRUITING
Metastatic Lung Non-Small Cell Carcinoma; Recurrent Lung Non-Small Cell Carcinoma; Stage IV Lung Cancer AJCC v8
Jonathan Riess
2024-01-01 PHASE1
NCT02892123 COMPLETED
HER2-expressing Cancers
Jazz Pharmaceuticals
2016-09-30 PHASE1
NCT05227131 WITHDRAWN
Metastatic Breast Cancer; Advanced Breast Cancer; HER2-positive Breast Cancer
MedSIR
2022-05-15 PHASE2
NCT05356897 WITHDRAWN
Metastatic Colon Adenocarcinoma; Metastatic Colorectal Adenocarcinoma; Metastatic Rectal Adenocarcinoma; Stage IV Colon Cancer AJCC V8; Stage IV Colorectal Cancer AJCC V8; Stage IV Rectal Cancer AJCC V8
Academic and Community Cancer Research United
2023-10-31 PHASE2
NCT04430738 ACTIVE_NOT_RECRUITING
Colorectal Carcinoma; Gastric Adenocarcinoma; GEJ Adenocarcinoma; Esophageal Adenocarcinoma; Cholangiocarcinoma; Gallbladder Carcinoma
Seagen, a wholly owned subsidiary of Pfizer
2020-09-15 PHASE2
NCT04539938 COMPLETED
HER2 Positive Breast Cancer
Seagen, a wholly owned subsidiary of Pfizer
2020-12-01 PHASE2
NCT04512261 WITHDRAWN
Breast Cancer; Brain Metastases; HER2-positive Breast Cancer; CNS Disease
Reva Basho
2022-06-01 PHASE1; PHASE2
NCT04499924 COMPLETED
Gastric Adenocarcinoma; Gastroesophageal Junction Adenocarcinoma; Esophageal Adenocarcinoma
Seagen Inc.
2021-03-22 PHASE2; PHASE3
NCT05458674 Recruiting
Breast Cancer
Criterium Inc.
2024-01-01 Phase 2
NCT04632992 COMPLETED
Advanced Unresectable or Metastatic Solid Malignancy
Genentech, Inc.
2021-01-13 PHASE2
NCT04579380 ACTIVE_NOT_RECRUITING
Uterine Neoplasms; Uterine Cervical Neoplasms; Biliary Tract Neoplasms; Urologic Neoplasms; Carcinoma, Non-Small-Cell Lung; HER2 Mutations Breast Neoplasms
Seagen, a wholly owned subsidiary of Pfizer
2021-01-11 PHASE2
NCT04721977 ACTIVE_NOT_RECRUITING
Breast Cancer
Pfizer
2021-04-08 PHASE2
NCT05748834 Recruiting
Breast Cancer
SCRI Development Innovations LLC|Seagen Inc.
2023-07-24 Phase 2
NCT03975647 ACTIVE_NOT_RECRUITING
HER2-positive Breast Cancer
Seagen, a wholly owned subsidiary of Pfizer
2019-10-02 PHASE3
NCT04896320 WITHDRAWN
Breast Cancer Stage IV
Providence Health & Services
2021-12-15 PHASE1; PHASE2
NCT05892068 Recruiting
Metastatic Breast Cancer
Memorial Sloan Kettering Cancer Center|Seagen Inc.
2023-05-09 Phase 2
NCT05190445 ACTIVE_NOT_RECRUITING
HER2-positive Gastric Cancer
Pieris Pharmaceuticals, Inc.
2021-11-01 PHASE2
NCT03054363 COMPLETED
Breast Cancer
University of Colorado, Denver
2017-11-27 PHASE1; PHASE2
NCT05230810 Recruiting
HER2-positive Metastatic Breast Cancer
Criterium Inc.|Novartis|Seagen Inc.
2022-08-25 Phase 1|Phase 2
NCT05091528 TERMINATED
HER2-positive Breast Cancer; HER2-positive Gastric Cancer; HER2-positive Colorectal Cancer; HER2-expressing Non-small Cell Lung Cancer
Silverback Therapeutics
2022-02-08 PHASE1; PHASE2
NCT05382364 Active not recruiting
Metastatic HER2+ Advanced Breast Cancer|Breast Neoplasms|Gastric or Gastroesophageal Junction Adenocarcinoma (GEC)|Colorectal Cancer
Merck Sharp & Dohme LLC
2022-06-29 Phase 1
NCT03043313 COMPLETED
Metastatic Colorectal Adenocarcinoma
Seagen Inc.
2017-06-23 PHASE2
NCT03501979 TERMINATED
Metastatic Breast Cancer; Leptomeningeal Disease
University of Alabama at Birmingham
2019-02-20 PHASE2
NCT03846583 WITHDRAWN
Breast Cancer
Dana-Farber Cancer Institute
2020-06-28 PHASE1
NCT02614794 COMPLETED
HER2 Positive Breast Cancer
Seagen Inc.
2016-01-28 PHASE2
NCT03914755 COMPLETED
Healthy
Seagen Inc.
2019-05-08 PHASE1
NCT03722823 COMPLETED
Hepatic Impairment
Seagen Inc.
2018-10-10 PHASE1
NCT03777761 COMPLETED
Healthy
Seagen Inc.
2018-12-06 PHASE1
NCT03826602 COMPLETED
Drug-drug Interaction
Seagen Inc.
2019-02-12 PHASE1
NCT03723395 COMPLETED
Drug-drug Interaction
Seagen Inc.
2018-09-17 PHASE1
NCT03758339 COMPLETED
Healthy
Cascadian Therapeutics Inc.
2017-12-30 PHASE1
NCT01983501 COMPLETED
HER2 Positive Breast Cancers
Seagen Inc.
2014-02-28 PHASE1
NCT02025192 COMPLETED
HER2 Positive Metastatic Breast Cancers
Seagen Inc.
2013-12-31 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-08-28)

Check the Tucatinib (Irbinitinib, ONT-380, Arry-380) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Tucatinib acts as a potent, ATP-competitive small-molecule inhibitor that selectively binds to the kinase domain of ErbB-2 (HER2) and p95HER2, effectively blocking receptor autophosphorylation and downstream intracellular signaling cascades. By suppressing these biochemical pathways, the compound inhibits tumor cell proliferation and promotes apoptosis, demonstrating clinical relevance by impairing disease progression in patients with HER2-positive breast, colorectal, and gastroesophageal cancers.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.