Neu Direction: Testing Neratinib for Metastatic ER+/HER2- Breast Cancer

This study is looking at whether adding neratinib, an FDA-approved medicine, can help control metastatic breast cancer that is estrogen receptor-positive (ER+) and HER2-negative (HER2-), and has become resistant to standard hormone therapy. Neratinib is currently used for HER2-positive breast cancers. You might be able to join if you are a woman over 18 with this type of breast cancer that has progressed after initial treatment, and you have at least one visible tumor. Researchers will also be looking at the safety of adding neratinib to standard treatments like letrozole, anastrozole, exemestane, tamoxifen, or fulvestrant, with or without CDK4/6 inhibitors. The study aims to enroll 150 participants and will measure how long people live without their cancer getting worse, and what side effects they experience.

Study design
This is a Phase II study that will enroll 150 participants. You would be randomly assigned to receive either standard care alone or standard care plus neratinib.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Your progress and any side effects will be monitored from when you join until the study ends, which is expected to be about one year on average.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07729046

Neu Direction: Testing the Efficacy of Adding HER Inhibition to Standard of Care in Metastatic MLH1-low Endocrine-resistant ER+/HER2- Breast Cancer

Not Yet Recruiting
PHASE2Ages 18+InterventionalTreatment
University of California, San Diego
~150 participants
Updated 2026-07-27 on ClinicalTrials.gov
What's tested:Neratinib + endocrine therapyEndocrine therapy may include one of the following therapies: letrozole, anastrozole, exemestane, tamoxifen or fulvestrantCDK4/6 + Endocrine therapy

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Median Progression-Free Survival
Measured over From enrollment through study completion, an average of 1 year.
+1 more outcome measured
Metastatic Invasive Breast Cancer
Resistant Breast Cancer
ER+, HER2-, Metastatic Breast Cancer
1 sites across 1 states
California1
  • Asona Lui, MD, PhD · PRINCIPAL_INVESTIGATOR · UC San Diego

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  • Median Progression-Free SurvivalFrom enrollment through study completion, an average of 1 year.
  • Number of participants with treatment-related adverse events as assessed by CTCAE v4.0From enrollment through study completion, an average of 1 year.

    Adverse events will be quantified using the CTCAE v4.0 every 3 months