A Phase Ib/II Clinical Trial to Evaluate the Safety and Efficacy of TQB2930 for Injection Monotherapy or in Combination for the Treatment of Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Recurrent / Metastatic Breast Cancer
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 入组人数
- 154
- 试验地点
- 2
- 主要终点
- Phase II recommended dose (P2RD)
研究概览
简要总结
This is a phase Ib/II exploratory study. Phase Ib includes the dose escalation and expansion study of monotherapy, as well as the dose escalation study of combination therapy. After determining the maximum tolerated dose (MTD), a dose expansion study is conducted to observe the safety and efficacy in monotherapy. Phase II study is to further observe the safety and efficacy of TQB2930 combined with albumin-paclitaxel (cohort 3), or chemotherapy selected by investigators (cohort 4).
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age: 18-75 years old; Eastern Cooperative Oncology Group Performance Status (ECOG PS) score: 0~1; The expected survival is over 3 months.
- •Advanced malignancies confirmed by cytology / histopathology, priority given to subjects with HER2 expression or amplification;
- •Subjects with malignant tumors who have failed standard treatment or lack effective treatment;
- •Confirmed presence of at least one evaluable lesion according to RECIST 1.1 criteria
- •Hormone receptor (HR)-negative, HER2-positive breast cancer confirmed by cytology / histopathology, with evidence of local recurrence or distant metastasis, unsuitable for surgery or radiotherapy for curative purposes:
- •Have not received systemic antitumor therapy for metastatic stage; Systemic use of endocrine therapy is permitted, but not exceed 2 lines;
- •at least one measurable lesion that meets the RECIST 1.1 criteria.
- •Major organs are functioning normally.
- •Female subjects of reproductive age should agree to use contraceptive methods during the study period and until 6 months after the end of the study; Negative serum pregnancy / urine pregnancy test within 7 days prior to study enrollment and must be non-lactating subjects; Male subjects should agree to use contraception during the study and until six months after the end of the study.
排除标准
- •Have occured other malignant tumors within 3 years prior to first dose.
- •Unalleviated toxicity above Common Terminology Criteria for Adverse Events (CTCAE) grade 1 due to any prior treatment;
- •Received major surgical treatment, open biopsy, or significant traumatic injury within 28 days prior to the first dose;
- •Long-term unhealed wounds or fractures;
- •Arterial/venous thrombosis events occurred within 6 months before the first dose;
- •Have a history of psychotropic drug abuse and can't get rid of it or have mental disorders;
- •Subject with any severe and/or uncontrolled disease;
- •Subjects who have been treated with other antitumor agents such as chemotherapy, radiotherapy, or immunotherapy within 4 weeks prior to the first dose, within 5 half-lives of the drug;
- •Have used traditional chinese medicine with anti-tumor indications approved by National Medical Products Administration (NMPA) within 2 weeks before the first dose;
- •Severe bone injury due to bone metastasis;
- •Subjects with untreated active brain metastases or meningeal metastases or cancerous meningitis;
- •In the course of previous HER2-targeted therapy, Left Ventricular Ejection Fractions (LVEF) decreased to <50% or absolute LVEF decreased >15%;
- •Cumulative doses of anthracyclines exceeded doxorubicin or doxorubicin liposomes >360 mg/m2;
- •Uncontrolled hypercalcemia or symptomatic hypercalcemia requires continued bisphosphonate therapy
- •Patients with severe hypersensitivity after the use of monoclonal antibodies;
- •Has participated in other antitumor clinical trials within 4 weeks prior to the first dose.
研究组 & 干预措施
TQB2930 for injection
TQB2930 for injection,10 mg/kg, quaque week (QW), 21 day as a treatment cycle; TQB2930 for injection, 20 mg/kg, quaque 2 weeks (Q2W), 28 day as a treatment cycle; TQB2930 for injection,30 mg/kg, quaque 3 weeks (Q3W), 21 day as a treatment cycle.
干预措施: TQB2930 for injection (Drug)
TQB2930 for injection 30mg/kg + Paclitaxel for injection (albumin-bound)
TQB2930 for injection 30mg/kg combined with paclitaxel (albumin-bound) for injection, 21 days for one treatment cycle
干预措施: TQB2930 for injection (Drug)
TQB2930 for injection 30mg/kg + Paclitaxel for injection (albumin-bound)
TQB2930 for injection 30mg/kg combined with paclitaxel (albumin-bound) for injection, 21 days for one treatment cycle
干预措施: Paclitaxel for injection (albumin-bound) (Drug)
TQB2930 for injection+TQB3616 capsule for injection + fulvestrant injection
TQB2930 for injection 20mg/kg combined with TQB3616 capsule 120mg or 150mg or 180mg, and fulvestrant injection. Q2W, 28 days a cycle.
干预措施: TQB2930 for injection (Drug)
TQB2930 for injection+TQB3616 capsule for injection + fulvestrant injection
TQB2930 for injection 20mg/kg combined with TQB3616 capsule 120mg or 150mg or 180mg, and fulvestrant injection. Q2W, 28 days a cycle.
干预措施: TQB3616 capsule (Drug)
TQB2930 for injection+TQB3616 capsule for injection + fulvestrant injection
TQB2930 for injection 20mg/kg combined with TQB3616 capsule 120mg or 150mg or 180mg, and fulvestrant injection. Q2W, 28 days a cycle.
干预措施: Fulvestrant injection (Drug)
TQB2930 for injection + chemotherapy
TQB2930 for injection 30mg/kg combined with capecitabine tablets or vinorelbine tartrate injection or eribulin mesylate injection or gemcitabine hydrochloride for injection, 21 days a cycle.
干预措施: TQB2930 for injection (Drug)
TQB2930 for injection + chemotherapy
TQB2930 for injection 30mg/kg combined with capecitabine tablets or vinorelbine tartrate injection or eribulin mesylate injection or gemcitabine hydrochloride for injection, 21 days a cycle.
干预措施: Capecitabine tablets (Drug)
TQB2930 for injection + chemotherapy
TQB2930 for injection 30mg/kg combined with capecitabine tablets or vinorelbine tartrate injection or eribulin mesylate injection or gemcitabine hydrochloride for injection, 21 days a cycle.
干预措施: Vinorelbine tartrate injection (Drug)
TQB2930 for injection + chemotherapy
TQB2930 for injection 30mg/kg combined with capecitabine tablets or vinorelbine tartrate injection or eribulin mesylate injection or gemcitabine hydrochloride for injection, 21 days a cycle.
干预措施: Eribulin mesylate injection (Drug)
TQB2930 for injection + chemotherapy
TQB2930 for injection 30mg/kg combined with capecitabine tablets or vinorelbine tartrate injection or eribulin mesylate injection or gemcitabine hydrochloride for injection, 21 days a cycle.
干预措施: gemcitabine hydrochloride for injection (Drug)
结局指标
主要结局
Phase II recommended dose (P2RD)
时间窗: Baseline up to 1 year
Optimal tolerated dose determined after the end of phase 1
Investigators assessed Objective remission rate (ORR) based on Response Evaluation Criteria In Solid Tumors (RECIST) 1.1
时间窗: Baseline up to 2 year
The proportion of subjects with complete response (CR) and partial response (PR) whose tumor volume reduced to a predetermined value and maintained the minimum time limit.
Maximum tolerated dose (MTD)
时间窗: Baseline up to 4 months
The highest dose when dose-limiting toxicity (DLT) occurs in less than 33% of subjects.
次要结局
- Overall survival (OS)(Baseline up to 4 years)
- Immunogenicity(Pre-dose on Cycle 1 Day 1, Cycle 2 Day 1, Cycle 4 Day 1, Cycle 7 Day 1, Cycle 12 Day 1, each cycle is 21 or 28 days.)
- Progression-free survival (PFS)(Baseline up to 1 year)
- Disease control rate (DCR)(Baseline up to 2 years)
- Duration of remission (DOR)(Baseline up to 2 years)
- Clinical benefit rate (CBR)(Baseline up to 2 years)
- Peak concentration (Cmax), arm 2(Pre-dose, 30 minuets after dose of Cycle 1 Day 1,Cycle 2 Day 1, Cycle 4 Day 1,Cycle 7 Day 1,Cycle 12 Day 1,Cycle 17 Day 1. each cycle is 28 days.)
- Peak concentration (Cmax), Q2W(Pre-dose, 30 minuets, 4, 8, 24, 48, 72, 168, 240 hours after dose on Cycle 1 Day 1, Cycle 2 Day 1; Pre-dose on Cycle 1 Day 15, Cycle 2 Day 15, each cycle is 28 days.)
- Peak concentration (Cmax), Q3W(Pre-dose, 30 minuets, 4, 8, 24, 48, 72, 168, 240, 336 hours after dose on Cycle 1 Day 1, Cycle 2 Day 1; Pre-dose on Cycle 3 Day 1, each cycle is 21 days.)
- Peak concentration (Cmax), QW(Pre-dose, 30 minuets, 4, 8, 24, 48, 72 hours after dose on Cycle 1 Day 1, Cycle 2 Day 1; Pre-dose on Cycle 1 Day 8, Cycle 1 Day 15, Cycle 2 Day 8, each cycle is 21 days.)
- Adverse event rate(Baseline up to 2 years)
- Peak concentration (Cmax), arm 3 and 4(Pre-dose, 30 minuets after dose of Cycle 1 Day 1,Cycle 2 Day 1, Cycle 4 Day 1,Cycle 7 Day 1,Cycle 12 Day 1,Cycle 17 Day 1. each cycle is 21 days.)
