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A Study of TQB2450 Injection Combined With Anlotinib Hydrochloride Capsule Versus Paclitaxel for Injection (Albumin Bound) in Subjects With Triple Negative Breast Cancer (TNBC)

Phase 3
Conditions
Triple Negative Breast Cancer
Interventions
Registration Number
NCT04405505
Lead Sponsor
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
Brief Summary

This study is a randomized, positive parallel controlled, multicentre phase III clinical trial to evaluate the efficacy and safety of TQB2450 combined with anlotinib versus paclitaxel for injection (albumin bound) in subjects with advanced triple negative breast cancer.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
332
Inclusion Criteria
  • 1.Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1; Life expectancy ≥ 3 months.

    2.Histologically confirmed triple negative breast cancer. 3.Has at least one measurable lesion. 4.Newly diagnosed stage IV or recurrent/metastatic triple negative breast cancer who are not suitable for surgery.

    5.Prior local radiotherapy for metastatic sites is allowed. 6.Adequate laboratory indicators. 7.Understood and signed an informed consent form. 8.No pregnant or breastfeeding women, and a negative pregnancy test.

Exclusion Criteria
  • 1.Has received anti-angiogenic drugs or other PD-1 / PD-L1 / CTLA-4 antibody therapy or other immunotherapy against PD-1 / PD-L1 / CTLA-4.

    1. Severe hypersensitivity occurs after administration of other monoclonal antibodies.

    2. Has other malignancies (except cured skin basal cell carcinoma and cervical carcinoma in situ) within 3 years.

    3. Has any active autoimmune disease or history of autoimmune disease. 5. Has a clear clinical diagnosis of interstitial pneumonia, pulmonary fibrosis, drug-induced pneumonia, or active pneumonia.

    4. Peripheral neuropathy ≥ grade 2. 7. Immunosuppressant or systemic or absorbable local hormone therapy is required to achieve the aim of immunosuppression (dose > 10mg/ day prednisone or other therapeutic hormones) and is still used within 2 weeks after the first administration.

    5. Has multiple factors affecting oral medication. 9. Has uncontrolled and repeated drainage pleural effusion, pericardial effusion, and ascites.

    6. Has any signs of bleeding or history. 11. Has unrelieved spinal cord compression. 12. Has symptomatic central nervous system (CNS) disease and / or cancerous meningitis, pia mater disease.

    7. Has received other anti-tumor therapy within 4 weeks before the first administration.

    8. Has any serious and/or uncontrollable disease. 15. Has received vaccination or attenuated vaccine within 4 weeks before the first administration.

    9. According to the judgement of the investigators, there are other factors that may lead to the termination of the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TQB2450 + AnlotinibTQB2450TQB2450 1200 mg administered intravenously (IV) on Day 1 of each 21-day cycle ,Anlotinib capsules 12 mg given orally, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21).
Paclitaxel for injection (albumin bound)Paclitaxel for Injection (albumin bound)Paclitaxel for Injection (albumin bound) 100mg / m2 administered intravenously (IV) on Day 1, 8, 15 in 28-day cycle.
TQB2450 + AnlotinibAnlotinibTQB2450 1200 mg administered intravenously (IV) on Day 1 of each 21-day cycle ,Anlotinib capsules 12 mg given orally, once daily in 21-day cycle (14 days on treatment from Day 1-14, 7 days off treatment from Day 15-21).
Primary Outcome Measures
NameTimeMethod
Progression free survival (PFS) evaluated by Independent Review Committee(IRC)up to 96 weeks

PFS defined as the time from randomization until the first documented progressive disease (PD) or death from any cause, based on IRC.

Secondary Outcome Measures
NameTimeMethod
Duration of Response (DOR)up to 96 weeks

DOR defined as time from earliest date of disease response to earliest date of disease progression based on radiographic assessment.

Disease control rate(DCR)up to 96 weeks

Percentage of participants achieving complete response (CR) and partial response (PR) and stable disease (SD).

Overall response rate (ORR)up to 96 weeks

Percentage of participants achieving complete response (CR) and partial response (PR).

Trial Locations

Locations (30)

The Fourth Affiliated Hospital of Anhui Medical University

🇨🇳

Hefei, Anhui, China

Chinese Academy of Medical Sciencesand Peking Union Medical College Hospital

🇨🇳

Beijing, Beijing, China

Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College

🇨🇳

Beijing, Beijing, China

Chongqing Cancer Hospital

🇨🇳

Chongqing, Chongqing, China

The First Affilited Hospital of Chongqing Medical University

🇨🇳

Chongqing, Chongqing, China

The First Affiliated Hospital of Guangxi Medical University

🇨🇳

Nanning, Guangxi Zhuang Autonomous Region, China

Affiliated Tumor Hospital of Harbin Medical University

🇨🇳

Harbin, Heilongjiang, China

AnYang Tumor Hospital

🇨🇳

Anyang, Henan, China

Guangdong Provincial People's Hospital

🇨🇳

Guangzhou, Guangdong, China

Nantong Tumor Hospital

🇨🇳

Nantong, Jiangsu, China

The First Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

Yanbian University Hospital

🇨🇳

Yanji, Jilin, China

Shanxi Cancer Hospital

🇨🇳

Taiyuan, Shanxi, China

The First Affiliated Hospital of Xi'an Jiaotong University

🇨🇳

Xi'an, Shanxi, China

Shanxi Provincial People's Hospital

🇨🇳

Xi'an, Shanxi, China

The Second People's Hospital of Neijiang

🇨🇳

Neijiang, Sichuan, China

Tianjin Cancer Hospital

🇨🇳

Tianjin, Tianjin, China

Xinjiang Uiger Municipal People's Hospital

🇨🇳

Urumqi, Xinjiang, China

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

The Second Affiliated Hospital of Zhejiang University School of Medicine

🇨🇳

Hangzhou, Zhejiang, China

Beijing Shijitan Hospital Affiliated to Capital Medical University

🇨🇳

Beijing, Beijing, China

Beijing Tsinghua Changgung Hospital

🇨🇳

Beijing, Beijing, China

Guangxi Medical University Affiliated Tumor Hospital

🇨🇳

Nanning, Guangxi Zhuang Autonomous Region, China

The fourth Hospital of Hebei Medical University

🇨🇳

Shijiazhuang, Hebei, China

Zhongnan Hospital of Wuhan University

🇨🇳

Wuhan, Hubei, China

Hunan Cancer Hospital

🇨🇳

Changsha, Hunan, China

The First Hospital of China Medical University

🇨🇳

Shenyang, Liaoning, China

Liaoning Cancer Hospital & Institute

🇨🇳

Shenyang, Liaoning, China

Qilu Hospital of Shandong University

🇨🇳

Jinan, Shandong, China

The Second Affiliated Hospital of PLA Airforce Military Medical University

🇨🇳

Xi'an, Shanxi, China

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