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Clinical Trials/NCT05814354
NCT05814354Active, not recruitingPhase 3

A Randomized, Open, Parallel-controlled, Multicenter Phase III Trial of SHR-A1811 Versus Investigator Chemotherapy in HER2-low Expressing Recurrent/Metastatic Breast Cancer

Jiangsu HengRui Medicine Co., Ltd.1 site in 1 country551 target enrollmentStarted: June 30, 2023Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 3
Status
Active, not recruiting
Enrollment
551
Locations
1
Primary Endpoint
Progression-free Survival (PFS) Based on Blind Independent Video Review Committee (BIRC)

Study Overview

Brief Summary

The aim of this study was to evaluate whether the progression-free survival of SHR-A1811 was superior to investigator-selected chemotherapy in patients with HER2-low recurrent/metastatic breast cancer. To evaluate whether SHR-A1811 is superior to investigator-selected chemotherapy in patients with HER2-low recurrent/metastatic breast cancer.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to 75 Years (Adult, Older Adult)
Sex
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Low-HER2 expression defined as IHC 2+/ISH- or IHC 1+ (ISH- or untested).
  • HR-positive breast cancer with at least one endocrine therapy and disease progression was judged by the investigator to no longer benefit from endocrine therapy.
  • Has been treated with 0 to 1 prior lines of chemotherapy in the metastatic setting.
  • Has documented radiologic progression (during or after most recent treatment).
  • Has at least 1 protocol-defined measurable lesion.
  • Has protocol-defined adequate cardiac, bone marrow, renal, hepatic and blood clotting functions.
  • Fertile women (WOCBP) subjects agreed to use highly effective contraception and not to breastfeed from the time of study screening until 7 months after receiving the last study medication; a fertile woman must have a negative serum pregnancy test result within 7 days prior to the first treatment.

Exclusion Criteria

  • Has known active central nervous system (CNS) metastases. Subjects with previously treated brain metastases may participate provided they are stable.
  • A history of human immunodeficiency virus (HIV) infection is known, or has an active autoimmune disease.
  • History of interstitial lung disease or pneumonia requiring oral or intravenous steroids.
  • Has moderate or severe cardiovascular disease.
  • Active HBV(hepatitis B) or HCV (Hepatitis C virus)-infected subjects.
  • Any other malignancies within 5 years except for those with negligible risk of metastasis or death.

Arms & Interventions

Physician's Choice

Active Comparator

Capecitabine/Eribulin/Gemcitabine/Paclitaxel/Nab-paclitaxel

Intervention: Capecitabine/Eribulin/Gemcitabine/Paclitaxel/Nab-paclitaxel (Drug)

SHR-A1811

Experimental

Intervention: SHR-A1811 (Drug)

Outcomes

Primary Outcomes

Progression-free Survival (PFS) Based on Blind Independent Video Review Committee (BIRC)

Time Frame: within approximately 2 years

Secondary Outcomes

  • Overall Survival (OS)(within approximately 3 years)
  • Objective Response Rate (ORR)(within approximately 2 years)
  • Duration of Response (DoR)(within approximately 2 years)
  • Clinical Benefit Rate (CBR)(within approximately 2 years)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (1)

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