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临床试验/NCT05430399
NCT05430399招募中3 期

Utidelone Versus Docetaxel in HER2-negative Locally Advanced or Metastatic Breast Cancer : A Phase III, Open Label, Randomized Controlled Trial

Sun Yat-sen University2 个研究点 分布在 1 个国家目标入组 349 人开始时间: 2022年6月21日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
招募中
发起方
入组人数
349
试验地点
2
主要终点
Progression Free Survival (PFS)

研究概览

简要总结

It is a phase III trial to explore the efficacy and safety of utidelone versus docetaxel in HER2-negative locally advanced or metastatic breast cancer.

研究设计

研究类型
Interventional
分配方式
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 —(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • Signed the informed consent form;
  • Women aged ≥ 18 years;
  • Patients with locally advanced or metastatic, histologically or cytologically documented breast cancer;
  • The primary tumor and metastases (if re-biopsy was performed) were both HER2-negative;
  • Eastern Cooperative Oncology Group (ECOG) score [0-1] points;
  • Patients must have metastatic disease that is evaluable on imaging: including at least one measurable lesion (assessed according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1)); or only non-measurable disease as defined by RECIST 1.1 , especially in patients with bone metastases only, while the disease could be documented/assessed by bone scan, PET or MRI;
  • Previous chemotherapy with taxane for early breast cancer (eBC; neoadjuvant or adjuvant setting) is permitted if completed ≥12 months before randomization;
  • No previous chemotherapy for advanced breast cancer ;
  • For HR+ breast cancer patients shall meet one of the two criteria below: a) radiographically confirmed recurrence or progression within 2 years of adjuvant endocrine therapy; b) received at least one line of endocrine therapy in the recurrence or metastasis stage;
  • Patients must have recovered to ≤ Grade 1 (CTCAE v5.0) from all toxicities related to prior antineoplastic therapy. However, patients with any grade of alopecia were allowed ;
  • Patients with asymptomatic CNS metastases may be enrolled, if:
  • Intracranial lesions are evaluable and eligible for systemic therapy only in the absence of extracranial evaluable lesions, or
  • Patients with stable intracranial lesions after local treatment while there are extracranial evaluable lesions ;
  • Adequate hematological, hepatic and renal function;
  • Women of childbearing potential must agree to use a contraceptive method during the treatment period and for at least 90 days after the last dose of experiment treatment;
  • Life expectancy of at least 12 weeks;
  • Patients must be able to participate and comply with treatment and follow up.

排除标准

  • HER-2 positive (IHC 3+, or FISH positive);
  • Other malignancies (including primary brain or leptomeninges-related tumors) within the past 5 years, except cured cutaneous basal cell carcinoma and cervical carcinoma in situ;
  • Patients who have received anti-tumor therapy within 4 weeks prior to the start of study treatment, including chemotherapy, radical radiotherapy, biological therapy, immunotherapy or anti-tumor Chinese medicine therapy;
  • Patients who have undergone major organ surgery (excluding needle biopsy) or have significant trauma within 4 weeks before the first dose of treatment, or anticipating for a major surgical procedure during the study;
  • Experienced grade ≥ 3 nervous system-related adverse events after treatment with anti-microtubule drugs;
  • Symptomatic central nervous system metastases;
  • Pregnant or lactating women;
  • Known or suspected hypersensitivity to any of the study drugs or excipients;
  • Any other non-malignant systemic disease (cardiovascular, renal, hepatic, etc.) that precludes study treatment implementation or follow-up ;
  • Any other condition that the investigator considers inappropriate to participate in this trial .
  • Use of corticosteroids is prohibited.

研究组 & 干预措施

Arm A

Experimental

utidelone

干预措施: utidelone (Drug)

Arm B

Active Comparator

docetaxel

干预措施: docetaxel (Drug)

结局指标

主要结局

Progression Free Survival (PFS)

时间窗: up to 60 months

Time from randomization to progression or death (whichever occurred first)

次要结局

  • Patient-reported health-related quality of life (QoL): FACT-B total score(up to 60 months)
  • Objective response rate (ORR)(up to 60 months)
  • Time to response (TTR)(up to 60 months)
  • Overall survival (OS)(up to 60 months)
  • Duration of response (DOR)(up to 60 months)

研究者

发起方
Sun Yat-sen University
申办方类型
Other
责任方
Principal Investigator
主要研究者

wang shusen

Chief Physician

Sun Yat-sen University

研究点 (2)

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