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SHR-A1811 Alone or in Combination With Adebrelimab as Neoadjuvant Treatment in HR Positive/HER2 Low Breast Cancer

Phase 2
Recruiting
Conditions
HR Positive/HER2 Low Breast Cancer
Interventions
Drug: SHR-A1811 Injection
Drug: SHR-A1811 Injection + Adebrelimab Injection
Registration Number
NCT06340230
Lead Sponsor
Shengjing Hospital
Brief Summary

This is an open-label, phase II study evaluating the efficacy and safety of SHR-A1811 alone or in combination with Adebrelimab in Stage II-III HR Positive/HER2 Low Breast Cancer. Subjects will receive the neoadjuvant therapy of SHR-A1811 alone or in combination with Adebrelimab for six cycles, and then undergo surgery within 4 weeks after neoadjuvant therapy. Efficacy will be assessed every 2 cycles.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
93
Inclusion Criteria
  1. Female patients aged ≥ 18 but ≤ 75 years
  2. Histologically confirmed to be HR+/HER2-Low invasive breast cancer
  3. Treatment-naive patients with stage II-III
  4. Eastern Cooperative Oncology Group (ECOG) score is 0 or 1
  5. Good level of organ function
  6. Subjects must participate voluntarily, sign the informed consent form, have good compliance, and cooperate with follow-up visits
Exclusion Criteria
  1. Previously been treated with any anti-tumor therapy (chemotherapy, radiotherapy, molecular targeted therapy, endocrine therapy, etc.)
  2. Received any other anti-tumor therapy at the same time
  3. Bilateral breast cancer, inflammatory breast cancer or occult breast cancer
  4. Stage IV breast cancer
  5. Not confirmed by histopathology
  6. With a history of any malignancies in the past 5 years, excluding cured cervical carcinoma in situ and melanoma skin cancer
  7. Participated in other drug clinical trials within 4 weeks before enrollment
  8. Known allergic history of the drug components of this protocol
  9. History of immunodeficiency
  10. Clinically significant cardiovascular diseases
  11. Known or suspected interstitial lung disease
  12. Active hepatitis and liver cirrhosis
  13. Known hereditary or acquired bleeding thrombotic tendency
  14. History of neurological or psychiatric disorders

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 3 SHR-A1811 InjectionSHR-A1811 InjectionSHR-A1811 Injection Drug: SHR-A1811 Injection
Arm 2 (PD-L1 Negative) SHR-A1811 Injection + Adebrelimab InjectionSHR-A1811 Injection + Adebrelimab InjectionSHR-A1811 Injection + Adebrelimab Injection Drug: SHR-A1811 Injection Drug: Adebrelimab Injection
Arm 1 (PD-L1 Positive) SHR-A1811 Injection + Adebrelimab InjectionSHR-A1811 Injection + Adebrelimab InjectionSHR-A1811 Injection + Adebrelimab Injection Drug: SHR-A1811 Injection Drug: Adebrelimab Injection
Primary Outcome Measures
NameTimeMethod
Total pathological complete response (tpCR: ypT0-is/ypN0)At the time of surgery
Secondary Outcome Measures
NameTimeMethod
Best overall response rate (BORR)During 18 weeks of the neoadjuvant treatment
Overall survival (OS)5 years
Event-free survival (EFS)5 years
Health-related quality of life (HRQOL) (EORTC QLQ-C30)During 18 weeks of the neoadjuvant treatment

The European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ) Core 30 (EORTC QLQ-C30)

Breast pathological complete response (bpCR:ypT0-is)At the time of surgery
Health-related quality of life (HRQOL)During 18 weeks of the neoadjuvant treatment

The European Organization for Research and Treatment of Cancer (EORTC) quality of life questionnaire Breast Cancer (EORTC QLQ- BR23) will be used to measure the HRQOL

Residual cancer burden (RCB)At the time of surgery
Disease-free survival (DFS)5 years

Trial Locations

Locations (1)

Shengjing Hospital affiliated to China Medical University

🇨🇳

Shenyang, Liaoning, China

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