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临床试验/NCT07551050
NCT07551050招募中不适用

A Real-world, Multicenter, Prospective Study to Evaluate the Patient-reported Outcome in Chinese Patients Who Received Sacituzumab Govitecan or Chemotherapy of the Physician's Choice for Metastatic Breast Cancer Progressing on First-line Treatment

Fudan University1 个研究点 分布在 1 个国家目标入组 300 人开始时间: 2026年5月15日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
300
试验地点
1
主要终点
Mean change from baseline in the EORTC QLQ-C30 GHS/QOL score.

研究概览

简要总结

A real-world, multicenter, prospective study to evaluate the patient-reported outcome in Chinese patients who received sacituzumab govitecan or chemotherapy of the physician's choice for metastatic breast cancer progressing on first-line treatment

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Retrospective

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • Patients aged 18 to 75 years.
  • Patients have been diagnosed with metastatic HER2 negative breast cancer. HER2 status were determined locally by immunohistochemistry (IHC) of patients' primary or metastatic tumor sections. HER2-negative status was defined by IHC staining 0 to 1+ or fluorescence in situ hybridization ratio <2.0 if IHC 2+ or IHC not performed.
  • The metastatic disease was confirmed by clinical, imaging, histological, or cytological measures, including unresectable locally advanced breast cancer, de novo stage IV breast cancer, and recurrent metastatic breast cancer.
  • For patients with triple-negative breast cancer (TNBC): at least 1 line of systemic therapy in the metastatic setting; for patients with HR+/HER2- breast cancer: prior treatment with endocrine therapy and CDK4/6 inhibitors, and at least 1 line of systemic therapy in the metastatic setting.
  • At least one evaluable lesion by CT or MRI according to RECIST 1.
  • Willing to accept the treatment by the investigator based on the patient's preference, physical condition, prior treatment history, and financial circumstances.
  • Willing to use contraceptive measures during the study period.
  • Willing and able to complete electronic questionnaires/scales on a smartphone, tablet, or other electronic device.
  • All patients can provide an informed consent before enrolment and data collection.

排除标准

  • Insufficient bone marrow, hepatic, or renal function, defined as:
  • Bone marrow: White blood cell count < 3.0 × 10⁹/L, or absolute neutrophil count < 1.5 × 10⁹/L, or platelet count < 75 × 10⁹/L, or hemoglobin < 8.0 g/dL.
  • Hepatic function: Total bilirubin > 1.5 × upper limit of normal (ULN), or ALT/AST > 3.0 × ULN (or > 5.0 × ULN in the presence of liver metastases).
  • Renal function: Serum creatinine > 1.5 × ULN, or creatinine clearance < 50 mL/min.
  • History of other malignancies or hematologic malignancies.
  • Hypersensitivity to the study treatment drugs.
  • Systemic anti-tumor therapy (including chemotherapy, radiotherapy, immunotherapy, etc.) within 2 weeks prior to study drug administration.
  • Treatment with an investigational product within 4 weeks before the first treatment.
  • Presence of any toxicity from prior therapy (excluding alopecia) ≥ Grade 2 according to CTCAE version 5.0, prior to study drug administration.
  • Systemic inflammatory diseases, including but not limited to systemic lupus erythematosus, juvenile chronic arthritis, spondyloarthropathy, Crohn's disease, ulcerative colitis, psoriatic arthritis, or active vasculitis.
  • Severe psychiatric or neurological disorders, including but not limited to schizophrenia, depression, mania, Alzheimer's disease, myasthenia gravis, seizure disorders, or known conditions that may provoke seizures.
  • Pregnant or breastfeeding women.

研究组 & 干预措施

Sacituzumab Govitecan

Sacituzumab Govitecan

Chemotherapy of the physician's choice

Chemotherapy of the physician's choice, including single-agent or combination chemotherapy regimens consisting of commonly used chemotherapeutic drugs for breast cancer, such as taxanes, anthracyclines, vinorelbine, gemcitabine, capecitabine, eribulin, and cisplatin/carboplatin. Combination with other targeted therapies, including immune checkpoint inhibitors (PD-1/PD-L1 monoclonal antibodies) and bevacizumab, is also permitted.

结局指标

主要结局

Mean change from baseline in the EORTC QLQ-C30 GHS/QOL score.

时间窗: 12 weeks

Mean change from baseline in the EORTC QLQ-C30 GHS/QOL score.

次要结局

  • Mean change from baseline in the EORTC QLQ-BR45 score, and time to deterioration.(12 weeks)
  • Proportion of patients with clinically meaningful improvement or deterioration from baseline in the EORTC QLQ-C30 GHS/QOL score.(12 weeks)
  • Number and percentage of patients with different severity levels on the PRO-CTCAE at baseline and during follow-up.(12 weeks)
  • PFS(6 weeks)
  • OS(6 weeks)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Biyun Wang, MD

Professor

Fudan University

研究点 (1)

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