A Phase Ib/II Multicenter, Open-Label Clinical Trial of SHR-A1811 Injection in Combination With Pyrotinib or Pertuzumab or Adebrelimab or Paclitaxel for Injection (Albumin Bound) in Breast Cancer
Trial Snapshot
- Phase
- Phase 2
- Status
- Recruiting
- Enrollment
- 402
- Locations
- 1
- Primary Endpoint
- Objective response rate(Phase II (efficacy expansion phase))
Study Overview
Brief Summary
To evaluate the safety, tolerability and efficacy of SHR-A1811 in combination with pyrotinib or pertuzumab or adebrelimab or albumin-bound paclitaxel in patients with 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
- •Women aged 18 to 75 (inclusive)
- •Breast cancer confirmed by histology or cytology.
- •ECOG score is 0 or 1
- •An expected survival of ≥ 12 weeks
- •At least one measurable lesion according to RECIST v1.1 criteria
- •Have adequate renal and hepatic function
- •Patients voluntarily joined the study and signed informed consent
Exclusion Criteria
- •Have other malignancies within the past 5 years
- •Active central nervous system metastasis without surgery or radiotherapy
- •Presence with uncontrollable third space effusion
- •Have undergone other anti-tumor treatment within 4 weeks before the first dose
- •Immunosuppressant or systemic hormone therapy was used within 2 weeks prior to the first dose
- •Any active autoimmune disease or a history of autoimmune disease
- •A history of immune deficiency
- •Clinically significant cardiovascular disorders
- •Clinically significant history of lung disease
- •The toxicity from previous anti-tumor treatment has not recovered to ≤ grade I
- •Known hereditary or acquired bleeding tendency
- •Active hepatitis and liver cirrhosis
- •Presence of other serious physical or mental diseases or laboratory abnormalities
Arms & Interventions
SHR-A1811Combined Albumin-bound Paclitaxel
Intervention: SHR-A1811;Albumin paclitaxel (Drug)
SHR-A1811combined Pyrotinib
Intervention: SHR-A1811:Pyrotinib (Drug)
SHR-A1811Combined Pertuzumab
Intervention: SHR-A1811;Pertuzumab (Drug)
SHR-A1811Combined Adebrelimab
Intervention: SHR-A1811;Adebrelimab (Drug)
Outcomes
Primary Outcomes
Objective response rate(Phase II (efficacy expansion phase))
Time Frame: Two years after the last subject was enrolled in the group
Incidence and severity of serious adverse events (SAE)(Phase I (dose exploration phase) )
Time Frame: from Day1 to 40 or 90 days after last dose
DLT(Phase I (dose exploration phase) )
Time Frame: 21 days after the first administration of each subject
AE(Phase I (dose exploration phase) )
Time Frame: from Day1 to 40 or 90 days after last dose
Secondary Outcomes
- Immunogenicity of Adebrelimab(Phase II secondary study endpoint)(through study completion, an average of 2 years)
- PK parameter: Cmax of SHR-A1811(Phase I secondary endpoint)(through study completion, an average of 2 years)
- Immunogenicity of SHR-A1811(Phase I secondary endpoint)(through study completion, an average of 2 years)
- Progression Free Survival(Phase I secondary endpoint)(from first dose to disease progression or death, whichever comes first, up to 3 years)
- Immunogenicity of SHR-A1811(Phase II secondary study endpoint)(through study completion, an average of 2 years)
- PK parameter: AUC0-t of SHR-A1811(Phase I secondary endpoint)(through study completion, an average of 2 years)
- PK parameter: Cmin of Pyrotinib(Phase I secondary endpoint)(through study completion, an average of 2 years)
- PK parameter: Cmin of Adebrelimab(Phase I secondary endpoint)(through study completion, an average of 2 years)
- Duration of response(Phase I secondary endpoint)(from first dose to disease progression or death, whichever comes first, up to 3 years)
- PK parameter: C4h of Pyrotinib(Phase I secondary endpoint)(through study completion, an average of 2 years)
- Objective Response Rate(Phase I secondary endpoint)(from first dose to disease progression or death, whichever comes first, up to 3 years)
- AE(Phase II secondary study endpoint)(from Day1 to 40 or 90 days after last dose)
- Incidence and severity of serious adverse events (SAE)(Phase II secondary study endpoint)(from Day1 to 40 or 90 days after last dose)
- Duration of response(Phase II secondary study endpoint)(from first dose to disease progression or death, whichever comes first, up to 3 years)
- Progression Free Survival(Phase II secondary study endpoint)(from first dose to disease progression, or death, whichever comes first, up to 3 years)
- PK parameter: Cmin of SHR-A1811(Phase I secondary endpoint)(through study completion, an average of 2 years)
- Immunogenicity of Adebrelimab(Phase I secondary endpoint)(through study completion, an average of 2 years)
- PK parameter: Cmin, Cmax, and AUC0-t of SHR-A1811(Phase II secondary study endpoint)(through study completion, an average of 2 years)
- PK parameter: Cmin, C4h of Pyrotinib:(Phase II secondary study endpoint)(through study completion, an average of 2 years)
- PK parameter: Cmin of Adebrelimab(Phase II secondary study endpoint)(through study completion, an average of 2 years)
- Event-Free Survival Rate(Phase II secondary study endpoint)(from first dose to disease progression, disease recurrence, or death, whichever comes first, up to 3 years)
