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临床试验/NCT05824325
NCT05824325进行中(未招募)1 期

Different Targeted Antibody-drug Conjugates for HER2 Ultra-low or no Expression Advanced Breast Cancer: a Phase Ⅰb/Ⅱ Study(GALAXY)

Fudan University1 个研究点 分布在 1 个国家目标入组 56 人开始时间: 2023年3月14日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
56
试验地点
1
主要终点
Objective Response Rate (ORR)- Phase 2

研究概览

简要总结

This is a phaseⅠb/Ⅱ, open-label, two-arm parallel study evaluating the efficacy and safety of different targeted antibody-drug conjugates for HER2 ultra-low or no expression advanced breast cancer

研究设计

研究类型
Interventional
分配方式
Non 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 75 Years(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • ECOG Performance Status of 0 or 1
  • Pathologically documented breast cancer that:
  • is advanced or metastatic
  • is histologically confirmed to be HER2 IHC 0 (ISH- or untested)
  • was never previously HER2-positive (IHC 3+ or ISH+) At least one measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria version 1.
  • Disease progression on at least 1 previous line of chemotherapy for recurrent/metastatic breast cancer. Subjects with HER2-negative and hormone-receptor positive tumors must have progressed after at least 1 line of endocrine therapy with or without CDK4/6 inhibitor.
  • Has protocol-defined adequate organ and bone marrow function. Ability to understand and willingness to sign a written informed consent document.

排除标准

  • Has previously been treated with any anti-HER2 therapy. Known prior severe hypersensitivity to investigational product or any component in its formulation and other monoclonal antibodies.
  • Any major surgery, radiotherapy, chemotherapy, immunotherapy or molecular targeted therapy, biotherapy or other drug clinical trial within 4 weeks; received endocrine therapy within 2 weeks before the first study drug administration.
  • History of other malignancy than breast cancer within 5 years prior to screening (except for cured skin basal cell carcinoma and cervical carcinoma in situ).
  • Meningeal metastasis or active brain parenchymal metastasis. Any concurrent use of immunosuppressant or systemic corticosteroid treatment to achieve immunosuppression purpose (dose of > 10mg/day prednisone or equivalent), and still in use within 2 weeks before the first study drug administration.
  • Has uncontrolled intercurrent illness or significant cardiovascular disease. History of clinically significant lung diseases. History of immunodeficiency, including HIV positive. Known active hepatitis B virus or hepatitis C virus infection. Has any medical history or condition that per protocol or in the opinion of the investigator is inappropriate for the study.

研究组 & 干预措施

Experimental: HER2 ADC

Experimental

Patients diagnosed with HER2 ultra-low or no expression are recruited

干预措施: SHR-A1811 (Drug)

Experimental: TROP2 ADC

Experimental

Patients diagnosed with HER2 ultra-low or no expression are recruited.

干预措施: TROP2 ADC (Drug)

结局指标

主要结局

Objective Response Rate (ORR)- Phase 2

时间窗: Until progression, assessed up to approximately 24 months

The proportion of patients who have a CR or PR, as determined by the Investigator at local site per RECIST 1.1.

Occurrence of adverse events (AEs)- Phase 1

时间窗: Up to follow-up period, approximately 24 months

Occurrence of AEs in Phase 1 graded according to CTCAE v5.0

次要结局

  • Duration of Response (DoR)(Until progression, assessed up to approximately 24 months)
  • Clinical Benefit Rate (CBR)(Until progression or death, assessed up to approximately 24 months)
  • Overall Survival (OS)(Until death, assessed up to approximately 24 months)
  • Progression Free Survival (PFS(Until progression, assessed up to approximately 24 months)
  • Safety(Up to follow-up period, approximately 24 months)
  • Disease Control Rate (DCR)(Baseline through end of study, assessed up to 24 months)
  • Exploratory analyses(Baseline until disease progression or loss of clinical benefit, assessed up to 24 months)

研究者

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

Jian Zhang,MD

Chief Physician

Fudan University

研究点 (1)

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