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临床试验/NCT07136974
NCT07136974尚未招募2 期

Comparing the Efficacy of TQB2102 and TCbHP in Neoadjuvant Treatment for HER2-positive Early Breast Cancer: A Randomized Phase II Clinical Trial.

Henan Cancer Hospital1 个研究点 分布在 1 个国家目标入组 280 人开始时间: 2025年9月1日最近更新:
适应症
干预措施

试验速览

阶段
2 期
状态
尚未招募
入组人数
280
试验地点
1
主要终点
Pathological Complete Response (pCR)

研究概览

简要总结

The aim of this study is to evaluate the efficacy and safety of TQB2102 compared to TCbHP in the neoadjuvant treatment of HER2-positive breast cancer. Participants will randomly assigned, in a 1:1 ratio, to receive either TQB2102 or TCbHP for 6 cycles. Patients will undergo definitive surgery (breast conservation or mastectomy with sentinel lymph-node evaluation or axillary dissection) 3 to 6 weeks after the last cycle of the neoadjuvant phase. Primary endpoint is pathological complete response, defined as pathological stage ypT0/Tis ypN0 at the time of definitive surgery.

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 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 18-70 years,
  • ECOG performance status 0-1;
  • Clinical T2-T4, or T1c with axillary lymph node metastasis; Confirmed HER2-positive status (per 2018 ASCO/CAP HER2 Testing Guidelines, defined as IHC 3+ or FISH positive);
  • Clinically measurable lesion: Lesion measurable by ultrasound, mammography, or optional MRI within 1 month before randomization;
  • No chemotherapy contraindications based on organ and bone marrow function tests within 1 month prior to chemotherapy: Absolute neutrophil count (ANC) ≥1.5×10⁹/L, Hemoglobin ≥90 g/L, Platelet count ≥100×10⁹/L, Total bilirubin <1.5 × ULN (upper limit of normal), Creatinine <1.5 × ULN, AST/ALT <1.5 × ULN, Echocardiography: Left ventricular ejection fraction (LVEF) ≥50%;
  • For women of childbearing potential: Negative serum pregnancy test within 14 days before randomization;
  • Signed informed consent form.

排除标准

  • Stage IV (metastatic) breast cancer;
  • Prior treatments received including chemotherapy, endocrine therapy, targeted therapy, or radiotherapy; History of other malignancies within 3 years or concurrent malignancies. Exceptions: Other malignancies treated with surgery alone achieving ≥5-year disease-free survival (DFS) . Cured cervical carcinoma in situ or non-melanoma skin cancer;
  • Major non-breast cancer-related surgical procedures within 4 weeks prior to enrollment, or incomplete recovery from such procedures;
  • Significant cardiac disease or conditions including but not limited to: History of heart failure or systolic dysfunction (LVEF <50%). Uncontrolled high-risk arrhythmias: Atrial tachycardia, resting heart rate >100 bpm, significant ventricular arrhythmias (e.g., ventricular tachycardia), or high-grade atrioventricular block (Mobitz II second-degree or third-degree AV block). Angina requiring anti-anginal medication. Clinically significant valvular heart disease. ECG evidence of transmural myocardial infarction. Poorly controlled hypertension (SBP >180 mmHg and/or DBP >100 mmHg);
  • Contraindications to chemotherapy per investigator's assessment due to severe uncontrolled comorbidities;
  • Known hypersensitivity to protocol drug components;
  • History of immunodeficiency disorders (including HIV positivity), other acquired/congenital immune deficiencies, or organ transplantation;
  • Any concurrent condition that in the investigator's judgment would jeopardize patient safety or compromise study completion, or other grounds for ineligibility.

研究组 & 干预措施

TQB2102 group

Experimental

TQB2102 is administered intravenously at 6 mg/kg every 3 weeks for 6 cycles.

干预措施: TQB2102 (Drug)

TCbHP

Active Comparator

Docetaxel + carboplatin + trastuzumab + pertuzumab (every 3 weeks)

干预措施: Docetaxel + Carboplatin + Trastuzumab +Pertuzumab (Drug)

结局指标

主要结局

Pathological Complete Response (pCR)

时间窗: up to 180 days

pCR was defined as ypT0/Tis ypN0 at surgery

次要结局

  • Event-Free Survival (EFS)(5-10 years)
  • Adverse Event (AE)(up to 180 days)
  • Overall Survival (OS)(5-10 years)
  • Objective Response Rate (ORR)(up to 180 days)

研究者

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

Zhenzhen Liu

Professor

Henan Cancer Hospital

研究点 (1)

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