RecruitingPhase 2NCT06445400

A Study of BL-M07D1, BL-M07D1+Pertuzumab and BL-M07D1+Pertuzumab+Docetaxel in Patients With Unresectable Locally Advanced or Metastatic HER2-positive Breast Cancer

A Phase II Clinical Trial to Evaluate the Efficacy and Safety of BL-M07D1, BL-M07D1+Pertuzumab and BL-M07D1+Pertuzumab+Docetaxel as First-line Treatment in Patients With Unresectable Locally Advanced or Metastatic HER2-positive Breast Cancer


Sponsor

Sichuan Baili Pharmaceutical Co., Ltd.

Enrollment

120 participants

Start Date

Jun 19, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This study is a phase II clinical trial to evaluate the safety and efficacy of BL-M07D1, BL-M07D1+Pertuzumab and BL-M07D1+Pertuzumab+Docetaxel as first-line treatment in patients with unresectable locally advanced or metastatic HER2-positive breast cancer.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria14

  • Sign the informed consent form voluntarily and follow the protocol requirements;
  • Gender is not limited;
  • Age ≥18 years old and ≤75 years old;
  • Expected survival time for 3 months or more;
  • Patients with histologically and/or cytologically confirmed unresectable locally advanced or metastatic HER2-positive breast cancer;
  • Consent to provide archived tumor tissue samples or fresh tissue samples from the primary or metastatic lesions;
  • At least one measurable lesion meeting the RECIST v1.1 definition was required;
  • Physical condition score ECOG 0 or 1 ;
  • The toxicity of previous antineoplastic therapy has returned to ≤ grade 1 as defined by NCI-CTCAE v5.0;
  • No severe cardiac dysfunction, left ventricular ejection fraction ≥50%;
  • No blood transfusion, no colony-stimulating factor, and no albumin are allowed within 14 days before the first use of the study drug, and the organ function level must meet the requirements;
  • Blood coagulation function: international standardization ratio (INR) 1.5 or less, and the part activated clotting time (APTT) live enzymes acuities were 1.5 x ULN;
  • Urinary protein ≤2+ or ≤1000mg/24h;
  • Fertile female subjects, or male subjects with fertile partners, must use highly effective contraception from 7 days before the first dose until 7 months after the end of the dose. Female subjects of childbearing potential had to have a negative serum pregnancy test within 7 days before the first dose.

Exclusion Criteria22

  • Received chemotherapy with mitomycin C and nitrosourea within 6 weeks before the first dose, received surgery within 4 weeks before the first dose, and received endocrine therapy within 2 weeks before the first dose;
  • Patients with locally advanced or metastatic disease who have received previous systemic therapy;
  • Had received prior ADC drug therapy with camptothecin derivative as toxin;
  • Screening within the first half of the serious heart, cerebrovascular disease;
  • Complicated with pulmonary diseases leading to severe impairment of lung function;
  • A history of ILD/interstitial pneumonia requiring steroid therapy, current ILD/interstitial pneumonia, or suspected ILD;
  • QT prolongation, complete left bundle branch block, III degree atrioventricular block, frequent and uncontrollable arrhythmia;
  • Other primary malignancies diagnosed within 5 years before the first dose;
  • Poorly controlled hypertension;
  • Patients with active central nervous system metastases;
  • Need treatment intervention of unstable thrombotic events, except infusion related thrombosis;
  • Patients with a history of allergy to recombinant humanized antibodies or to any excipients of the trial drug;
  • Had received more than the following cumulative doses of anthracyclines;
  • Systemic corticosteroids or immunosuppressive agents were required within 2 weeks before study dosing;
  • Patients with massive or symptomatic effusions or poorly controlled effusions;
  • Severe systemic infection within 4 weeks before screening;
  • Active autoimmune and inflammatory diseases;
  • Human immunodeficiency virus antibody positive, active hepatitis B virus infection or hepatitis C virus infection;
  • Previous history of allogeneic stem cell, bone marrow or organ transplantation;
  • A history of severe neurological or psychiatric illness;
  • Pregnancy or lactation women;
  • Patients who were deemed by the investigator to be ineligible for participation in the study.

Interventions

DRUGDocetaxel

Administration by intravenous infusion for a cycle of 3 weeks.

DRUGBL-M07D1

Administration by intravenous infusion for a cycle of 3 weeks.

DRUGPertuzumab

Administration by intravenous infusion for a cycle of 3 weeks.


Locations(1)

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

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NCT06445400


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