RecruitingPhase 2NCT06851299
The Clinical Study of the Efficacy and Safety of Trop2-ADC Monotherapy or Combination Immunotherapy Strategy in the Treatment of Advanced Triple-negative Breast Cancer.
Randomized Controlled Clinical Study of Efficacy and Safety of Trop2-ADC Monotherapy or Combination Immunotherapy Strategies in the Treatment of Advanced Triple-negative Breast Cancer
Sponsor
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
Enrollment
60 participants
Start Date
Mar 1, 2025
Study Type
INTERVENTIONAL
Conditions
Summary
This is a prospective, multicenter, randomized controlled study aimed at evaluating the efficacy and safety of Trop2-ADC monotherapy or immune combination strategy in the treatment of advanced triple-negative breast cancer.
Eligibility
Sex: FEMALEMin Age: 18 YearsMax Age: 70 Years
Inclusion Criteria8
- \) adult female patients (aged 18-70 years) with metastatic triple negative breast cancer confirmed by pathology or imaging;
- \) no more than two previous lines of therapy for metastatic disease;
- \) ECOG performance status ≤2 and expected survival time ≥ 3 months;
- \) At least one measurable lesion on imaging within 2 weeks before enrollment; Or simple bone metastases;
- \) Prior treatment-related toxicity at enrollment had to be resolved to NCI CTCAE version 5.0 ≤ grade 1 (excluding alopecia or any other toxicity deemed by the investigator to be of no risk to patient safety)
- \) adequate bone marrow reserve: a. White blood cell count (WBC) ≥3.0×10\^9 / L, b. Neutrophil count (ANC) ≥1.5×10\^9 / L, c. Platelet count (PLT) ≥70×10\^9 / L
- \) liver, kidney and heart function tests were basically normal (according to the normal values of the laboratories in the study center) : a. Total bilirubin (TBIL) ≤3× upper limit of normal value (ULN), b. alanine aminotransferase and aspartate aminotransferase (ALT/AST) ≤2.5×ULN (≤5xULN in patients with liver metastases), c. Total bilirubin (TBIL) ≤3× upper limit of normal value (ULN), B. alanine aminotransferase and aspartate aminotransferase (Alt /AST) ≤2.5×ULN (≤5xULN in patients with liver metastases). Serum creatinine ≤1.5×ULN or creatinine clearance (Ccr) ≥60 ml/min; d. Left ventricular ejection fraction (LVEF) ≥ 55%, e. QTcF(Fridericia correction) ≤ 470 ms.
- \) understood the study process and volunteered to participate in the study. Informed consent was signed.
Exclusion Criteria6
- \) patients with a known allergy to the active ingredient or other ingredient of the study drug.
- \) patients with known resistance to trop2-ADC drugs. 、
- \) receiving radiotherapy, chemotherapy, or endocrine therapy within 4 weeks before enrollment, or participating in any interventional drug clinical trial;
- \) pregnant or lactating women or women of childbearing age who refused to use effective contraception during the study period.
- \) patients with severe cardiac disease or discomfort expected to be unable to tolerate chemotherapy, including but not limited to: fatal arrhythmia or higher grade atrioventricular block, unstable angina pectoris, clinically significant valvular heart disease, transmural myocardial infarction on ECG, uncontrolled hypertension;
- \) any other condition considered by the investigator to be inappropriate for participation in the study, a concomitant disease or condition that could interfere with participation in the study, or any serious medical disorder that could affect the safety of the subject (e.g., uncontrolled heart disease, hypertension, active or uncontrolled infection, active hepatitis B virus infection)；
Interventions
DRUGtrop2-ADC
Accept ADC monotherapy
DRUGADC +anti-angiogenic drug
Accept ADC combined with anti-angiogenic drug
DRUGADC + PD1 monoclonal antibody +anti-angiogenic drug
ADC combined with PD1 monoclonal antibody and anti-angiogenic drug
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06851299