A Study of Neoadjuvant Treatment With TQB2102 for Injection for Human Epidermal Growth Factor Receptor 2 (HER2) Positive Breast Cancer
A Phase 2, Randomized, Open-label, Multicenter Study to Evaluate the Efficacy and Safety of TQB2102 for Injection for Neoadjuvant Treatment of Breast Cancer With Positive HER2 Expression
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Zhimin Shao, Doctor
- Phone Number: 13524514617
- Email: szm@163.com
Study Locations
-
-
Chongqing
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Chongqing, Chongqing, China, 400030
- Chongqing Cancer Hospital
-
-
Fujian
-
Fuzhou, Fujian, China, 350014
- Fujian Cancer Hospital
-
-
Guizhou
-
Guiyang, Guizhou, China, 550001
- Guizhou Cancer Hospital
-
-
Heilongjiang
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Harbin, Heilongjiang, China, 150040
- Harbin Medical University Cancer Hospital
-
-
Hunan
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Changsha, Hunan, China, 410013
- Hunan Cancer Hospital
-
-
Liaoning
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Shenyang, Liaoning, China, 110801
- Liaoning Cancer Hospital & Institute
-
-
Shanghai
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Shanghai, Shanghai, China, 200030
- Fudan University Shanghai Cancer Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Voluntarily participate in this study and sign informed consent;
- Eastern Cooperative Oncology Group (ECOG) performance status score: 0-1; expected survival of more than 3 months;
- Histologically confirmed invasive breast cancer, no history of any systemic anti-tumor therapy for breast cancer;
- Confirmed as HER2 positive;
- Clinical stage at the time of visit is T0-4, N1-3, M0 or T2-4, N0, M0;
- Agree to undergo breast cancer surgery when reaching the surgical criteria after neoadjuvant therapy;
- Major organ functions are good, meeting certain criteria;
- Agree to use contraception during the study and within 6 months after the study ends; female patients must have a negative serum pregnancy test within 7 days before enrollment and must be non-lactating.
Exclusion Criteria:
- IV stage metastatic breast cancer or deemed unable to achieve curative surgical resection through neoadjuvant therapy by other investigators.
- Bilateral invasive breast cancer.
Coexisting diseases and medical history:
- History of invasive breast cancer.
- Occurrence of any other malignant tumors within the last 3 years or current simultaneous presence.
- Underwent significant surgical treatment, incisional biopsy, or significant trauma within 28 days before the start of the study.
- Unhealed wounds or fractures.
- Ocular diseases deemed clinically significant by the investigator.
- Occurrence of arterial/deep venous thrombotic events within the last 6 months.
- History of substance abuse with inability to quit or individuals with mental disorders.
- ≥ Grade 2 myocardial ischemia or infarction, arrhythmias, or ≥ Grade 2 congestive heart failure.
- Uncontrolled ≥ CTCAE Grade 2 infection within 14 days before the start of the study.
- History of interstitial lung disease/pneumonia requiring intervention with steroid treatment, or current presence, or suspected interstitial lung disease/pneumonia during the screening period that cannot be ruled out by the investigator; individuals with pulmonary diseases deemed unsuitable for participation by the investigator.
Tumor-related symptoms and treatment:
- Received surgery, chemotherapy, radiotherapy, or other anti-tumor therapy within 4 weeks before the start of the study.
- Received traditional Chinese medicine treatment with indications for anti-tumor effects within 2 weeks before the start of the study.
- Radiological evidence of tumor invasion into major vessels or judged by the investigator to be highly likely to invade major vessels during the subsequent study period, leading to fatal hemorrhage.
Study treatment-related:
- Experienced severe hypersensitivity reactions after using monoclonal antibodies.
- Developed uncontrollable active autoimmune diseases within 2 weeks before the start of the study.
- Allergic to any component or excipient in any study drug.
- Participated in other clinical trials of anti-tumor drugs within 4 weeks before the start of the study.
- Deemed inappropriate for inclusion based on the investigator's judgment.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: 6 mg/kg of TQB2102 for injection
6 mg/kg TQB2102, Intravenous infusion, administered every 3 weeks, 21 days as a treatment cycle, for 6 or 8 cycles.
|
TQB2102 for injection is a HER2 dual-antibody-drug Conjugate (ADC), 6.0 mg/kg.
|
|
Experimental: 7.5 mg/kg of TQB2102 for injection
7.5 mg/kg TQB2102, Intravenous infusion, administered every 3 weeks, 21 days as a treatment cycle, for 6 or 8 cycles.
|
TQB2102 for injection is a HER2 dual-antibody-drug Conjugate (ADC), 7.5 mg/kg.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Total physiological complete response (tpCR)
Time Frame: Up to 12 months.
|
The percentage of the patients where the primary breast lesion shows no residual infiltrating cancer and the regional lymph nodes are negative.
|
Up to 12 months.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Breast pathological complete (bpCR) response
Time Frame: Up to 12 months.
|
The percentage of the patients where the primary breast lesion shows no residual infiltrating cancer.
|
Up to 12 months.
|
|
Objective response rate (ORR)
Time Frame: Up to 12 months.
|
The percentage of subjects achieving complete response (CR) or partial response (PR) as assessed by the investigator based on the Response Evaluation Criteria In Solid Tumors (RECIST) 1.1.
|
Up to 12 months.
|
|
The occurrence rate of all adverse events (AEs)
Time Frame: From the date of signing the informed consent to 28 days after the last dosing or a new anti-tumor treatment, whichever comes first.
|
The occurrence of adverse events defined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE v5.0)
|
From the date of signing the informed consent to 28 days after the last dosing or a new anti-tumor treatment, whichever comes first.
|
|
The severity of all adverse events (AEs)
Time Frame: From the date of signing the informed consent to 28 days after the last dosing or a new anti-tumor treatment, whichever comes first.
|
The severity of adverse events defined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE v5.0).
|
From the date of signing the informed consent to 28 days after the last dosing or a new anti-tumor treatment, whichever comes first.
|
|
Anti-drug antibody (ADA)
Time Frame: 1 hour Before infusion on Cycle 1 Day1, Cycle 2 Day1, Cycle 4 Day1, Cycle 6 Day1, Cycle 8 Day1, and 90 days after the end of the last infusion. Each cycle is 21 days.
|
Incidence of anti-drug antibody (ADA)
|
1 hour Before infusion on Cycle 1 Day1, Cycle 2 Day1, Cycle 4 Day1, Cycle 6 Day1, Cycle 8 Day1, and 90 days after the end of the last infusion. Each cycle is 21 days.
|
|
Event-free survival (EFS)
Time Frame: Up to 60 months.
|
The time from the date of surgery completion to the first occurrence of the following events,including disease progression precluding surgery, ipsilateral or contralateral recurrence of invasive breast cancer, regional or distant recurrence of invasive breast cancer, a second primary malignancy in a non-breast site, and death for any reason.
|
Up to 60 months.
|
|
Invasive Disease-free survival (IDFS)
Time Frame: Up to 60 months.
|
The time from the date of surgery completion to the first occurrence of the following events,including ipsilateral or contralateral recurrence of invasive breast cancer, regional or distant recurrence of invasive breast cancer, a second primary malignancy in a non-breast site, and death for any reason.
|
Up to 60 months.
|
|
Overall survival (OS)
Time Frame: Up to 60 months after study start
|
The time from the date of surgery completion to death due to any cause.
|
Up to 60 months after study start
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- TQB2102-II-01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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