A Phase II Study of HLX22 in Combination With Trastuzumab and Chemotherapy in HER2-Positive Locally Advanced or Metastatic Breast Cancer Patients
A Multicenter, Randomized, Double-Blind, Controlled Phase II Clinical Study to Evaluate the Efficacy and Safety of HLX22 in Combination With Trastuzumab and Chemotherapy Versus Placebo in Combination With Trastuzumab and Chemotherapy in Locally Advanced Unresectable and/or Metastatic HER2-Positive Breast Cancer Previously Treated With HER2 ADC
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Mingxia Xu
- Telefonnummer: +86 18905266695
- E-mail: Mingxia_Xu@henlius.com
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Aged ≥ 18 years (or the legal age of adulthood per country-specific regulation) at the time of signing the ICF, male or female.
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or - Life expectancy of ≥ 6 months.
- Histologically confirmed breast cancer with radiologically or otherwise documented locally advanced unresectable and/or metastatic disease.
- HER2 positive confirmed by central laboratory.
- Hormone receptor (HR) status confirmed by local laboratory.
- Patients who have progressed after treatment containing within HER2 ADC
- Presence of at least one measurable lesion according to the RECIST v1.1.
- Adequate organ function
Exclusion Criteria:
- History of any other malignancy within 2 years prior to signing the ICF.
- Prior use of doxorubicin with a cumulative in vivo dose of > 360 mg/m2.
- Adverse events from prior anti-tumor treatment that have not resolved to Grade ≤ 1 or baseline level according to CTCAE v6.0.
- Uncontrolled or severe cardiovascular disease.
- History of cerebrovascular accident within 6 months prior to randomization.
- Current (non-infectious) interstitial lung disease (ILD)/pneumonia that requires steroid treatment.
- Active infection.
- Active tuberculosis.
- Presence of spinal cord compression or clinically symptomatic central nervous system metastases.
- Receipt of systemic anti-tumor treatment and immunotherapy, within 4 weeks prior to randomization
- Pregnant or lactating women or women who plan to become pregnant during the study period.
- History of immunodeficiency or history of organ transplantation.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Experimental group
HLX22 + trastuzumab + investigator's choice of chemotherapy (capecitabine or paclitaxel or docetaxel or eribulin or vinorelbine)
|
15 mg/kg, intravenous infusion (IV) on Day 1 (D1) of Q3W
Loading dose 8 mg/kg, maintenance dose 6 mg/kg, IV, Q3W, D1.
1000 mg/m2, oral (po), twice daily (BID), D1-14, Q3W
175 mg/m2, D1; or 80-90 mg/m2, D1 D8 D15, Q3W, IV
75-100 mg/m2, D1, Q3W, IV
1.4 mg/m2, D1 and D8, Q3W, IV
25-30 mg/m2, D1 and D8, Q3W, IV
|
|
Placebo komparator: Control group
placebo + trastuzumab + investigator's choice of chemotherapy (capecitabine or paclitaxel or docetaxel or eribulin or vinorelbine)
|
Loading dose 8 mg/kg, maintenance dose 6 mg/kg, IV, Q3W, D1.
1000 mg/m2, oral (po), twice daily (BID), D1-14, Q3W
175 mg/m2, D1; or 80-90 mg/m2, D1 D8 D15, Q3W, IV
75-100 mg/m2, D1, Q3W, IV
1.4 mg/m2, D1 and D8, Q3W, IV
25-30 mg/m2, D1 and D8, Q3W, IV
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Objective response rate (ORR) assessed by the blinded independent central review (BICR) as per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Tidsramme: Up to 2 years
|
ORR is defined as the percentage of participants who have a Complete Response ([CR], disappearance of all evidence of disease) or Partial Response ([PR], regression of measurable disease and no new sites) per RECIST 1.1
|
Up to 2 years
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Progression-free survival (PFS) assessed by the BICR as per RECIST 1.1
Tidsramme: up to 5 years
|
PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 or death due to any cause, whichever occurs first.
|
up to 5 years
|
|
ORR assessed by the investigator as per RECIST 1.1
Tidsramme: up to 2 years
|
up to 2 years
|
|
|
PFS assessed by the investigator as per RECIST 1.1
Tidsramme: up to 5 years
|
up to 5 years
|
|
|
Duration of response (DoR) assessed by the BICR and the investigator as per RECIST 1.1
Tidsramme: up to 2 years
|
DoR is defined as the time from the date of first achievement of CR or PR (whichever is documented first) to the date of the first documentation of PD or death (whichever occurs first)
|
up to 2 years
|
|
Overall survival (OS)
Tidsramme: up to 5 years
|
OS is defined as the time from randomization to death due to any cause.
|
up to 5 years
|
|
Adverse Events (AEs)
Tidsramme: time from the date of the first dose of study drug until 90 days after last dose, assessed up to 5 years
|
Incidence and severity of AEs graded according to Common Terminology Criteria for Adverse Events (CTCAE) v6.0.
|
time from the date of the first dose of study drug until 90 days after last dose, assessed up to 5 years
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Neoplasmer efter sted
- Neoplasmer
- Hudsygdomme
- Brystsygdomme
- Hud- og bindevævssygdomme
- Brystneoplasmer
- Aminosyrer, peptider og proteiner
- Proteiner
- Organiske kemikalier
- Heterocykliske forbindelser, 1-ring
- Heterocykliske forbindelser
- Heterocykliske forbindelser, 2-ring
- Heterocykliske forbindelser, smeltet ring
- Nukleinsyrer, nukleotider og nukleosider
- Kulbrinter
- Cycloparaffiner
- Kulbrinter, alicyklisk
- Kulbrinter, cyklisk
- Terpenes
- Alkaloider
- Indoler
- Antistoffer, monoklonal, humaniseret
- Antistoffer, monoklonal
- Antistoffer
- Immunoglobuliner
- Immunoproteiner
- Blodproteiner
- Serum globuliner
- Globuliner
- Taxoider
- Cyclodecanes
- Diterpenes
- Deoxycytidin
- Cytidin
- Pyrimidin -nukleosider
- Pyrimidiner
- Nukleosider
- Uracil
- Pyrimidinoner
- Vinca alkaloider
- Secologanin tryptamin alkaloider
- Indole alkaloider
- Indolizidiner
- Indolizines
- Deoxyribonucleosider
- Fluorouracil
- Docetaxel
- Trastuzumab
- Capecitabin
- Vinorelbin
- Paclitaxel
- eribulin
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- HLX22-BC202
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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