BL-M07D1 (Trastuzumab Brengitecan T-bren) vs Standard of Care Platinum-based Chemotherapy (PBC) for HER2-expressing Metastatic Urothelial Cancer After Progression on Anti-PD-(L)1-based Therapy
A Phase 3 Open-Label, Randomized Controlled Trial of T-bren (BL M07D1) vs. Platinum-based Chemotherapy in Patients With HER2 Expressing Metastatic Urothelial Cancer With Disease Progression on or After Anti-PD-(L)1-based Therapy
The objective of the study is to evaluate the efficacy and safety of T-bren in participants with HER2 expressing metastatic UC with progression on or after anti-PD-(L)1-based therapy.
Studieoversigt
Status
Status
Betingelser
Betingelser
- Blærekræft
- Urothelial carcinom blære
- Urothelial kræft
- Blærekræft Tilbagevendende
- Urotelialt karcinom tilbagevendende
- Metastatisk Urothelial Cancer
- Blærekræft Stadium IV
- Urothelialt karcinom i urinblæren
- Blære Ca
- Blærekræft (urothelial, overgangscelle).
- Blærekræft (urothelial, overgangscelle) Metastatisk eller ikke-operabel
- Blærekræft (BC)
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
This study is a Global Phase 3, randomized, open-label, multicenter study of T-bren for the treatment of metastatic UC. This study will assess the efficacy and safety of T-bren versus PBC in adult participants with HER2-expressing UC after progression on anti-PD-(L)1-based therapy.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Christine LaRock
- Telefonnummer: 425-453-6841
- E-mail: Christine.LaRock@systimmune.com
Studiesteder
-
-
Georgia
-
Macon, Georgia, Forenede Stater, 31210
- Rekruttering
- Central Georgia Cancer Center
-
Ledende efterforsker:
- Bradley Sumrall, MD
-
Kontakt:
- Mackenzie Sanders, Study Coordinators
- Telefonnummer: 478-743-7068
- E-mail: mackenzie.sanders@aoncology.com
-
Kontakt:
- Rachel Warfield, Study Coordinators
- Telefonnummer: 478-743-7068
- E-mail: rachel.warfield@aoncology.com
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Histologically or cytologically documented metastatic or surgically unresectable transitional cell carcinoma (TCC) of the urothelium involving the renal pelvis, ureter, bladder, or urethra. Minor histologic variants (ie, <50% overall) are acceptable, provided that TCC is the dominant histology.
- Disease progression or recurrence during or following anti-PD-(L)1-based therapy.
- Fresh biopsy or archival tumor samples.
- Documented HER2 expression by central laboratory testing.
- Eligible to receive carboplatin or cisplatin in combination with gemcitabine.
- At least 1 measurable lesion based on RECIST v1.1.
- An Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 to 1.
- Adequate organ function.
- Adequate coagulation parameters.
Exclusion Criteria:
- Prior topoisomerase inhibitor-based ADC therapy.
- Primary tumors in the central nervous system (CNS), active or untreated CNS metastases, or carcinomatous meningitis.
- Bladder cancers with small cell histology.
- Other prior or concurrent malignancies except for certain localized cancers or low-grade prostate cancer (if approved by sponsor), or other malignancy treated with curative intent with a disease-free interval of at least 3 years.
- Prior history of clinically significant bleeding, or perforation of the gastrointestinal tract within 6 months of randomization.
- Active autoimmune diseases and inflammatory diseases.
- History of noninfectious interstitial lung disease (ILD)/pneumonitis that required treatment with steroids, have current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at Screening.
- Advanced/clinically significant lung disease (eg, poorly controlled chronic obstructive pulmonary disease or asthma, restrictive lung disease, or pulmonary hypertension) within 6 months prior to randomization.
- Known human immunodeficiency virus infection.
- Active hepatitis B virus (HBV) infection.
- Active hepatitis C virus (HCV) infection.
- Active or latent tuberculosis.
- Other protocol-specified inclusion/ exclusion criteria apply
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Arm A, T-bren Dose Level 1
T-bren administered intravenously |
T-bren: Administered intravenously on day 1 of each 21-day cycle
Andre navne:
|
|
Eksperimentel: Arm B, T-bren Dose Level 2
T-bren administered intravenously |
TBren administered intravenously on day 1 of each 21-day cycle
Andre navne:
|
|
Aktiv komparator: Arm C, Control Arm, Platinum-based Chemotherapy (PBC)
|
Gemcitabine administered intravenously on Day 1 and Day 8 of each 21-day cycle and Cisplatin or Carboplatin administered intravenously on Day 1 of each 21-day cycle |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Progression-Free Survival (PFS)
Tidsramme: Approximately 5 years
|
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) per RECIST v1.1 in the primary population |
Approximately 5 years
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Overall Survival (OS)
Tidsramme: Approximately 5 years
|
Overall Survival (OS) in primary population |
Approximately 5 years
|
|
Progression-Free Survival (PFS) in the ITT population
Tidsramme: Approximately 5 years
|
Progression-Free Survival (PFS) by BICR per RECIST v1.1 in the ITT (Intent-to-Treat) Population |
Approximately 5 years
|
|
Overall Survival (OS) in the ITT population
Tidsramme: Approximately 5 years
|
Approximately 5 years
|
|
|
Progression-Free Survival (PFS) by Investigator Assessment
Tidsramme: Approximately 5 years
|
Progression-Free Survival (PFS) by Investigator Assessment per RECIST v1.1 |
Approximately 5 years
|
|
Objective Response Rate (ORR) per RECIST v1.1
Tidsramme: Approximately 5 years
|
Approximately 5 years
|
|
|
Disease Control Rate (DCR) per RECIST v1.1
Tidsramme: Approximately 5 years
|
Approximately 5 years
|
|
|
Duration of Response (DOR) per RECIST v1.1
Tidsramme: Approximately 5 years
|
Approximately 5 years
|
|
|
Time to Response (TTR) per RECIST v1.1
Tidsramme: Approximately 5 years
|
Approximately 5 years
|
|
|
Adverse Events (AEs) and Serious Adverse Events (SAEs)
Tidsramme: Approximately 5 years
|
Approximately 5 years
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Jimmy Liu Zhao, MD, PhD, SystImmune Inc.
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
Nøgleord
Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Patologiske processer
- Urogenitale neoplasmer
- Neoplasmer efter sted
- Mandlige urogenitale sygdomme
- Urologiske sygdomme
- Urogenitale sygdomme hos kvinder
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Neoplastiske processer
- Urologiske neoplasmer
- Urinblæresygdomme
- Patologiske tilstande, tegn og symptomer
- Neoplasmer
- Neoplasma Metastase
- Urinblære neoplasmer
- Organiske kemikalier
- Heterocykliske forbindelser, 1-ring
- Heterocykliske forbindelser
- Uorganiske kemikalier
- Klorforbindelser
- Nitrogenforbindelser
- Koordinationskomplekser
- Deoxycytidin
- Cytidin
- Pyrimidin -nukleosider
- Pyrimidiner
- Gemcitabin
- Carboplatin
- Cisplatin
- Platinforbindelser
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- BL-M07D1-UC-301
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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