Asian Study of Sacituzumab Govitecan (IMMU-132) in HR+/HER2- Metastatic Breast Cancer (MBC)

NCT ID: NCT04639986

Last Updated: 2026-02-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

331 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-23

Study Completion Date

2026-12-31

Brief Summary

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The goal of this study is to compare the study drug, sacituzumab govitecan-hziy, versus doctors' treatment of choice in participants with HR+/HER2- metastatic breast cancer (MBC) who have failed at least 2 prior chemotherapy regimens.

Detailed Description

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Approximately 330 eligible participants will be randomly allocated to one of the following 2 treatment arms in a 1:1 ratio:

Investigational Arm:

Sacituzumab Govitecan-hziy 10 mg/kg via intravenous (IV) injection administered on Day 1 and Day 8 (21-day cycle).

Control Arm:

Recommended doses and schedules as per package insert depending on region. Eribulin; Capecitabine; Gemcitabine; Vinorelbine Participants will be treated until disease progression as judged by local investigator review, development of unacceptable toxicity, or withdrawal of consent.

Conditions

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Metastatic Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Sacituzumab Govitecan-hziy

Participants will receive Sacituzumab Govitecan-hziy 10 mg/kg on Days 1 and 8 of a 21-day cycle.

Group Type EXPERIMENTAL

Sacituzumab Govitecan-hziy

Intervention Type DRUG

Sacituzumab govitecan 10 mg/kg via IV injection administered on Days 1 and 8 of a 21-day cycle. Subjects will continue to receive study treatment until PD as judged by local investigator review, development of unacceptable toxicity, or withdrawal of consent.

Treatment of Physician's Choice (TPC)

Participants will receive recommended doses and schedules as per package insert depending on region.

* Eribulin (1.4 mg/m\^2 of eribulin mesylate or 1.23 mg/m\^2 of eribulin on Days 1 and 8 of a 21-day cycle)
* Capecitabine (1000 to 1250 mg/m\^2 twice daily on Days 1 to 14 of a 21-day cycle)
* Gemcitabine (800 to 1200 mg/m\^2 on Days 1, 8, and 15 of a 28-day cycle)
* Vinorelbine (25 mg/m\^2 on Day 1 weekly)

Group Type ACTIVE_COMPARATOR

Eribulin Mesylate Injection

Intervention Type DRUG

Eribulin is administered by intravenous (IV) following recommended doses and regimens as per approved package inserts.

Capecitabine Oral Product

Intervention Type DRUG

Capecitabine is administered orally (PO) following recommended doses and regimens as per approved package inserts.

Gemcitabine Injection

Intervention Type DRUG

Gemcitabine is administered by intravenous (IV) following recommended doses and regimens as per approved package inserts.

Vinorelbine injection

Intervention Type DRUG

Vinorelbine is administered by intravenous (IV) following recommended doses and regimens as per approved package inserts.

Interventions

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Sacituzumab Govitecan-hziy

Sacituzumab govitecan 10 mg/kg via IV injection administered on Days 1 and 8 of a 21-day cycle. Subjects will continue to receive study treatment until PD as judged by local investigator review, development of unacceptable toxicity, or withdrawal of consent.

Intervention Type DRUG

Eribulin Mesylate Injection

Eribulin is administered by intravenous (IV) following recommended doses and regimens as per approved package inserts.

Intervention Type DRUG

Capecitabine Oral Product

Capecitabine is administered orally (PO) following recommended doses and regimens as per approved package inserts.

Intervention Type DRUG

Gemcitabine Injection

Gemcitabine is administered by intravenous (IV) following recommended doses and regimens as per approved package inserts.

Intervention Type DRUG

Vinorelbine injection

Vinorelbine is administered by intravenous (IV) following recommended doses and regimens as per approved package inserts.

Intervention Type DRUG

Other Intervention Names

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IMMU-132 Trodelvy™ GS-0132 Halaven Xeloda Gemzar Navelbine

Eligibility Criteria

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Inclusion Criteria

* Female or male individuals aged ≥18 years at the time of signing the informed consent form
* Documented evidence of hormone receptor-positive HER2-negative (HR+/HER2-) MBC confirmed
* Refractory to or relapsed after at least 2, and no more than 4, prior systemic chemotherapy regimens for MBC
* Should have been previously treated with at least 1 taxane in any setting, at least 1 prior anticancer hormonal treatment in any setting
* Eligible for one of the chemotherapy options listed in the TPC arm
* Documented radiographic disease progression after the most recent therapy
* Measurable disease by CT or MRI in accordance with RECIST v 1.1, bone-only disease is not measurable and is not permitted.
* Adequate bone marrow function, hepatic and renal function
* Females must not be lactating or pregnant at Screening or Baseline (as documented by a negative beta human chorionic gonadotropin \[ß-hCG\]

Exclusion Criteria

* Previous treatment with Topoisomerase 1 Inhibitors as a free form or as other formulations
* Individuals who have known brain metastases.
* Have an active second malignancy within 3 years prior to providing informed consent
* Individuals with active hepatitis B virus (HBV), or hepatitis C virus infection (measurable viral RNA load with polymerase chain reaction).
* Active serious infection requiring systemic antibiotic use within 7 days before Cycle1 Day 1.
* Other concurrent medical or psychiatric conditions that, in the Investigator's opinion, may be likely to confound study interpretation or prevent completion of study procedures and follow-up examinations.
* Known hypersensitivity or intolerance to either of the study treatments or any of the excipients.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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Cancer Hospital Chinese Academy of Medical Science

Beijing, , China

Site Status

Chinese PLA General Hospital

Beijing, , China

Site Status

Peking University People's Hospital

Beijing, , China

Site Status

Jilin Cancer Hospital

Changchun, , China

Site Status

The First Hospital of Jilin University

Changchun, , China

Site Status

Chongqing University Cancer Hospital

Chengdu, , China

Site Status

West China Hospital, Sichuan University

Chengdu, , China

Site Status

Fujian Medical University Union Hospital

Fuzhou, , China

Site Status

Guangdong Provincial People's Hospital

Guangzhou, , China

Site Status

Sun Yat Sen Memorial Hospital of Sun Yat sen University

Guangzhou, , China

Site Status

Sun Yat-sen University Cancer Center

Guangzhou, , China

Site Status

Sir Run run Shaw hospital Zhejiang University School of Medicine

Hangzhou, , China

Site Status

Zhejiang Cancer Hospital

Hangzhou, , China

Site Status

Anhui Provincial Hospital

Hefei, , China

Site Status

The second Hospital of Anhui Medical University

Hefei, , China

Site Status

Shandong Cancer Hospital

Jinan, , China

Site Status

Yunnan Cancer Hospital

Kunming, , China

Site Status

Linyi Cancer Hospital

Linyi, , China

Site Status

Jiangsu Province Hospital

Nanjing, , China

Site Status

Nanjing Drum Tower Hospital

Nanjing, , China

Site Status

Shanghai General Hospital

Shanghai, , China

Site Status

Tianjin Medical University Cancer Institute & Hospital

Tianjin, , China

Site Status

Affiliated Tumor Hospital of Xinjiang Medical University

Ürümqi, , China

Site Status

Hubei Cancer Hospital

Wuhan, , China

Site Status

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, , China

Site Status

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, , China

Site Status

Henan Cancer Hospital

Zhengzhou, , China

Site Status

Dong-A University Hospital

Busan, , South Korea

Site Status

Seoul National University Bundang Hospital

Seongnam, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Korea University Anam Hospital

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Severance Hospital Yonsei University Health System

Seoul, , South Korea

Site Status

Ajou University Hospital

Suwon, , South Korea

Site Status

Changhua Christian Medical Foundation Changhua Christian Hospital

Changhua, , Taiwan

Site Status

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, , Taiwan

Site Status

China Medical University Hospital

Taichung, , Taiwan

Site Status

National Cheng Kung University Hospital

Tainan, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status

Tri-Service General Hospital

Taipei, , Taiwan

Site Status

Chang Gung Memorial Hospital, Linkou

Taoyuan District, , Taiwan

Site Status

Countries

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China South Korea Taiwan

References

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Xu B, Wang S, Yan M, Sohn J, Li W, Tang J, Wang X, Wang Y, Im SA, Jiang D, Valdez T, Dasgupta A, Zhang Y, Yan Y, Komatsubara KM, Chung WP, Ma F, Dai MS. Sacituzumab govitecan in HR+HER2- metastatic breast cancer: the randomized phase 3 EVER-132-002 trial. Nat Med. 2024 Dec;30(12):3709-3716. doi: 10.1038/s41591-024-03269-z. Epub 2024 Oct 1.

Reference Type DERIVED
PMID: 39354196 (View on PubMed)

Kwapisz D. Sacituzumab Govitecan-hziy in Breast Cancer. Am J Clin Oncol. 2022 Jul 1;45(7):279-285. doi: 10.1097/COC.0000000000000919. Epub 2022 May 12.

Reference Type DERIVED
PMID: 35728046 (View on PubMed)

Related Links

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Other Identifiers

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CTR20210096

Identifier Type: REGISTRY

Identifier Source: secondary_id

EVER-132-002

Identifier Type: -

Identifier Source: org_study_id

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