Study of Sacituzumab Govitecan (SG) in Japanese Participants With Advanced Solid Tumors

NCT ID: NCT05101096

Last Updated: 2025-03-25

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

PHASE1/PHASE2

Total Enrollment

135 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-20

Study Completion Date

2026-05-31

Brief Summary

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The primary objectives of this study are as follows:

Phase 1 (sequential dose-escalation): to evaluate the safety and tolerability of sacituzumab govitecan-hziy (SG) as a single agent and to determine the recommended Phase 2 dose (RP2D) of SG in Japanese participants with advance solid tumors.

Phase 2: Evaluate the safety and efficacy of SG in Japanese participants with metastatic triple-negative breast cancer (mTNBC), hormone receptor-positive (HR+)/human epidermal growth factor receptor 2-negative (HER2-) metastatic breast cancer (mBC), and metastatic urothelial cancer (mUC).

Detailed Description

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Conditions

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Advanced Solid Tumor Metastatic Triple-Negative Breast Cancer HR+/HER2- Metastatic Breast Cancer Metastatic Urothelial Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Sacituzumab Govitecan-hziy 6 mg, Advanced Solid Tumors

(Phase 1 Cohort A: dose escalation) Japanese participants with advanced solid tumors will receive sacituzumab govitecan-hziy (SG) 6 mg/kg by intravenous (IV) injection on Day 1 and Day 8 of a 21-day cycle until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Sacituzumab Govitecan-hziy

Intervention Type DRUG

Administered intravenously (IV)

Sacituzumab Govitecan-hziy 8 mg, Advanced Solid Tumors

(Phase 1 Cohort A: dose escalation) Japanese participants with advanced solid tumors will receive SG 8 mg/kg by IV injection on Day 1 and Day 8 of a 21-day cycle until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Sacituzumab Govitecan-hziy

Intervention Type DRUG

Administered intravenously (IV)

Sacituzumab Govitecan-hziy 10 mg, Advanced Solid Tumors

(Phase 1 Cohort A: dose escalation) Japanese participants with advanced solid tumors will receive SG 10 mg/kg by IV injection on Day 1 and Day 8 of a 21-day cycle until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Sacituzumab Govitecan-hziy

Intervention Type DRUG

Administered intravenously (IV)

Sacituzumab Govitecan-hziy 6 mg, UGT1A1 Polymorphism

(Phase 1 Cohort B: dose escalation) Japanese participants with UGT1A1 polymorphism will receive SG 6 mg/kg by IV injection on Day 1 and Day 8 of a 21-day cycle until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Sacituzumab Govitecan-hziy

Intervention Type DRUG

Administered intravenously (IV)

Sacituzumab Govitecan-hziy 10 mg, UGT1A1 Polymorphism

(Phase 1 Cohort B: dose escalation) Japanese participants with UGT1A1 polymorphism will receive SG 10 mg/kg by IV injection on Day 1 and Day 8 of a 21-day cycle until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Sacituzumab Govitecan-hziy

Intervention Type DRUG

Administered intravenously (IV)

Sacituzumab Govitecan-hziy, Metastatic Triple-negative Breast Cancer (mTNBC)

(Phase 2: dose expansion) Japanese participants with mTNBC will receive SG at the recommended Phase 2 dose (RP2D) on Day 1 and Day 8 of a 21-day cycle until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Sacituzumab Govitecan-hziy

Intervention Type DRUG

Administered intravenously (IV)

Sacituzumab Govitecan-hziy, HR+/HER2- Metastatic Breast Cancer (HR+/HER2- mBC)

(Phase 2) Japanese participants with HR+/HER2- mBC will receive SG at the recommended Phase 2 dose (RP2D) on Day 1 and Day 8 of a 21 day cycle until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Sacituzumab Govitecan-hziy

Intervention Type DRUG

Administered intravenously (IV)

Sacituzumab Govitecan-hziy, Metastatic Urothelial Carcinoma (mUC)

(Phase 2) Japanese participants with mUC will receive SG at the recommended Phase 2 dose (RP2D) on Day 1 and Day 8 of a 21 day cycle until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Sacituzumab Govitecan-hziy

Intervention Type DRUG

Administered intravenously (IV)

Interventions

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Sacituzumab Govitecan-hziy

Administered intravenously (IV)

Intervention Type DRUG

Other Intervention Names

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IMMU-132 Trodelvy™ GS-0132

Eligibility Criteria

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Inclusion Criteria

* Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
* Measurable disease by computed tomography (CT) or magnetic resonance imaging (MRI) as per RECIST Version 1.1 criteria
* Adequate hematologic counts without transfusional or growth factor support within 2 weeks of study drug initiation
* Adequate hepatic function (bilirubin ≤ 1.5 upper limit of normal (ULN)), alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 ULN
* Creatinine clearance ≥ 30 mL/min
* Male and female individuals of childbearing potential who engage in heterosexual intercourse must agree to use protocol-specified method(s) of contraception.
* Phase 1 only: Histologically or cytologically confirmed advanced solid tumor that is refractory to or intolerant of all standard therapy or for which no standard therapy is available.
* Phase 2 metastatic triple-negative breast cancer (mTNBC) Cohort: Histologically or cytologically confirmed TNBC per American Society of Clinical Oncologists/College of American Pathologists (ASCO/CAP) criteria, based on the most recent analyzed biopsy or other pathology specimen. Refractory to or relapsed after at least 2 prior standard-of-care chemotherapy regimens for unresectable, locally advanced or metastatic breast cancer.
* Phase 2 hormone receptor-positive/human epidermal growth factor receptor 2-negative metastatic breast cancer (HR+/HER2- mBC) Cohort: Documented evidence of HR+/HER2- mBC confirmed by a local laboratory and defined per ASCO/CAP criteria.

* Refractory to or relapsed after 2 prior systemic chemotherapy regimens for locally advanced unresectable or metastatic disease.
* Phase 2 metastatic urothelial cancer (mUC) Cohort: Histologically documented UC that is metastatic or locally advanced unresectable.

* Progressed or recurred following receipt of platinum-containing regimen and anti-PD-1/PD-L1 therapy for metastatic or locally advanced unresectable disease

Exclusion Criteria

* Positive serum pregnancy test, or females who may possibly be pregnant
* Known Gilbert's disease
* Have previously received antibody drug conjugate containing topoisomerase I inhibitors
* Presence of bulky disease (defined as any single mass \> 7 cm in greatest dimension).
* Known to be HIV positive, or hepatitis B virus (HBV) surface antigen positive or hepatitis C virus (HCV) antibody positive at screening
* Known history of significant cardiac disease
* Known history of clinically significant active chronic obstructive pulmonary disease, or other moderate-to-severe chronic respiratory illness
* History of interstitial lung disease
* History of clinically significant gastrointestinal (GI) bleeding, have active chronic inflammatory bowel disease (ulcerative colitis, Crohn's disease) or GI perforation
* Individuals with a history of anaphylactic reaction to irinotecan.
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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Aichi Cancer Center Hospital

Aichi, , Japan

Site Status

Akita University Hospital

Akita, , Japan

Site Status

Tohoku University Hospital

Aoba-ku, , Japan

Site Status

Hirosaki University Hospital

Aomori, , Japan

Site Status

Kanagawa Cancer Center

Asahi-ku, , Japan

Site Status

Juntendo University Hospital

Bunkyō City, , Japan

Site Status

Chiba Cancer Center

Chiba, , Japan

Site Status

National Cancer Center Hospital East

Chiba, , Japan

Site Status

Chiba Cancer

Chūōku, , Japan

Site Status

Nagoya University Hospital

Chūōku, , Japan

Site Status

Osaka International Cancer Institute

Chūōku, , Japan

Site Status

Shikoku Cancer Center

Ehime, , Japan

Site Status

National Hospital Organization Shikoku Cancer Center

Ehime, , Japan

Site Status

Hyogo Cancer Center

Hyōgo, , Japan

Site Status

Kagawa University Hospital

Kagawa, , Japan

Site Status

Tokai University School of Medicine

Kanagawa, , Japan

Site Status

The Cancer Institute Hospital of JFCR

Kōtō City, , Japan

Site Status

Kumamoto University Hospital

Kumamoto, , Japan

Site Status

Kyoto University Hospital

Kyoto, , Japan

Site Status

Hiroshima University Hospital

Minamiku, , Japan

Site Status

Nara Medical University Hospital

Nara, , Japan

Site Status

Hyogo College of Medicine College Hospital

Nishinomiya-shi, , Japan

Site Status

Okayama University Hospital

Okayama, , Japan

Site Status

Osaka International Cancer Institute

Osaka, , Japan

Site Status

Osaka Metropolitan University Hospital

Osaka, , Japan

Site Status

Osaka University Hospital

Osaka, , Japan

Site Status

Kindai University Hospital

Osaka, , Japan

Site Status

Kindai University Hospital

Osakasayama-shi, , Japan

Site Status

Saitama Medical University

Saitama, , Japan

Site Status

National Hospital Organization Hokkaido Cancer Center

Sapporo, , Japan

Site Status

National Center for Global Health and Medicine

Shinjuku-ku, , Japan

Site Status

National Cancer Center hospital

Tokyo, , Japan

Site Status

Tokyo Medical And Dental University, Medical Hospital

Tokyo, , Japan

Site Status

Showa University Hospital

Tokyo, , Japan

Site Status

Keio University Hospital

Tokyo, , Japan

Site Status

Yamaguchi University Hospital

Yamaguchi, , Japan

Site Status

Countries

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Japan

References

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Naito Y, Nakamura S, Kawaguchi-Sakita N, Ishida T, Nakayama T, Yamamoto Y, Masuda N, Matsumoto K, Kogawa T, Sudo K, Shimomura A, Lai C, Zhang D, Iwahori Y, Gary D, Huynh D, Iwata H. Preliminary results from ASCENT-J02: a phase 1/2 study of sacituzumab govitecan in Japanese patients with advanced solid tumors. Int J Clin Oncol. 2024 Nov;29(11):1684-1695. doi: 10.1007/s10147-024-02589-x. Epub 2024 Sep 20.

Reference Type DERIVED
PMID: 39302614 (View on PubMed)

Related Links

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Other Identifiers

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jRCT2031210346

Identifier Type: REGISTRY

Identifier Source: secondary_id

GS-US-569-6172

Identifier Type: -

Identifier Source: org_study_id

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