FUSCC Refractory TNBC Platform Study (FUTURE2.0)

NCT ID: NCT05749588

Last Updated: 2023-11-14

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-30

Study Completion Date

2026-06-30

Brief Summary

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This is a Phase II, open-label, Single-center platform study research based on molecular subtypes to explore precision therapy in refractory triple-negative breast cancer.

Detailed Description

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This is a Phase II, open-label, Single-center platform study,Based on FUSCC four TNBC subtypes and the results of the previous FUTURE trial, the investigators designed this platform trial, which for combined the TNBC subtyping and genomic sequencing-guided precision targeted therapy for refractory metastatic TNBC patients. In this trial, refractory mTNBC patients eligible for inclusion can be divided into various precision treatment group according to molecular typing and subtyping to evaluate the efficacy and safety of multiple precision targeted treatment. The research therapy arm can be updated with the update of basic translational research in our center, especially the refinement of typing, the discovery of new targets and the development of novel targeted drugs.

Conditions

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Triple-negative Breast Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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IM/HER2-low

If patients were triple-negative breast cancer with IM subtype and HER2-low-positive

Group Type EXPERIMENTAL

A1: SHR-A1811

Intervention Type DRUG

A1: an anti-HER2 antibody-drug conjugate (ADC)

A2: SHR-A1811 with Camrelizumab

Intervention Type DRUG

A2: SHR-A1811: an anti-HER2 antibody-drug conjugate (ADC)

Camrelizumab: an anti-programmed death-1 (PD-1) antibody

IM/HER2-0

If patients were triple-negative breast cancer with IM subtype and HER2-zero

Group Type EXPERIMENTAL

B1: TROP2 ADC

Intervention Type DRUG

B1: an Trophoblast cell-surface antigen 2 (TROP2) ADC

B2: TROP2 ADC with Camrelizumab

Intervention Type DRUG

B2: TROP2 ADC : an Trophoblast cell-surface antigen 2 (TROP2) ADC

Camrelizumab: an anti-programmed death-1 (PD-1) antibody

BLIS / HER2-low

If patients were triple-negative breast cancer with BLIS subtype and HER2-low-positive

Group Type EXPERIMENTAL

C1: SHR-A1811

Intervention Type DRUG

C1: an anti-HER2 antibody-drug conjugate (ADC)

C2: SHR-A1811 with BP102

Intervention Type DRUG

C2: SHR-A1811: an anti-HER2 antibody-drug conjugate (ADC)

BP102: a humanized recombinant monoclonal IgG1 antibody (biosimilar to bevacizumab)

BLIS /HER2-0

If patients were triple-negative breast cancer with BLIS subtype and HER2-zero

Group Type EXPERIMENTAL

D1: TROP2 ADC

Intervention Type DRUG

D1: an Trophoblast cell-surface antigen 2 (TROP2) ADC

D2: TROP2 ADC with BP102

Intervention Type DRUG

D2: TROP2 ADC : an Trophoblast cell-surface antigen 2 (TROP2) ADC

BP102: a humanized recombinant monoclonal IgG1 antibody (biosimilar to bevacizumab)

LAR / HER2-low

If patients were triple-negative breast cancer with LAR subtype and HER2-low-positive

Group Type EXPERIMENTAL

E1: SHR-A1811

Intervention Type DRUG

E1: an anti-HER2 antibody-drug conjugate (ADC)

LAR /HER2-0

If patients were triple-negative breast cancer with LAR subtype and HER2-zero

Group Type EXPERIMENTAL

F1: TROP2 ADC

Intervention Type DRUG

F1: an Trophoblast cell-surface antigen 2 (TROP2) ADC

MES/ HER2-low

If patients were triple-negative breast cancer with MES subtype and HER2-low-positive

Group Type EXPERIMENTAL

G1: SHR-A1811

Intervention Type DRUG

G1: an anti-HER2 antibody-drug conjugate (ADC)

MES /HER2-0

If patients were triple-negative breast cancer with MES subtype and HER2-zero

Group Type EXPERIMENTAL

H1: TROP2 ADC

Intervention Type DRUG

H1: an Trophoblast cell-surface antigen 2 (TROP2) ADC

Interventions

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A1: SHR-A1811

A1: an anti-HER2 antibody-drug conjugate (ADC)

Intervention Type DRUG

A2: SHR-A1811 with Camrelizumab

A2: SHR-A1811: an anti-HER2 antibody-drug conjugate (ADC)

Camrelizumab: an anti-programmed death-1 (PD-1) antibody

Intervention Type DRUG

B1: TROP2 ADC

B1: an Trophoblast cell-surface antigen 2 (TROP2) ADC

Intervention Type DRUG

B2: TROP2 ADC with Camrelizumab

B2: TROP2 ADC : an Trophoblast cell-surface antigen 2 (TROP2) ADC

Camrelizumab: an anti-programmed death-1 (PD-1) antibody

Intervention Type DRUG

C1: SHR-A1811

C1: an anti-HER2 antibody-drug conjugate (ADC)

Intervention Type DRUG

C2: SHR-A1811 with BP102

C2: SHR-A1811: an anti-HER2 antibody-drug conjugate (ADC)

BP102: a humanized recombinant monoclonal IgG1 antibody (biosimilar to bevacizumab)

Intervention Type DRUG

D1: TROP2 ADC

D1: an Trophoblast cell-surface antigen 2 (TROP2) ADC

Intervention Type DRUG

D2: TROP2 ADC with BP102

D2: TROP2 ADC : an Trophoblast cell-surface antigen 2 (TROP2) ADC

BP102: a humanized recombinant monoclonal IgG1 antibody (biosimilar to bevacizumab)

Intervention Type DRUG

E1: SHR-A1811

E1: an anti-HER2 antibody-drug conjugate (ADC)

Intervention Type DRUG

F1: TROP2 ADC

F1: an Trophoblast cell-surface antigen 2 (TROP2) ADC

Intervention Type DRUG

G1: SHR-A1811

G1: an anti-HER2 antibody-drug conjugate (ADC)

Intervention Type DRUG

H1: TROP2 ADC

H1: an Trophoblast cell-surface antigen 2 (TROP2) ADC

Intervention Type DRUG

Other Intervention Names

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SHR-1210 SHR-1210

Eligibility Criteria

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Inclusion Criteria

1. Female aged ≥18 years;
2. TNBC invasive breast cancer confirmed by histology (specific definition: ER \<1% positive tumor cells by immunohistochemistry are defined as ER negative, PR \<1% positive tumor cells are defined as PR negative, HER2 0-1+ or HER2 ++ but negative by FISH without amplification was defined as HER2 negative); Locally advanced breast cancer (unable to undergo radical local treatment) or recurrent metastatic breast cancer;
3. Progression after at least one prior therapeutic regimens for advanced/metastatic TNBC
4. At least one measurable lesion according to RECIST 1.1 (conventional CT scan ≥20 mm, spiral CT scan ≥10 mm, measurable lesion has not received radiotherapy);
5. The functions of the main organs are basically normal and meet the following conditions:

i. Blood routine examination criteria shall meet: HB ≥90 g/L (no blood transfusion within 14 days); The ANC acuity 1.5 x 10\^9 /L; PLT acuity 75 x 10\^9 /L;

ii. Biochemical tests should meet the following criteria: TBIL ≤1.5×ULN (upper limit of normal value); ALT and AST ≤3×ULN; If liver metastases were present, ALT and AST≤ 5×ULN; Serum Cr ≤1×ULN, endogenous creatinine clearance \> 50 ml/min (Cockcroft-Gault formula);
6. They have not received radiotherapy, molecular targeted therapy, or surgery within 3 weeks before the start of the study, and have recovered from the acute toxicity of previous treatment (if surgery was performed, the wound has healed completely); No peripheral neuropathy or grade I peripheral neurotoxicity;
7. ECOG score ≤1, and life expectancy ≥3 months;
8. Fertile female subjects were required to use a medically approved contraceptive method during the study treatment period and for at least 3 months after the last use of the study drug;
9. Subjects volunteered to join the study, signed informed consent, had good compliance, and cooperated with follow-up.

Exclusion Criteria

1. Radiotherapy (except for palliative causes), chemotherapy, and immunotherapy were used in the first 3 weeks of treatment, except bisphosphonate (which can be used for bone metastasis);
2. Uncontrolled central nervous system metastases (indicating symptomatic or symptomatic treatment with glucocorticoids or mannitol);
3. A history of clinically important or uncontrolled heart disease, including congestive heart failure, angina pectoris, myocardial infarction, or ventricular arrhythmia within the last 6 months;
4. Persistent grade 1 or higher adverse reactions caused by previous treatments. The exception to this is hair loss or something the researchers don't think should be ruled out. Such cases should be clearly documented in the investigator's notes;
5. Underwent major surgery (except minor outpatient procedures, such as placement of vascular access) within 3 weeks of the first course of trial treatment;
6. Pregnant or lactating patients;
7. Malignancy (except basal cell carcinoma of the skin, which has been cured, and carcinoma in situ of the cervix) in the past 5 years.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Zhimin Shao

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhimin Shao, M.D.

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Locations

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Fudan University Shanghai Cancer Center

Shanghai, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhimin Shao, M.D.

Role: CONTACT

+86-021-64175590 ext. 88807

Yin Liu, M.D.

Role: CONTACT

+86-021-64175590 ext. 88603

Facility Contacts

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Zhimin Shao, M.D.

Role: primary

Yin Liu, M.D.

Role: backup

Other Identifiers

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SCHBCC-N044

Identifier Type: -

Identifier Source: org_study_id

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