Efficacy and Safety of KN026 in Combination With HB1801 in the First-line Treatment of Subjects With HER2-positive Recurrent or Metastatic Breast Cancer.

NCT ID: NCT05838066

Last Updated: 2025-05-30

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

PHASE3

Total Enrollment

880 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-23

Study Completion Date

2027-12-31

Brief Summary

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This is a randomized, controlled, open-label, multicenter, phase Ш clinical study designed to compare the efficacy and safety of KN026 in combination with HB1801 to trastuzumab in combination with pertuzumab and docetaxel in the first-line treatment of subjects with HER2-positive recurrent or metastatic breast cancer. The statistical assumption for this study is superiority. The primary study endpoint was PFS as assessed by Blinded Independ Review Committee (BIRC).

Detailed Description

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The purpose of this study is to assess the efficacy and safety of KN026 combined with HB1801 versus trastuzumab combined with pertuzumab and docetaxel as first-line treatment for HER2-positive recurrent or metastatic breast cancer. This study will establish an independent data monitoring committee (IDMC) to conduct safety assessments after approximately 20 subjects in the treatment group complete the first cycle of treatment. During the safety assessment period, the study will continue to enroll subjects, and safety review meetings will be at 1 year of randomization in the first subject. In addition, the IDMC plans to conduct one interim analysis of efficacy during the study period.

The primary study hypotheses are that the combination of KN026 combined with HB1801 is superior to trastuzumab combined with pertuzumab and docetaxel with respect to: Progression-free Survival (PFS) as assessed by the BIRC per Response Evaluation Criteria in Solid Tumors (RECIST 1.1).

Conditions

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First-line Treatment of HER2-positive Recurrent or 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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KN026+HB1801

Subjects will receive an intravenous (IV) infusion of KN026 plus HB1801. All subjects are required to receive study treatment as planned until investigator-assessed loss of benefit, toxic intolerance, withdrawal of consent, loss to follow-up, or death, whichever occurrs first.

Group Type EXPERIMENTAL

Recombinant Humanized Bispecific antibody against HER2,KN026

Intervention Type DRUG

IV infusion

HB1801

Intervention Type DRUG

IV infusion

Trastuzumab + Pertuzumab + Docetaxel

On Day 1 of each 21-day cycle, patients will receive an intravenous (IV) infusion of Pertuzumab 840 mg loading dose followed by 420 mg per cycle, IV, D1, Q3W, in combination with trastuzumab 8 mg/kg loading dose followed by 6 mg/kg per cycle, IV, D1, Q3W and docetaxel 75 mg/m\^2. All subjects are required to receive study treatment as planned until investigator-assessed loss of benefit, toxic intolerance, withdrawal of consent, loss to follow-up, or death, whichever occurred first.

Group Type ACTIVE_COMPARATOR

Pertuzumab

Intervention Type DRUG

840 mg loading dose followed by 420 mg per cycle, D1 Q3W, IV infusion

Trastuzumab

Intervention Type DRUG

8 mg/kg loading dose followed by 6 mg/kg per cycle, D1 Q3W, IV infusion

Docetaxel

Intervention Type DRUG

75 mg/m\^2, D1 Q3W, IV infusion

Interventions

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Recombinant Humanized Bispecific antibody against HER2,KN026

IV infusion

Intervention Type DRUG

HB1801

IV infusion

Intervention Type DRUG

Pertuzumab

840 mg loading dose followed by 420 mg per cycle, D1 Q3W, IV infusion

Intervention Type DRUG

Trastuzumab

8 mg/kg loading dose followed by 6 mg/kg per cycle, D1 Q3W, IV infusion

Intervention Type DRUG

Docetaxel

75 mg/m\^2, D1 Q3W, IV infusion

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Voluntarily enrolled in this study and signed an informed consent form (ICF).
* Age ≥ 18 years.
* Recurrent or metastatic breast cancer confirmed by histology and/or cytology.
* Latest tumor tissue sample confirmed as HER2 positive by central laboratory testing.
* No prior systemic chemotherapy and/or HER2-targeted therapy for recurrent or metastatic breast cancer.
* Eastern Cooperative Oncology Group (ECOG) physical status score of 0 - 1.
* Presence of lesion (RECIST 1.1).
* Adequate organ and bone marrow function

Exclusion Criteria

* Ineligible for any of the agents on the study
* Untreated or unstable parenchymal metastases, spinal cord metastases or compression, or carcinomatous encephalitis.
* Pregnant or lactating women.
* Presence of other circumstances that may interfere with the subject's participation in the study procedures or are inconsistent with the maximum benefit of the subject's participation in the study or affect the results of the study: e.g., history of mental illness, drug or substance abuse, any other disease or condition of clinical significance, etc.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai JMT-Bio Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Clinical Trials Information Group

Beijing, chaoyang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Clinical Trials Information Group Officer

Role: CONTACT

+86-0311-69085587

fenglin She

Role: CONTACT

18301190515

Facility Contacts

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Clinical Trials Information Group Officer

Role: primary

+86-0311-69085587

Clinical Trials Information Group Officer

Role: backup

+86-0311-69085587

Other Identifiers

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KN026-003

Identifier Type: -

Identifier Source: org_study_id

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