DP303c Versus Trastuzumab Emtansine in in Patients With HER2-positive Advanced Breast Cancer

NCT ID: NCT06313086

Last Updated: 2024-05-10

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: PHASE3
• Total Enrollment: 442 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-03-13
• Study Completion Date: 2028-02-29

Brief Summary

A Clinical Study to Evaluate the Efficacy and Safety of DP303c versus trastuzumab emtansine in patients with HER2-positive Advanced Breast Cancer

Detailed Description

This is a multi-centre, randomized, open-label, controlled phase Ш clinical study to evaluate the efficacy and safety of DP303c injection versus trastuzumab emtansine in in patients with HER2-positive advanced breast cancer. Patients will be treated with DP303c injection at 3.0 mg/kg or trastuzumab emtansine at 3.6 mg/kg every 3 weeks. Patients will continue to receive treatment until disease progression, intolerable toxicity, withdrawal of informed consent, death, or any other reasons for treatment discontinuation, whichever occurs first.

Conditions

HER2-positive Breast Cancer

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

DP303c

DP303c injection, 3.0 mg/kg, Q3W.

Group Type: EXPERIMENTAL

DP303c

Intervention Type: DRUG

intravenous injection

trastuzumab emtansine

trastuzumab emtansine,3.6 mg/kg, Q3W.

Group Type: ACTIVE_COMPARATOR

trastuzumab emtansine

Intervention Type: DRUG

intravenous injection

Interventions

DP303c

intravenous injection

Intervention Type: DRUG

trastuzumab emtansine

intravenous injection

Intervention Type: DRUG

Other Intervention Names

T -DM1

Eligibility Criteria

Inclusion Criteria

• 1．Voluntarily agree to participate in the study and sign the informed consent;
• 2．Age≥18 years old;
• 3．Patients with unresectable locally advanced or metastatic breast cancer confirmed by histology;
• 4．Confirmed to be HER2 positive (HER2-positive is defined as IHC 3+ or IHC 2+ with ISH positive);
• 5．Previously received regimens containing trastuzumab and taxanes at the advanced stage of disease.
• 6．The Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 2;
• 7．Patients with adequate organ functions;
• 8．Life expectancy ≥ 3 months;
• 9．Female and male patients of childbearing age must agree to take adequate contraceptive measures during the entire study period.

Exclusion Criteria

• 1. Patients who have previously received tubulin inhibitor-loaded HER2 ADC therapy
• 2. History of any other malignant tumors within three years
• 3. With uncontrollable serous effusion within 14 days before randomization, which required frequent drainage or medical intervention.
• 4. Known contraindication to the study drugs;
• 5. Has not recovered from adverse reactions caused by previous anti-tumor treatments to ≤ Grade 1 or baseline (refer to NCI CTCAE 5.0);
• 6. NCI-CTCAE 5.0 ≥Grade 2 peripheral nephropathy occurred during previous systemic anti-tumor treatment;
• 7. Received immunotherapy, macromolecular targeted therapy or other anti-tumor biological therapy within 4 weeks before randomization, or received endocrine therapy, cytotoxic drug chemotherapy and small molecular targeted drug therapy within 2 weeks before randomization, or received traditional Chinese medicine preparations with anti-tumor indications within 2 weeks before randomization .
• 8. Major organ surgery (excluding needle biopsy) within 28 days before randomization;
• 9. Untreated (including baseline findings) or unstable cerebral parenchymal metastasis, spinal cord metastasis or compression, and cancerous meningitis.
• 10.The cumulative amount of previous exposure to anthracyclines has reached the dosage;
• 11.History of LVEF < 40%, symptomatic congestive heart failure (CHF),
• 12.Serious or uncontrolled cardiovascular disease;
• 13.History of (non-infectious) interstitial lung disease/pneumonitis requiring steroid hormone therapy;
• 14.Patients who currently have ocular diseases that require medication or surgical intervention; or unwilling to stop wearing contact lenses during the study.
• 15.Active infections requiring intravenous antibiotics, antivirals, or antifungals within 14 days before randomization;
• 16.There are other circumstances that may interfere with the subject's participation in the study procedures or do not meet the subject's maximum benefit from participating in the study or affect the study results.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

CSPC ZhongQi Pharmaceutical Technology Co., Ltd.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status: RECRUITING

Countries

China

Central Contacts

Clinical Trials Information Group officer

Role: CONTACT

ctr-contact@cspc.cn

86-0311-69085587

Facility Contacts

Xichun Hu, PhD

Role: primary

xchu2009@hotmail.com

021-64175590

Other Identifiers

CTR20240245

Identifier Type: REGISTRY

Identifier Source: secondary_id

SYSA1501-009

Identifier Type: -

Identifier Source: org_study_id