A Study to Evaluate HLX22 in Combination With HLX87 in Patients With HER2-Positive Recurrent or Metastatic Breast Cancer

NCT ID: NCT07294508

Last Updated: 2025-12-29

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

706 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-25

Study Completion Date

2030-12-30

Brief Summary

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The study is being conducted to evaluate the clinical efficacy of HLX22 in combination with HLX87 as first-line treatment in patients with HER2-positive recurrent or metastatic breast cancer

Detailed Description

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The study consists of two stages Stage I is an open-label, multicenter, randomized, parallel-controlled phase II clinical study, and its primary objective is to evaluate the clinical efficacy of HLX22 in combination with HLX87 as first-line treatment in patients with HER2-positive recurrent or metastatic breast cancer based on ORR and PFS results.

Stage II is an open-label, multicenter, randomized, parallel-controlled phase III clinical study, and its primary objective is to evaluate the clinical efficacy of HLX22 in combination with HLX87 as first-line treatment in patients with HER2-positive recurrent or metastatic breast cancer based on PFS results.

Conditions

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HER2 + 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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HLX87+ HLX22

Patients will receive the treatment once every 3 weeks (Q3W) until progressive disease (PD) , initiation of new anti-tumor therapy, death, intolerable toxicity, withdrawal of informed consent, or end of the study (whichever occurs first).

Group Type EXPERIMENTAL

HLX87 + HLX22

Intervention Type DRUG

HLX87 is a novel HER2-targeted ADC with a similar mechanism of action to trastuzumab deruxtecan. HLX22 is a novel monoclonal antibody targeting HER2 .

HLX87+ Pertuzumab

atients will receive the treatment once every 3 weeks (Q3W) until progressive disease (PD) , initiation of new anti-tumor therapy, death, intolerable toxicity, withdrawal of informed consent, or end of the study (whichever occurs first).

Group Type EXPERIMENTAL

HLX87 + Pertuzumab

Intervention Type DRUG

HLX87 is a novel HER2-targeted ADC with a similar mechanism of action to trastuzumab deruxtecan

T-Dxd + Pertuzumab

Patients will receive the treatment once every 3 weeks (Q3W) until progressive disease (PD) , initiation of new anti-tumor therapy, death, intolerable toxicity, withdrawal of informed consent, or end of the study (whichever occurs first).

Group Type ACTIVE_COMPARATOR

T-Dxd + Pertuzumab

Intervention Type DRUG

T-Dxd is a HER2-targeted ADC

THP

Patients will receive the treatment once every 3 weeks (Q3W) until progressive disease (PD) , initiation of new anti-tumor therapy, death, intolerable toxicity, withdrawal of informed consent, or end of the study (whichever occurs first).

Group Type ACTIVE_COMPARATOR

THP

Intervention Type DRUG

Pertuzumab+ Trastuzumab+Docetaxel

Interventions

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HLX87 + HLX22

HLX87 is a novel HER2-targeted ADC with a similar mechanism of action to trastuzumab deruxtecan. HLX22 is a novel monoclonal antibody targeting HER2 .

Intervention Type DRUG

HLX87 + Pertuzumab

HLX87 is a novel HER2-targeted ADC with a similar mechanism of action to trastuzumab deruxtecan

Intervention Type DRUG

T-Dxd + Pertuzumab

T-Dxd is a HER2-targeted ADC

Intervention Type DRUG

THP

Pertuzumab+ Trastuzumab+Docetaxel

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 1\. Have a full understanding of the study content, and sign the informed consent form (ICF); 2. Aged ≥ 18 years at the time of signing the ICF, male or female; 3. Histopathologically confirmed breast cancer that meets the following criteria:

1. Advanced or metastatic breast cancer.
2. HER2-positive as determined by the central laboratory, defined as IHC 3+, or IHC 2+ and ISH+.
3. Positive or negative for hormone receptor HR (including estrogen receptor \[ER\] and progesterone receptor \[PgR\]) as determined by the central laboratory 4. No prior chemotherapy or HER2-targeted therapy for advanced or metastatic breast cancer (1 line of endocrine therapy is allowed).

5\. At least one measurable lesion as assessed by central imaging according to RECIST v1.1.

7\. Eastern Cooperative Oncology Group performance status score within 7 days prior to the first dose of study drugs: 0-1.

8\. Life expectancy ≥ 12 weeks. 9. Adequate organ functions

Exclusion Criteria

* 1\. History of a second malignancy within 3 years prior to signing the ICF. 2. Previous use of doxorubicin with a concentration of \> 360 mg/m2 (or equivalent).

3\. Prior treatment with ADCs including exatecan derivatives that contain topoisomerase I inhibitors.

4\. Uncontrolled or significant cardiovascular diseases 5. Cerebrovascular accidents within 6 months prior to the first dose of study drugs.

6\. ILD/pneumonitis, or suspected ILD/pneumonitis or clinically significant lung-specific intercurrent illness .

7\. Active infection . 8. Presence of spinal cord compression or clinically symptomatic central nervous system metastases.

9\. Residual toxicity from previous anti-tumor therapy that has not resolved to Grade ≤ 1 as per NCI-CTCAE V6.0 or baseline level (except for alopecia).

10\. Presence of active tuberculosis. 11. Have received treatment with live attenuated vaccines within 30 days prior to the first dose of study drugs.

12\. Known history of severe allergic reaction to macromolecular protein preparations, hypersensitivity to the ingredient of the investigational products, or severe hypersensitivity to any excipient of the study drugs.

13\. Known history of abuse of psychotropic drugs or drug addiction. 14. Pregnant or lactating women.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Henlius Biotech

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fei Ma, Dr

Role: PRINCIPAL_INVESTIGATOR

Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

Central Contacts

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Maoqing Fu, Dr

Role: CONTACT

Phone: 021-33395800

Email: [email protected]

Ma

Role: CONTACT

Phone: 01067781331

Email: [email protected]

Other Identifiers

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HLX87-BC001

Identifier Type: -

Identifier Source: org_study_id