NCT04639986

Brief Summary

The goal of this study is to compare the study drug, sacituzumab govitecan-hziy, versus doctors' treatment of choice in participants with HR+/HER2- metastatic breast cancer (MBC) who have failed at least 2 prior chemotherapy regimens.

Trial Health

78
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
331

participants targeted

Target at P50-P75 for phase_3

Timeline
7mo left

Started Nov 2020

Longer than P75 for phase_3

Geographic Reach
3 countries

43 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress91%
Nov 2020Dec 2026

First Submitted

Initial submission to the registry

November 17, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

November 23, 2020

Completed
Same day until next milestone

Study Start

First participant enrolled

November 23, 2020

Completed
6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2026

Last Updated

February 9, 2026

Status Verified

February 1, 2026

Enrollment Period

6 years

First QC Date

November 17, 2020

Last Update Submit

February 5, 2026

Conditions

Keywords

sacituzumab govitecanIMMU-132Unresectable or Metastatic Breast Cancerhormonal receptorHR positiveAnti-TROP2Human epidermal growth factor receptor 2 (HER2) NegativeAntibody Drug Conjugate

Outcome Measures

Primary Outcomes (1)

  • Progression-free Survival (PFS)

    PFS is defined as from the date of randomization until the date of disease progression (PD) or death, whichever occurs earlier. Disease progression will be determined according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v 1.1) by Independent Reviewing Committee (IRC).

    Up to 4 years

Secondary Outcomes (12)

  • Overall Survival (OS)

    Up to 4 years

  • Objective Response Rate (ORR) by IRC

    Up to 4 years

  • Duration of Response (DOR) by IRC

    Up to 4 years

  • Clinical Benefit Rate (CBR) by IRC

    Up to 4 years

  • Percentage of Participants Experiencing Adverse Events (AEs) According to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0

    First dose date up to 4 years plus 30 days

  • +7 more secondary outcomes

Study Arms (2)

Sacituzumab Govitecan-hziy

EXPERIMENTAL

Participants will receive Sacituzumab Govitecan-hziy 10 mg/kg on Days 1 and 8 of a 21-day cycle.

Drug: Sacituzumab Govitecan-hziy

Treatment of Physician's Choice (TPC)

ACTIVE COMPARATOR

Participants will receive recommended doses and schedules as per package insert depending on region. * Eribulin (1.4 mg/m\^2 of eribulin mesylate or 1.23 mg/m\^2 of eribulin on Days 1 and 8 of a 21-day cycle) * Capecitabine (1000 to 1250 mg/m\^2 twice daily on Days 1 to 14 of a 21-day cycle) * Gemcitabine (800 to 1200 mg/m\^2 on Days 1, 8, and 15 of a 28-day cycle) * Vinorelbine (25 mg/m\^2 on Day 1 weekly)

Drug: Eribulin Mesylate InjectionDrug: Capecitabine Oral ProductDrug: Gemcitabine InjectionDrug: Vinorelbine injection

Interventions

Sacituzumab govitecan 10 mg/kg via IV injection administered on Days 1 and 8 of a 21-day cycle. Subjects will continue to receive study treatment until PD as judged by local investigator review, development of unacceptable toxicity, or withdrawal of consent.

Also known as: IMMU-132, Trodelvy™, GS-0132
Sacituzumab Govitecan-hziy

Eribulin is administered by intravenous (IV) following recommended doses and regimens as per approved package inserts.

Also known as: Halaven
Treatment of Physician's Choice (TPC)

Capecitabine is administered orally (PO) following recommended doses and regimens as per approved package inserts.

Also known as: Xeloda
Treatment of Physician's Choice (TPC)

Gemcitabine is administered by intravenous (IV) following recommended doses and regimens as per approved package inserts.

Also known as: Gemzar
Treatment of Physician's Choice (TPC)

Vinorelbine is administered by intravenous (IV) following recommended doses and regimens as per approved package inserts.

Also known as: Navelbine
Treatment of Physician's Choice (TPC)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Female or male individuals aged ≥18 years at the time of signing the informed consent form
  • Documented evidence of hormone receptor-positive HER2-negative (HR+/HER2-) MBC confirmed
  • Refractory to or relapsed after at least 2, and no more than 4, prior systemic chemotherapy regimens for MBC
  • Should have been previously treated with at least 1 taxane in any setting, at least 1 prior anticancer hormonal treatment in any setting
  • Eligible for one of the chemotherapy options listed in the TPC arm
  • Documented radiographic disease progression after the most recent therapy
  • Measurable disease by CT or MRI in accordance with RECIST v 1.1, bone-only disease is not measurable and is not permitted.
  • Adequate bone marrow function, hepatic and renal function
  • Females must not be lactating or pregnant at Screening or Baseline (as documented by a negative beta human chorionic gonadotropin \[ß-hCG\]

You may not qualify if:

  • Previous treatment with Topoisomerase 1 Inhibitors as a free form or as other formulations
  • Individuals who have known brain metastases.
  • Have an active second malignancy within 3 years prior to providing informed consent
  • Individuals with active hepatitis B virus (HBV), or hepatitis C virus infection (measurable viral RNA load with polymerase chain reaction).
  • Active serious infection requiring systemic antibiotic use within 7 days before Cycle1 Day 1.
  • Other concurrent medical or psychiatric conditions that, in the Investigator's opinion, may be likely to confound study interpretation or prevent completion of study procedures and follow-up examinations.
  • Known hypersensitivity or intolerance to either of the study treatments or any of the excipients.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (43)

Cancer Hospital Chinese Academy of Medical Science

Beijing, China

Location

Chinese PLA General Hospital

Beijing, China

Location

Peking University People's Hospital

Beijing, China

Location

Jilin Cancer Hospital

Changchun, China

Location

The First Hospital of Jilin University

Changchun, China

Location

Chongqing University Cancer Hospital

Chengdu, China

Location

West China Hospital, Sichuan University

Chengdu, China

Location

Fujian Medical University Union Hospital

Fuzhou, China

Location

Guangdong Provincial People's Hospital

Guangzhou, China

Location

Sun Yat Sen Memorial Hospital of Sun Yat sen University

Guangzhou, China

Location

Sun Yat-sen University Cancer Center

Guangzhou, China

Location

Sir Run run Shaw hospital Zhejiang University School of Medicine

Hangzhou, China

Location

Zhejiang Cancer Hospital

Hangzhou, China

Location

Anhui Provincial Hospital

Hefei, China

Location

The second Hospital of Anhui Medical University

Hefei, China

Location

Shandong Cancer Hospital

Jinan, China

Location

Yunnan Cancer Hospital

Kunming, China

Location

Linyi Cancer Hospital

Linyi, China

Location

Jiangsu Province Hospital

Nanjing, China

Location

Nanjing Drum Tower Hospital

Nanjing, China

Location

Shanghai General Hospital

Shanghai, China

Location

Tianjin Medical University Cancer Institute & Hospital

Tianjin, China

Location

Affiliated Tumor Hospital of Xinjiang Medical University

Ürümqi, China

Location

Hubei Cancer Hospital

Wuhan, China

Location

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, China

Location

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, China

Location

Henan Cancer Hospital

Zhengzhou, China

Location

Dong-A University Hospital

Busan, South Korea

Location

Seoul National University Bundang Hospital

Seongnam, South Korea

Location

Asan Medical Center

Seoul, South Korea

Location

Korea University Anam Hospital

Seoul, South Korea

Location

Samsung Medical Center

Seoul, South Korea

Location

Seoul National University Hospital

Seoul, South Korea

Location

Severance Hospital Yonsei University Health System

Seoul, South Korea

Location

Ajou University Hospital

Suwon, South Korea

Location

Changhua Christian Medical Foundation Changhua Christian Hospital

Changhua, Taiwan

Location

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, Taiwan

Location

China Medical University Hospital

Taichung, Taiwan

Location

National Cheng Kung University Hospital

Tainan, Taiwan

Location

National Taiwan University Hospital

Taipei, Taiwan

Location

Taipei Veterans General Hospital

Taipei, Taiwan

Location

Tri-Service General Hospital

Taipei, Taiwan

Location

Chang Gung Memorial Hospital, Linkou

Taoyuan District, Taiwan

Location

Related Publications (2)

  • Xu B, Wang S, Yan M, Sohn J, Li W, Tang J, Wang X, Wang Y, Im SA, Jiang D, Valdez T, Dasgupta A, Zhang Y, Yan Y, Komatsubara KM, Chung WP, Ma F, Dai MS. Sacituzumab govitecan in HR+HER2- metastatic breast cancer: the randomized phase 3 EVER-132-002 trial. Nat Med. 2024 Dec;30(12):3709-3716. doi: 10.1038/s41591-024-03269-z. Epub 2024 Oct 1.

  • Kwapisz D. Sacituzumab Govitecan-hziy in Breast Cancer. Am J Clin Oncol. 2022 Jul 1;45(7):279-285. doi: 10.1097/COC.0000000000000919. Epub 2022 May 12.

Related Links

MeSH Terms

Conditions

Breast Neoplasms

Interventions

sacituzumab govitecaneribulinCapecitabineGemcitabineVinorelbine

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

DeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsFluorouracilUracilPyrimidinonesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesVinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingIndolizidinesIndolizines

Study Officials

  • Gilead Study Director

    Gilead Sciences

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 17, 2020

First Posted

November 23, 2020

Study Start

November 23, 2020

Primary Completion (Estimated)

December 1, 2026

Study Completion (Estimated)

December 1, 2026

Last Updated

February 9, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations