NCT05749588

Brief Summary

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.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
120

participants targeted

Target at P50-P75 for phase_2

Timeline
32mo left

Started Mar 2023

Longer than P75 for phase_2

Geographic Reach
1 country

1 active site

Status
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 Progress55%
Mar 2023Dec 2028

First Submitted

Initial submission to the registry

February 19, 2023

Completed
10 days until next milestone

First Posted

Study publicly available on registry

March 1, 2023

Completed
29 days until next milestone

Study Start

First participant enrolled

March 30, 2023

Completed
4.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2027

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2028

Last Updated

April 16, 2026

Status Verified

April 1, 2026

Enrollment Period

4.8 years

First QC Date

February 19, 2023

Last Update Submit

April 13, 2026

Conditions

Keywords

TNBCMolecular SubtypePrecision TreatmentPlatform Study

Outcome Measures

Primary Outcomes (1)

  • Overall response rate (ORR)

    The proportion of participants whose best outcome is complete remission or partial remission (according to RECIST1.1)

    Randomization until the first occurrence of disease progression or death from any cause, which ever occurs first, through the completion of study (approximately 3 years)

Secondary Outcomes (5)

  • Progression Free Survival (PFS)

    Randomization until the first occurrence of disease progression or death from any cause, which ever occurs first, through the completion of study (approximately 3 years)

  • Duration of Response (DoR)

    Randomization until the first occurrence of disease progression or death from any cause, which ever occurs first, through the completion of study(approximately 3 years)

  • Disease Control Rate (DCR)

    Randomization until the first occurrence of disease progression or death from any cause, which ever occurs first, through the completion of study(approximately 3 years)

  • Overall Survival (OS)

    Randomization to death from any cause, through the end of study (approximately 3 years)

  • CTCAE scale (V5.0)

    Up to One Year during follow-up

Study Arms (9)

IM/HER2-low

EXPERIMENTAL

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

Drug: A1: SHR-A1811Drug: A2: SHR-A1811 with Camrelizumab with famitinib

IM/HER2-0

EXPERIMENTAL

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

Drug: B1: TROP2 ADCDrug: B2: TROP2 ADC with Camrelizumab

BLIS / HER2-low

EXPERIMENTAL

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

Drug: C1: SHR-A1811Drug: C2: SHR-A1811 with BP102

BLIS /HER2-0

EXPERIMENTAL

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

Drug: D1: TROP2 ADCDrug: D2: TROP2 ADC with BP102

LAR / HER2-low

EXPERIMENTAL

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

Drug: E1: SHR-A1811Drug: E2: SHR-A1811 with everolimus

LAR /HER2-0

EXPERIMENTAL

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

Drug: F1: TROP2 ADC

MES/ HER2-low

EXPERIMENTAL

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

Drug: G1: SHR-A1811

MES /HER2-0

EXPERIMENTAL

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

Drug: H1: TROP2 ADC

All-Comer/TQB2102 plus TQB2868

EXPERIMENTAL
Drug: TQB2102 with TQB2868

Interventions

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

IM/HER2-low

A2: SHR-A1811: an anti-HER2 antibody-drug conjugate (ADC) Camrelizumab: an anti-programmed death-1 (PD-1) antibody

Also known as: SHR-1210
IM/HER2-low

B2: TROP2 ADC : an Trophoblast cell-surface antigen 2 (TROP2) ADC Camrelizumab: an anti-programmed death-1 (PD-1) antibody

Also known as: SHR-1210
IM/HER2-0

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

BLIS / HER2-low

C2: SHR-A1811: an anti-HER2 antibody-drug conjugate (ADC) BP102: a humanized recombinant monoclonal IgG1 antibody (biosimilar to bevacizumab)

BLIS / HER2-low

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

BLIS /HER2-0

D2: TROP2 ADC : an Trophoblast cell-surface antigen 2 (TROP2) ADC BP102: a humanized recombinant monoclonal IgG1 antibody (biosimilar to bevacizumab)

BLIS /HER2-0

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

LAR / HER2-low

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

LAR /HER2-0

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

MES/ HER2-low

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

MES /HER2-0

E1: SHR-A1811 an anti-HER2 antibody-drug conjugate (ADC) everolimus: an mTOR inhibitor

LAR / HER2-low

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

IM/HER2-0

TQB2102: an anti-HER2 antibody-drug conjugate (ADC) TQB2868: an anti-PD-1/TGF-β bispecific antibody in all-comer TNBC

All-Comer/TQB2102 plus TQB2868

Eligibility Criteria

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

You may qualify if:

  • Female aged ≥18 years;
  • 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;
  • Progression after at least one prior therapeutic regimens for advanced/metastatic TNBC
  • 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);
  • 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);
  • 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;
  • ECOG score ≤1, and life expectancy ≥3 months;
  • 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;
  • Subjects volunteered to join the study, signed informed consent, had good compliance, and cooperated with follow-up.

You may not qualify if:

  • 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);
  • Uncontrolled central nervous system metastases (indicating symptomatic or symptomatic treatment with glucocorticoids or mannitol);
  • 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;
  • 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;
  • Underwent major surgery (except minor outpatient procedures, such as placement of vascular access) within 3 weeks of the first course of trial treatment;
  • Pregnant or lactating patients;
  • Malignancy (except basal cell carcinoma of the skin, which has been cured, and carcinoma in situ of the cervix) in the past 5 years.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Fudan University Shanghai Cancer Center

Shanghai, 200032, China

RECRUITING

MeSH Terms

Conditions

Triple Negative Breast Neoplasms

Interventions

camrelizumabfamitinibEverolimus

Condition Hierarchy (Ancestors)

Breast NeoplasmsNeoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

SirolimusMacrolidesLactonesOrganic Chemicals

Study Officials

  • Zhimin Shao, M.D.

    Fudan University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

February 19, 2023

First Posted

March 1, 2023

Study Start

March 30, 2023

Primary Completion (Estimated)

December 31, 2027

Study Completion (Estimated)

December 31, 2028

Last Updated

April 16, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share

Locations