JSKN003 Versus Treatment Of Physician'S Choice For HER2-low, Unresectable and/or Metastatic Breast Cancer Subjects
A Phase 3, Multicenter, Randomized, Open-Label, Active-Controlled Trial Of JSKN003 Versus Treatment Of Physician'S Choice For HER2-low, Unresectable and/or Metastatic Breast Cancer Subjects
1 other identifier
interventional
400
1 country
87
Brief Summary
This study is a randomized controlled, open-label, multicenter phase III clinical study evaluating the efficacy and safety of chemotherapy selected by investigator JSKN003 s in subjects with recurrent or metastatic breast cancer who have previously failed first- or second-line chemotherapy in subjects with recurrent or metastatic breast cancer who have failed prior first- or second-line chemotherapy. The study planned to enroll 408 subjects in a 1:1 ratio and stratified block randomization method assigned to:
- Experimental group: JSKN003 monotherapy
- Control group: investigator's chosen chemotherapy drug (capecitabine, gemcitabine, vinorelbine, docetaxel, albumin-bound paclitaxel, or eribulin) monotherapy
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 breast-cancer
Started Dec 2023
87 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 22, 2023
CompletedFirst Posted
Study publicly available on registry
October 12, 2023
CompletedStudy Start
First participant enrolled
December 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2029
ExpectedSeptember 12, 2025
September 1, 2025
2.3 years
September 22, 2023
September 8, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Progression Free Survival (PFS)
PFS evaluated by BICR according to RECIST v1.1 criteria is defined as the time from randomization to the first recorded disease progression or death from any cause as a result of BICR evaluation according to RECIST v1.1 criteria.
up to approximately 3 years after the first enrollment
Secondary Outcomes (3)
Overall survival(OS)
up to approximately 3 years after the first enrollment
Objective Response Rate (ORR)
up to approximately 3 years after the first enrollment
Duration of Response (DOR)
up to approximately 3 years after the first enrollment
Study Arms (2)
JSKN003
EXPERIMENTALAdministered intravenously according to protocol.
The chemotherapy chosen by the investigator
ACTIVE COMPARATORThe mono-chemotherapy drugs selected by the investigators included capecitabine, gemcitabine, vinorelbine, docetaxel, albumin-bound paclitaxel, or eribulin. The option should be determined before randomization.
Interventions
Administered according to protocol, as one option for investigator's choice (determined before randomization).
Administered according to protocol, as one option for investigator's choice (determined before randomization).
Administered according to protocol, as one option for investigator's choice (determined before randomization).
Administered according to protocol, as one option for investigator's choice (determined before randomization).
Administered according to protocol, as one option for investigator's choice (determined before randomization).
Administered according to protocol, as one option for investigator's choice (determined before randomization).
Eligibility Criteria
You may qualify if:
- \. The subject is able to understand the informed consent form, voluntarily participate and sign the informed consent form.
- \. The subject ≥ 18 years old on the day of signing the informed consent form, male or female.
- \. Unresectable locally recurrent or metastatic breast cancer, previous histopathological reports of HER2 IHC 1+ or 2+ and ISH-, previous histopathological reports have not been diagnosed as HER2 IHC 3+ or 2+ and ISH+.
- \. Have received at least 1 to 2 lines of chemotherapy regimens for breast cancer in the relapse/metastatic stage.
- \. Willing to provide sufficient archived tumor pathology specimens for central laboratory detection of HER2 status.
- \. Documented radiographic disease progression (during or after the most recent treatment).
- \. At least one extracranial measurable lesion at baseline according to RECIST 1.1 criteria.
- \. Expected survival ≥ 3 months. 9. ECOG score of 0 or 1 within 14 days prior to administration. 10. Female subjects of childbearing potential or male subjects of fertile partner consent to use highly effective contraception from the signing of informed consent.
- \. Laboratory tests within 14 days before administration and cardiac function tests within 28 days meet the criteria.
- \. Have sufficient elution of previous treatment before administration.
You may not qualify if:
- \. Untreated, or unstable brain parenchymal metastases, spinal cord metastases or compression, cancerous meningitis.
- \. Patients with only skin lesions as target lesions. 3. Those with a history of other primary malignant tumors within 5 years before administration.
- \. Selection of the control drug by the investigator who is not suitable for the protocol prescribed.
- \. Previous use of antibody conjugates containing topoisomerase I inhibitors. 6. There is a third gap fluid that cannot be controlled by drainage, etc. 7. Previous or current interstitial pneumonia/lung disease requiring systemic hormone therapy.
- \. Inability to swallow, chronic diarrhea, intestinal obstruction, or other factors that affect oral administration and absorption of the drug.
- \. Previous or current autoimmune disease. 10. Have uncontrolled comorbidities. 11. The toxicity of previous antitumor therapy has not been restored to grade ≤1 (NCI-CTCAE v5.0).
- \. History of previous immunodeficiency. 13. History of life-threatening allergic reactions or known ≥ grade 3 allergy to any component or excipient in the investigational pharmaceutical formulation.
- \. Other conditions that the investigators believe will affect the safety or adherence to drug treatment in this study, including but not limited to psychiatric disorders, alcohol or drug abuse.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (87)
Erwei Song
Guangzhou, Guangdong, China
Jiong Wu
Shanghai, Shanghai Municipality, China
Anyang Cancer Hospital
Anyang, China
Affiliated Hospital of Hebei University
Baoding, China
Beijing Luhe Hospital
Beijing, China
Cancer Hospital, Chinese Academy of Medical Sciences
Beijing, China
Peking University Cancer Hospital
Beijing, China
The First Affiliated Hospital of China Medical University
Beijing, China
The First Medical Center of the General Hospital of the People's Liberation Army Chinese People's Liberation Army
Beijing, China
Bethune First Hospital of Jilin University
Changchun, China
Jilin Provincial Cancer Hospital
Changchun, China
The First People's Hospital of Changde
Changde, China
Central South University Xiangya Hospital
Changsha, China
Hunan Cancer Hospital
Changsha, China
Affiliated Hospital of Chengde Medical University
Chengde, China
Sichuan Cancer Hospital
Chengdu, China
Sichuan Provincial People's Hospital
Chengdu, China
West China Hospital, Sichuan University
Chengdu, China
Cancer Hospital of Chongqing University
Chongqing, China
The First Affiliated Hospital of Chongqing Medical University
Chongqing, China
The Second Affiliated Hospital of Dalian Medical University
Dalian, China
Fujian Cancer Hospital
Fuzhou, China
Fujian Provincial Hospital
Fuzhou, China
Union Hospital Affiliated to Fujian Medical University
Fuzhou, China
The First Affiliated Hospital of Gannan Medical University
Ganzhou, China
Guangdong Provincial People's Hospital
Guangzhou, China
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, China
The Affiliated Hospital of Guangdong Medical University
Guangzhou, China
Sun Yat-sen University Cancer Center
Guanzhou, China
Guizhou Provincial People's Hospital
Guiyang, China
The Affiliated Hospital of Guizhou Medical University
Guiyang, China
Run Run Shaw Hospital affiliated to Zhejiang University School of Medicine
Hangzhou, China
The First Affiliated Hospital of Zhejiang University School of Medicine
Hanzhou, China
The Second Affiliated Hospital of Zhejiang University School of Medicine
Hanzhou, China
Zhejiang Cancer Hospital
Hanzhou, China
Harbin Medical University Cancer Hospital
Ha’erbin, China
Anhui Provincial Hospital
Hefei, China
The First Affiliated Hospital of Anhui Medical University
Hefei, China
The Second Affiliated Hospital of Anhui Medical University
Hefei, China
The First Affiliated Hospital of University of South China
Hengyang, China
Affiliated Hospital of Inner Mongolia Medical University
Hohhot, China
Jiangmen Central Hospital
Jiangmen, China
Shandong Cancer Hospital
Jinan, China
Affiliated Hospital of Jining Medical University
Jining, China
Yunnan Cancer Hospital
Kunming, China
Gansu Provincial Cancer Hospital
Lanzhou, China
The First Hospital of Lanzhou University
Lanzhou, China
Linyi Cancer Hospital
Linyi, China
Linyi People's Hospital
Linyi, China
The First Affiliated Hospital of Henan University of Science and Technology
Luoyang, China
Meizhou People's Hospital
Meizhou, China
Jiangxi Provincial Cancer Hospital
Nanchang, China
The Third Hospital of Nanchang
Nanchang, China
Jiangsu Provincial Cancer Hospital
Nanjing, China
Jiangsu Provincial People's Hospital
Nanjing, China
Cancer Hospital Affiliated to Guangxi Medical University
Nanning, China
Guangxi Zhuang Autonomous Region People's Hospital
Nanning, China
The Second People's Hospital of Neijiang
Neijiang, China
Affiliated Hospital of Qingdao University
Qingdao, China
Fudan University Cancer Hospital
Shanghai, China
Cancer Hospital Affiliated to Shantou University School of Medicine
Shantou, China
The People's Hospital of Northern Guangdong
Shaoguan, China
Liaoning Cancer Hospital
Shengyang, China
Suining Central Hospital
Suining, China
The Second Affiliated Hospital of Soochow University
Suzhou, China
Shanxi Bethune Hospital
Taiyuan, China
Shanxi Provincial Cancer Hospital
Taiyuan, China
Zhejiang Taizhou Hospital
Taizhou, China
Tianjin Cancer Hospital
Tianjin, China
Affiliated Tumor Hospital of Xinjiang Medical University
Ürümqi, China
Hubei Provincial Cancer Hospital
Wuhan, China
People's Hospital of Wuhan University
Wuhan, China
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, China
Zhongnan Hospital of Wuhan University
Wuhan, China
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an, China
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an, China
The First Affiliated Hospital of Xiamen University
Xiamen, China
Xiangyang Central Hospital
Xiangyang, China
Affiliated Hospital of Qinghai University
Xining, China
The First Affiliated Hospital of Xinxiang Medical University
Xinxiang, China
Affiliated Hospital of Xuzhou Medical University
Xuzhou, China
Xuzhou Central Hospital
Xuzhou, China
Yongzhou Central Hospital in Hunan Province
Yongzhou, China
The First People's Hospital of Zhaoqing
Zhaoqing, China
Henan Provincial Cancer Hospital
Zhengzhou, China
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, China
The Affiliated Hospital of Zunyi Medical University
Zunyi, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Erwei Song
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
- PRINCIPAL INVESTIGATOR
Jiong Wu
Fudan University
Central Study Contacts
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
September 22, 2023
First Posted
October 12, 2023
Study Start
December 1, 2023
Primary Completion
April 1, 2026
Study Completion (Estimated)
March 1, 2029
Last Updated
September 12, 2025
Record last verified: 2025-09
Data Sharing
- IPD Sharing
- Will not share