NCT06079983

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

77
On Track

Trial Health Score

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

Enrollment
400

participants targeted

Target at P50-P75 for phase_3 breast-cancer

Timeline
34mo left

Started Dec 2023

Geographic Reach
1 country

87 active sites

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 Progress46%
Dec 2023Mar 2029

First Submitted

Initial submission to the registry

September 22, 2023

Completed
20 days until next milestone

First Posted

Study publicly available on registry

October 12, 2023

Completed
2 months until next milestone

Study Start

First participant enrolled

December 1, 2023

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2026

Completed
2.9 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2029

Expected
Last Updated

September 12, 2025

Status Verified

September 1, 2025

Enrollment Period

2.3 years

First QC Date

September 22, 2023

Last Update Submit

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

EXPERIMENTAL

Administered intravenously according to protocol.

Drug: JSKN003

The chemotherapy chosen by the investigator

ACTIVE COMPARATOR

The mono-chemotherapy drugs selected by the investigators included capecitabine, gemcitabine, vinorelbine, docetaxel, albumin-bound paclitaxel, or eribulin. The option should be determined before randomization.

Drug: Capecitabine tabletsDrug: Gemcitabine hydrochloride for injectionDrug: Vinorelbine tartrate injectionDrug: Paclitaxel for injection (albumin-bound type)Drug: Docetaxel injectionDrug: Eribulin mesylate injection

Interventions

Administered intravenously according to protocol.

JSKN003

Administered according to protocol, as one option for investigator's choice (determined before randomization).

The chemotherapy chosen by the investigator

Administered according to protocol, as one option for investigator's choice (determined before randomization).

The chemotherapy chosen by the investigator

Administered according to protocol, as one option for investigator's choice (determined before randomization).

The chemotherapy chosen by the investigator

Administered according to protocol, as one option for investigator's choice (determined before randomization).

The chemotherapy chosen by the investigator

Administered according to protocol, as one option for investigator's choice (determined before randomization).

The chemotherapy chosen by the investigator

Administered according to protocol, as one option for investigator's choice (determined before randomization).

The chemotherapy chosen by the investigator

Eligibility Criteria

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

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

NOT YET RECRUITING

Jiong Wu

Shanghai, Shanghai Municipality, China

NOT YET RECRUITING

Anyang Cancer Hospital

Anyang, China

NOT YET RECRUITING

Affiliated Hospital of Hebei University

Baoding, China

NOT YET RECRUITING

Beijing Luhe Hospital

Beijing, China

NOT YET RECRUITING

Cancer Hospital, Chinese Academy of Medical Sciences

Beijing, China

RECRUITING

Peking University Cancer Hospital

Beijing, China

RECRUITING

The First Affiliated Hospital of China Medical University

Beijing, China

RECRUITING

The First Medical Center of the General Hospital of the People's Liberation Army Chinese People's Liberation Army

Beijing, China

NOT YET RECRUITING

Bethune First Hospital of Jilin University

Changchun, China

NOT YET RECRUITING

Jilin Provincial Cancer Hospital

Changchun, China

NOT YET RECRUITING

The First People's Hospital of Changde

Changde, China

RECRUITING

Central South University Xiangya Hospital

Changsha, China

NOT YET RECRUITING

Hunan Cancer Hospital

Changsha, China

RECRUITING

Affiliated Hospital of Chengde Medical University

Chengde, China

RECRUITING

Sichuan Cancer Hospital

Chengdu, China

RECRUITING

Sichuan Provincial People's Hospital

Chengdu, China

RECRUITING

West China Hospital, Sichuan University

Chengdu, China

NOT YET RECRUITING

Cancer Hospital of Chongqing University

Chongqing, China

NOT YET RECRUITING

The First Affiliated Hospital of Chongqing Medical University

Chongqing, China

NOT YET RECRUITING

The Second Affiliated Hospital of Dalian Medical University

Dalian, China

NOT YET RECRUITING

Fujian Cancer Hospital

Fuzhou, China

NOT YET RECRUITING

Fujian Provincial Hospital

Fuzhou, China

RECRUITING

Union Hospital Affiliated to Fujian Medical University

Fuzhou, China

RECRUITING

The First Affiliated Hospital of Gannan Medical University

Ganzhou, China

RECRUITING

Guangdong Provincial People's Hospital

Guangzhou, China

NOT YET RECRUITING

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, China

NOT YET RECRUITING

The Affiliated Hospital of Guangdong Medical University

Guangzhou, China

RECRUITING

Sun Yat-sen University Cancer Center

Guanzhou, China

NOT YET RECRUITING

Guizhou Provincial People's Hospital

Guiyang, China

RECRUITING

The Affiliated Hospital of Guizhou Medical University

Guiyang, China

RECRUITING

Run Run Shaw Hospital affiliated to Zhejiang University School of Medicine

Hangzhou, China

NOT YET RECRUITING

The First Affiliated Hospital of Zhejiang University School of Medicine

Hanzhou, China

NOT YET RECRUITING

The Second Affiliated Hospital of Zhejiang University School of Medicine

Hanzhou, China

NOT YET RECRUITING

Zhejiang Cancer Hospital

Hanzhou, China

NOT YET RECRUITING

Harbin Medical University Cancer Hospital

Ha’erbin, China

NOT YET RECRUITING

Anhui Provincial Hospital

Hefei, China

NOT YET RECRUITING

The First Affiliated Hospital of Anhui Medical University

Hefei, China

NOT YET RECRUITING

The Second Affiliated Hospital of Anhui Medical University

Hefei, China

NOT YET RECRUITING

The First Affiliated Hospital of University of South China

Hengyang, China

RECRUITING

Affiliated Hospital of Inner Mongolia Medical University

Hohhot, China

RECRUITING

Jiangmen Central Hospital

Jiangmen, China

RECRUITING

Shandong Cancer Hospital

Jinan, China

RECRUITING

Affiliated Hospital of Jining Medical University

Jining, China

RECRUITING

Yunnan Cancer Hospital

Kunming, China

NOT YET RECRUITING

Gansu Provincial Cancer Hospital

Lanzhou, China

NOT YET RECRUITING

The First Hospital of Lanzhou University

Lanzhou, China

RECRUITING

Linyi Cancer Hospital

Linyi, China

NOT YET RECRUITING

Linyi People's Hospital

Linyi, China

NOT YET RECRUITING

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, China

RECRUITING

Meizhou People's Hospital

Meizhou, China

RECRUITING

Jiangxi Provincial Cancer Hospital

Nanchang, China

RECRUITING

The Third Hospital of Nanchang

Nanchang, China

RECRUITING

Jiangsu Provincial Cancer Hospital

Nanjing, China

RECRUITING

Jiangsu Provincial People's Hospital

Nanjing, China

NOT YET RECRUITING

Cancer Hospital Affiliated to Guangxi Medical University

Nanning, China

NOT YET RECRUITING

Guangxi Zhuang Autonomous Region People's Hospital

Nanning, China

NOT YET RECRUITING

The Second People's Hospital of Neijiang

Neijiang, China

RECRUITING

Affiliated Hospital of Qingdao University

Qingdao, China

NOT YET RECRUITING

Fudan University Cancer Hospital

Shanghai, China

NOT YET RECRUITING

Cancer Hospital Affiliated to Shantou University School of Medicine

Shantou, China

NOT YET RECRUITING

The People's Hospital of Northern Guangdong

Shaoguan, China

RECRUITING

Liaoning Cancer Hospital

Shengyang, China

RECRUITING

Suining Central Hospital

Suining, China

RECRUITING

The Second Affiliated Hospital of Soochow University

Suzhou, China

NOT YET RECRUITING

Shanxi Bethune Hospital

Taiyuan, China

NOT YET RECRUITING

Shanxi Provincial Cancer Hospital

Taiyuan, China

NOT YET RECRUITING

Zhejiang Taizhou Hospital

Taizhou, China

RECRUITING

Tianjin Cancer Hospital

Tianjin, China

RECRUITING

Affiliated Tumor Hospital of Xinjiang Medical University

Ürümqi, China

RECRUITING

Hubei Provincial Cancer Hospital

Wuhan, China

RECRUITING

People's Hospital of Wuhan University

Wuhan, China

NOT YET RECRUITING

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

Wuhan, China

NOT YET RECRUITING

Zhongnan Hospital of Wuhan University

Wuhan, China

NOT YET RECRUITING

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, China

NOT YET RECRUITING

The Second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, China

RECRUITING

The First Affiliated Hospital of Xiamen University

Xiamen, China

RECRUITING

Xiangyang Central Hospital

Xiangyang, China

NOT YET RECRUITING

Affiliated Hospital of Qinghai University

Xining, China

RECRUITING

The First Affiliated Hospital of Xinxiang Medical University

Xinxiang, China

RECRUITING

Affiliated Hospital of Xuzhou Medical University

Xuzhou, China

NOT YET RECRUITING

Xuzhou Central Hospital

Xuzhou, China

RECRUITING

Yongzhou Central Hospital in Hunan Province

Yongzhou, China

RECRUITING

The First People's Hospital of Zhaoqing

Zhaoqing, China

RECRUITING

Henan Provincial Cancer Hospital

Zhengzhou, China

RECRUITING

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, China

NOT YET RECRUITING

The Affiliated Hospital of Zunyi Medical University

Zunyi, China

RECRUITING

MeSH Terms

Conditions

Breast Neoplasms

Interventions

CapecitabineGemcitabineInjectionsVinorelbinePaclitaxelDocetaxeleribulin

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

DeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsFluorouracilUracilPyrimidinonesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesDrug Administration RoutesDrug TherapyTherapeuticsVinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingIndolizidinesIndolizinesTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenes

Study Officials

  • Erwei Song

    Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

    PRINCIPAL INVESTIGATOR
  • Jiong Wu

    Fudan University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: A Phase 3, Multicenter, Randomized, Open-Label, Active-Controlled Trial
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

Locations