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Trial Title: A Study of TQB2930 for Injection Monotherapy or Combination Therapy in Patients With Recurrent/Metastatic Breast Cancer

NCT ID: NCT06202261

Condition: Metastatic Breast Cancer
Recurrent Breast Cancer
Advanced Malignancies

Conditions: Official terms:
Breast Neoplasms
Recurrence
Paclitaxel
Vinorelbine
Gemcitabine
Capecitabine
Fulvestrant

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: TQB2930 for injection
Description: TQB2930 for injection is a HER2 bispecific antibody.
Arm group label: TQB2930 for injection
Arm group label: TQB2930 for injection + chemotherapy
Arm group label: TQB2930 for injection 30mg/kg + Paclitaxel for injection (albumin-bound)
Arm group label: TQB2930 for injection+TQB3616 capsule for injection + fulvestrant injection

Intervention type: Drug
Intervention name: Paclitaxel for injection (albumin-bound)
Description: It is an anti-microtubule chemotherapy drug
Arm group label: TQB2930 for injection 30mg/kg + Paclitaxel for injection (albumin-bound)

Intervention type: Drug
Intervention name: TQB3616 capsule
Description: TQB3616 capsule is a Cyclin-dependent kinase 4/6 (CDK4/6) inhibitor.
Arm group label: TQB2930 for injection+TQB3616 capsule for injection + fulvestrant injection

Intervention type: Drug
Intervention name: Fulvestrant injection
Description: Fulvestrant is a competitive estrogen receptor antagonist with similar affinity to estradiol
Arm group label: TQB2930 for injection+TQB3616 capsule for injection + fulvestrant injection

Intervention type: Drug
Intervention name: Capecitabine tablets
Description: Capecitabine is converted to 5-fluorouracil (5-FU) by in vivo enzyme action.
Arm group label: TQB2930 for injection + chemotherapy

Intervention type: Drug
Intervention name: Vinorelbine tartrate injection
Description: Vinorelbine is an anti-tumor drug of vinca alkaloids.
Arm group label: TQB2930 for injection + chemotherapy

Intervention type: Drug
Intervention name: Eribulin mesylate injection
Description: Eribulin induces G2/M phase cell cycle arrest, mitotic spindle division, and ultimately apoptosis after prolonged mitotic arrest through its tubulin-based anti-mitotic mechanism.
Arm group label: TQB2930 for injection + chemotherapy

Intervention type: Drug
Intervention name: gemcitabine hydrochloride for injection
Description: Gemcitabine is a cell cycle specific anti-metabolic anticancer agent
Arm group label: TQB2930 for injection + chemotherapy

Summary: This is a phase Ib/II exploratory study. Phase Ib includes the dose escalation and expansion study of monotherapy, as well as the dose escalation study of combination therapy. After determining the maximum tolerated dose (MTD), a dose expansion study is conducted to observe the safety and efficacy in monotherapy. Phase II study is to further observe the safety and efficacy of TQB2930 combined with albumin-paclitaxel (cohort 3), or chemotherapy selected by investigators (cohort 4).

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age: 18-75 years old; Eastern Cooperative Oncology Group Performance Status (ECOG PS) score: 0~1; The expected survival is over 3 months. - Phase Ib 1. Advanced malignancies confirmed by cytology / histopathology, priority given to subjects with HER2 expression or amplification; 2. Subjects with malignant tumors who have failed standard treatment or lack effective treatment; 3. Confirmed presence of at least one evaluable lesion according to RECIST 1.1 criteria - Phase II 1. Hormone receptor (HR)-negative, HER2-positive breast cancer confirmed by cytology / histopathology, with evidence of local recurrence or distant metastasis, unsuitable for surgery or radiotherapy for curative purposes: 2. Have not received systemic antitumor therapy for metastatic stage; Systemic use of endocrine therapy is permitted, but not exceed 2 lines; 3. at least one measurable lesion that meets the RECIST 1.1 criteria. - Major organs are functioning normally. - Female subjects of reproductive age should agree to use contraceptive methods during the study period and until 6 months after the end of the study; Negative serum pregnancy / urine pregnancy test within 7 days prior to study enrollment and must be non-lactating subjects; Male subjects should agree to use contraception during the study and until six months after the end of the study. Exclusion Criteria: - Have occured other malignant tumors within 3 years prior to first dose. - Unalleviated toxicity above Common Terminology Criteria for Adverse Events (CTCAE) grade 1 due to any prior treatment; - Received major surgical treatment, open biopsy, or significant traumatic injury within 28 days prior to the first dose; - Long-term unhealed wounds or fractures; - Arterial/venous thrombosis events occurred within 6 months before the first dose; - Have a history of psychotropic drug abuse and can't get rid of it or have mental disorders; - Subject with any severe and/or uncontrolled disease; - Subjects who have been treated with other antitumor agents such as chemotherapy, radiotherapy, or immunotherapy within 4 weeks prior to the first dose, within 5 half-lives of the drug; - Have used traditional chinese medicine with anti-tumor indications approved by National Medical Products Administration (NMPA) within 2 weeks before the first dose; - Severe bone injury due to bone metastasis; - Subjects with untreated active brain metastases or meningeal metastases or cancerous meningitis; - In the course of previous HER2-targeted therapy, Left Ventricular Ejection Fractions (LVEF) decreased to <50% or absolute LVEF decreased >15%; - Cumulative doses of anthracyclines exceeded doxorubicin or doxorubicin liposomes >360 mg/m2; - Uncontrolled hypercalcemia or symptomatic hypercalcemia requires continued bisphosphonate therapy - Patients with severe hypersensitivity after the use of monoclonal antibodies; - Has participated in other antitumor clinical trials within 4 weeks prior to the first dose.

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Affiliated Cancer Hospital of Chongqing University

Address:
City: Chongqing
Zip: 400000
Country: China

Status: Recruiting

Contact:
Last name: Xiaohua Zeng

Phone: 13983687701
Email: zengxiaohua000017@163.com

Facility:
Name: Affiliated cancer hospital of harbin medical university

Address:
City: Harbin
Zip: 150001
Country: China

Status: Recruiting

Contact:
Last name: Qingyuan Zhang, Doctor

Phone: +86 0451 86298070
Email: sy86298276@163.com

Start date: April 13, 2023

Completion date: October 2027

Lead sponsor:
Agency: Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
Agency class: Industry

Source: Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06202261

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