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Trial Title: A Study to Compare DB-1303/BNT323 Versus T-DM1 in Breast Cancer

NCT ID: NCT06265428

Condition: HER2-positive Breast Cancer

Conditions: Official terms:
Breast Neoplasms

Conditions: Keywords:
HER2-positive
Breast Cancer
BC

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: DB-1303/BNT323
Description: Administered I.V.
Arm group label: DB-1303/BNT323

Intervention type: Drug
Intervention name: T-DM1
Description: Administered I.V.
Arm group label: T-DM1

Summary: This study is designed to compare efficacy and safety of DB-1303/BNT323 versus T-DM1 in HER2-positive, unresectable and/or metastatic breast cancer patients previously treated with trastuzumab and taxane.

Detailed description: This is a randomized controlled, 2-arm, open-label, multicenter phase III study to assess the efficacy and safety of DB-1303/BNT323 versus Trastuzumab Emtansine (T-DM1) in patients with human epidermal growth factor receptor 2 (HER2) -positive unresectable/metastatic breast cancer who have been treated with trastuzumab and taxanes. Approximately 224 patients with unresectable or metastatic HER2-positive breast cancer will be randomized 1:1 to receive DB-1303/BNT323 or T-DM1, respectively.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Male or female adults ≥ 18 years at the time of voluntary signing of informed consent. - Pathologically confirmed unresectable or metastatic HER2 positive breast cancer previously treated with trastuzumab and taxane - Eastern Cooperative Oncology Group (ECOG) performance status score is 0 or 1. - Presence of at least one measurable lesion according to RECIST v1.1 - Expected survival time ≥ 12 weeks. - Patients must give informed consent to this study and voluntarily sign written informed consent form prior to the study. Exclusion Criteria: - Prior anti-HER2 ADC therapy. - Previous history of interstitial lung disease/noninfectious pneumonitis/radiation pneumonitis requiring steroid therapy. - Known serious hypersensitivity to the active ingredients of the study drug, inactive ingredients in the formulation, or other antibody drugs. - Multiple primary malignancies within 3 years, except for adequately resected non-melanoma skin cancer, curatively treated in situ tumor, or contralateral breast cancer - Uncontrolled infection requiring intravenous antibiotics, antiviral or antifungal agents, autoimmune disease requiring treatment, uncontrolled diabetes, hypertension, or other systemic disease that makes compliance with study procedures difficult - Unrecovered toxicity from prior anticancer therapy, defined as toxicity (except for alopecia) not recovered to ≤Grade 1 (NCI-CTCAE v5.0) or baseline. NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: The Fifth Medical Center of the Chinese People's Liberation Army General Hospital

Address:
City: Beijing
Zip: 100039
Country: China

Status: Not yet recruiting

Contact:
Last name: Zefei Jiang

Facility:
Name: Fudan University Shanghai Cancer Center

Address:
City: Shanghai
Zip: 200032
Country: China

Status: Recruiting

Contact:
Last name: Jian Zhang

Start date: January 29, 2024

Completion date: February 2026

Lead sponsor:
Agency: DualityBio Inc.
Agency class: Industry

Collaborator:
Agency: BioNTech SE
Agency class: Industry

Source: DualityBio Inc.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06265428

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