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NCT Number: NCT06202261

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

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).

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Affiliated Cancer Hospital of Chongqing University, Chongqing, Chongqing Municipality, China

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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
  • Advanced malignancies confirmed by cytology / histopathology, priority given to subjects with HER2 expression or amplification;
  • Subjects with malignant tumors who have failed standard treatment or lack effective treatment;
  • Confirmed presence of at least one evaluable lesion according to RECIST 1.1 criteria
  • Phase II
  • 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:
  • Have not received systemic antitumor therapy for metastatic stage; Systemic use of endocrine therapy is permitted, but not exceed 2 lines;
  • 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.

Treatment and study plan

TQB2930 for injection

Drug

TQB2930 for injection is a HER2 bispecific antibody.

Paclitaxel for injection (albumin-bound)

Drug

It is an anti-microtubule chemotherapy drug

TQB3616 capsule

Drug

TQB3616 capsule is a Cyclin-dependent kinase 4/6 (CDK4/6) inhibitor.

Fulvestrant injection

Drug

Fulvestrant is a competitive estrogen receptor antagonist with similar affinity to estradiol

Capecitabine tablets

Drug

Capecitabine is converted to 5-fluorouracil (5-FU) by in vivo enzyme action.

Vinorelbine Tartrate Injection

Drug

Vinorelbine is an anti-tumor drug of vinca alkaloids.

Eribulin mesylate injection

Drug

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.

Gemcitabine Hydrochloride for Injection

Drug

Gemcitabine is a cell cycle specific anti-metabolic anticancer agent

Primary outcomes

  1. Maximum tolerated dose (MTD)

    Time frame: Baseline up to 4 months

    The highest dose when dose-limiting toxicity (DLT) occurs in less than 33% of subjects.

  2. Phase II recommended dose (P2RD)

    Time frame: Baseline up to 1 year

    Optimal tolerated dose determined after the end of phase 1

  3. Investigators assessed Objective remission rate (ORR) based on Response Evaluation Criteria In Solid Tumors (RECIST) 1.1

    Time frame: Baseline up to 2 year

    The proportion of subjects with complete response (CR) and partial response (PR) whose tumor volume reduced to a predetermined value and maintained the minimum time limit.

Secondary outcomes

  1. Immunogenicity

    Time frame: Pre-dose on Cycle 1 Day 1, Cycle 2 Day 1, Cycle 4 Day 1, Cycle 7 Day 1, Cycle 12 Day 1, each cycle is 21 or 28 days.

    Incidence of anti-drug antibody (ADA)

  2. Peak concentration (Cmax), QW

    Time frame: Pre-dose, 30 minuets, 4, 8, 24, 48, 72 hours after dose on Cycle 1 Day 1, Cycle 2 Day 1; Pre-dose on Cycle 1 Day 8, Cycle 1 Day 15, Cycle 2 Day 8, each cycle is 21 days.

    The maximum serum concentration after administration

  3. Peak concentration (Cmax), Q2W

    Time frame: Pre-dose, 30 minuets, 4, 8, 24, 48, 72, 168, 240 hours after dose on Cycle 1 Day 1, Cycle 2 Day 1; Pre-dose on Cycle 1 Day 15, Cycle 2 Day 15, each cycle is 28 days.

    The maximum serum concentration after administration

  4. Peak concentration (Cmax), Q3W

    Time frame: Pre-dose, 30 minuets, 4, 8, 24, 48, 72, 168, 240, 336 hours after dose on Cycle 1 Day 1, Cycle 2 Day 1; Pre-dose on Cycle 3 Day 1, each cycle is 21 days.

    The maximum serum concentration after administration

  5. Overall survival (OS)

    Time frame: Baseline up to 4 years

    From randomization to the time of death from any cause.

  6. Adverse event rate

    Time frame: Baseline up to 2 years

    The occurrence of all adverse events (AEs), serious adverse events (SAEs) and treatment-related adverse events (TEAEs).

  7. Progression-free survival (PFS)

    Time frame: Baseline up to 1 year

    The time between the first medication and disease progression (PD) or death before PD.

  8. Disease control rate (DCR)

    Time frame: Baseline up to 2 years

    The ratio of disease control cases (partial remission, complete response, stable disease) to total cases.

  9. Duration of remission (DOR)

    Time frame: Baseline up to 2 years

    The time from the first evaluation of the tumor as a complete or partial response to the first evaluation as tumor progression or death.

  10. Clinical benefit rate (CBR)

    Time frame: Baseline up to 2 years

    The ratio of disease control cases (partial remission, complete response, stable disease ≥ 6 month) to total cases.

  11. Peak concentration (Cmax), arm 2

    Time frame: Pre-dose, 30 minuets after dose of Cycle 1 Day 1,Cycle 2 Day 1, Cycle 4 Day 1,Cycle 7 Day 1,Cycle 12 Day 1,Cycle 17 Day 1. each cycle is 28 days.

    The maximum serum concentration after administration in arm 2

  12. Peak concentration (Cmax), arm 3 and 4

    Time frame: Pre-dose, 30 minuets after dose of Cycle 1 Day 1,Cycle 2 Day 1, Cycle 4 Day 1,Cycle 7 Day 1,Cycle 12 Day 1,Cycle 17 Day 1. each cycle is 21 days.

    The maximum serum concentration after administration in arm 3 and 4.

Study contacts

Contact information is provided by the study sponsor or research team.

Qingyuan Zhang, Doctor

CONTACT

[email protected]

+86 0451 86298070

Xiaohua Zeng, Doctor

CONTACT

[email protected]

13983687701

Sponsors and collaborators

Lead sponsor

Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

Industry

Registry information

Official study title

A Phase Ib/II Clinical Trial to Evaluate the Safety and Efficacy of TQB2930 for Injection Monotherapy or in Combination for the Treatment of Human Epidermal Growth Factor Receptor 2 (HER2)-Positive Recurrent / Metastatic Breast Cancer

Important dates

Study start
2023
Primary completion
2026
Study completion
2027
First posted
Jan 11, 2024
Registry last updated
Mar 12, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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