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NCT Number: NCT05814354

SHR-A1811 Versus Investigator's Chemotherapy in Recurrent/Metastatic Breast Cancer Clinical Trial

The aim of this study was to evaluate whether the progression-free survival of SHR-A1811 was superior to investigator-selected chemotherapy in patients with HER2-low recurrent/metastatic breast cancer. To evaluate whether SHR-A1811 is superior to investigator-selected chemotherapy in patients with HER2-low recurrent/metastatic breast cancer.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year–75 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 3

Primary location

Cancer Hospital Chinese Academy of Medical Sciences

Beijing, Beijing Municipality, 100021, China

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Low-HER2 expression defined as IHC 2+/ISH- or IHC 1+ (ISH- or untested).
  • HR-positive breast cancer with at least one endocrine therapy and disease progression was judged by the investigator to no longer benefit from endocrine therapy.
  • Has been treated with 0 to 1 prior lines of chemotherapy in the metastatic setting.
  • Has documented radiologic progression (during or after most recent treatment).
  • Has at least 1 protocol-defined measurable lesion.
  • Has protocol-defined adequate cardiac, bone marrow, renal, hepatic and blood clotting functions.
  • Fertile women (WOCBP) subjects agreed to use highly effective contraception and not to breastfeed from the time of study screening until 7 months after receiving the last study medication; a fertile woman must have a negative serum pregnancy test result within 7 days prior to the first treatment.

Exclusion criteria

  • Has known active central nervous system (CNS) metastases. Subjects with previously treated brain metastases may participate provided they are stable.
  • A history of human immunodeficiency virus (HIV) infection is known, or has an active autoimmune disease.
  • History of interstitial lung disease or pneumonia requiring oral or intravenous steroids.
  • Has moderate or severe cardiovascular disease.
  • Active HBV(hepatitis B) or HCV (Hepatitis C virus)-infected subjects.
  • Any other malignancies within 5 years except for those with negligible risk of metastasis or death.

Treatment and study plan

SHR-A1811

Drug

SHR-A1811 is a lyophilized powder for injection intravenously. Administered according to label, as one option for Physician's Choice.

Capecitabine/Eribulin/Gemcitabine/Paclitaxel/Nab-paclitaxel

Drug

Administered according to label, as one option for Physician's Choice (determined before randomization).

Primary outcomes

  1. Progression-free Survival (PFS) Based on Blind Independent Video Review Committee (BIRC)

    Time frame: within approximately 2 years

Secondary outcomes

  1. Overall Survival (OS)

    Time frame: within approximately 3 years

    Time from the date of randomization to the date of death for any cause. If there is no death reported for a participant before the data cutoff for OS analysis, OS will be censored at the last contact date at which the participant is known to be alive.

  2. Objective Response Rate (ORR)

    Time frame: within approximately 2 years

    Percentage of participants who achieved a best overall response of complete response (CR) or partial response (PR), confirmed by a second assessment.

  3. Duration of Response (DoR)

    Time frame: within approximately 2 years

    DoR is defined as the time from the first documented objective response (CR or PR) to the first documented disease progression or death.

  4. Clinical Benefit Rate (CBR)

    Time frame: within approximately 2 years

    CBR is defined as complete response (CR), partial response (PR), or stable disease (SD) according to RECIST 1.1.

Sponsors and collaborators

Lead sponsor

Jiangsu HengRui Medicine Co., Ltd.

Industry

Registry information

Official study title

A Randomized, Open, Parallel-controlled, Multicenter Phase III Trial of SHR-A1811 Versus Investigator Chemotherapy in HER2-low Expressing Recurrent/Metastatic Breast Cancer

Important dates

Study start
2023
Primary completion
2026
Study completion
2028
First posted
Apr 14, 2023
Registry last updated
Aug 6, 2026

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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