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Recruiting

NCT Number: NCT07461454

YL202 Versus Treatment of Physician's Choice in Patients With HR+/HER2- Breast Cancer

The study will evaluate the safety and efficacy of YL202, when compared with treatment of physician's choice (eribulin, capecitabine, vinorelbine, gemcitabine or sacituzumab govitecan) in participants with unresectable locally advanced, recurrent or metastatic hormone receptor-positive and human epidermal growth factor receptor 2-negative (HR+/HER2-) breast cancer who had failed at least one line of chemotherapy.

Recruiting

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Key information

Age range

18 year–75 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 3

Primary location

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, 201321, China

Location status: Recruiting

Location contact

study coordinator

CONTACT

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Have been informed of the study before the start of the study and voluntarily sign name and date on the informed consent form.
  • Histologically and/or cytologically confirmed locally advanced or metastatic HR+/HER2- breast cancer who are not candidates for curative surgery or radiotherapy.
  • Patients who had failed at least one line of systemic chemotherapy in unresectable locally advanced, recurrent, or metastatic stage.
  • Have at least 1 extracranial measurable lesion as a target lesion per RECIST 1.1.
  • Tumor tissue samples can be provided at the time of diagnosis of locally advanced or metastatic tumors.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 1.
  • Have Adequate organ and bone marrow function within 7 days prior to the first dose.
  • Female patients of childbearing potential must agree to use highly effective contraception from screening throughout the duration of the study and for at least 6 months after the last dose of study drug.
  • Have a expected survival ≥ 3 months.
  • Have ability and willingness to comply with protocol-specified visits and procedures.

Exclusion criteria

  • Have prior treatment with an agent targeting HER3.
  • Have prior treatment with topoisomerase I inhibitor or an ADC that consists of topoisomerase I inhibitor.
  • Have insufficient washout period for prior anticancer therapy prior to first dose of the study drug.
  • Have major surgery (excluding diagnostic surgery) within 4 weeks prior to the first dose of study drug or anticipation of major surgery during the study.
  • Leptomeningeal metastases or carcinomatous meningitis, spinal cord compression.
  • Have uncontrolled or clinically significant cardiovascular and cerebrovascular disease.
  • Have clinically significant concomitant pulmonary diseases.
  • Have uncontrolled pleural effusion, abdominal effusion.
  • Have serious infection within 4 weeks prior to the first dose.
  • Have a history of severe hypersensitivity reactions to the drug substance, inactive ingredients in the drug product, or other monoclonal antibodies.

Treatment and study plan

YL202

Drug

IV infusion on day 1 of each 21 day cycle

Eribulin

Drug

1.4 mg/m2, IV infusion on day 1 and Day 8 of each 21 day cycle

Capecitabine

Drug

1000 or 1250 mg/m2, po, bid, from day 1 to Day 14 of each 21 day cycle

Gemcitabine

Drug

1000 mg/m2, IV infusion on day 1 and Day 8 of each 21 day cycle

Vinorelbine

Drug

25 mg/m2, IV infusion on day 1 and Day 8 of each 21 day cycle

Sacituzumab govitecan

Drug

10 mg/kg, IV infusion on day 1 and Day 8 of each 21 day cycle

Primary outcomes

  1. Progression-free survival (PFS) assessed by BIRC per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.

    Time frame: up to 18 months

    PFS is defined as time from randomization until disease progression or death due to any cause.

Secondary outcomes

  1. Overall Survival (OS)

    Time frame: up to 36 months

    OS is defined as time from randomization until the date of death due to any cause.

  2. Progression-free survival (PFS) assessed by the investigators per RECIST V 1.1

    Time frame: up to 18 months

    PFS is defined as time from randomization until disease progression or death due to any cause.

  3. Objective Response Rate (ORR)

    Time frame: up to 18 months

    Objective response rate is defined as the proportion of participants who have a CR or PR, as determined by the BICR/Investigator assessment, per RECIST 1.1.

  4. Duration of Response (DoR)

    Time frame: up to 18 months

    Duration of response is defined as the time from the date of first documented confirmed response until disease progression, as determined by BICR/Investigator assessment or death due to any cause.

  5. Disease Control Rate (DCR)

    Time frame: up to 18 months

    DCR is defined as the percentage of participants who have a CR, PR or SD, per RECIST 1.1, as determined by BICR/Investigator assessment, per RECIST 1.1.

  6. Adverse Events (AEs)

    Time frame: up to 36 months

    Incidence and severity of AEs and clinically significant abnormal laboratory findings.

Study contacts

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

Medilink Study Team

CONTACT

[email protected]

+86 0512-62858368

Sponsors and collaborators

Lead sponsor

MediLink Therapeutics (Suzhou) Co., Ltd.

Industry

Registry information

Official study title

A Randomized, Open-label, Multicenter, Phase 3 Study of YL202 Versus Treatment of Physician's Choice in Patients With Unresectable Locally Advanced, Recurrent or Metastatic HR+/HER2- Breast Cancer Who Had Failed at Least One Line of Chemotherapy

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
Mar 10, 2026
Registry last updated
May 26, 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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