A Study of Sacituzumab Govitecan Plus Toripalimab Versus Toripalimab Plus Nab-Paclitaxel in PD-L1 Positive Advanced TNBC
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Sacituzumab Govitecan (SG), Toripalimab, Nab-paclitaxel.
- Кому может быть актуально
- Состояния в реестре: Triple Negative Breast Neoplasms. Базовые параметры: от 18 лет · Женщины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
A Multi-center, Open-label, Randomized, Phase II Trial of Sacituzumab Govitecan Plus Toripalimab Versus Toripalimab Plus Nab-Paclitaxel as First-line Therapy in Patients With Unresectable, Locally Advanced or Metastatic Triple-Negative Breast Cancer
Обзор
This is a multicenter, open-label, randomized phase II trial evaluating the efficacy and safety of sacituzumab govitecan plus toripalimab versus toripalimab plus nab-paclitaxel in patients with previously untreated, unresectable, locally advanced or metastatic triple-negative breast cancer (TNBC) that is PD-L1 positive. Eligible patients will be randomized in a 1:1 ratio to receive either sacituzumab govitecan plus toripalimab or toripalimab plus nab-paclitaxel. Tumor response will be assessed by investigators according to RECIST v1.1 at baseline, every 6 weeks during the first year, and every 12 weeks thereafter. The primary objective is to evaluate progression-free survival (PFS). Secondary endpoints include overall survival (OS), objective response rate (ORR), duration of response (DOR), time to response (TTR), and safety profile according to NCI-CTCAE v5.0.
Вмешательства
- Препарат Sacituzumab Govitecan (SG)
Sacituzumab govitecan will be administered at 10 mg/kg via intravenous infusion on Days 1 and 8 of each 21-day cycle. The treatment continues until disease progression, unacceptable toxicity, or patient withdrawal. - Препарат Toripalimab
Toripalimab will be administered at a fixed dose of 240 mg via intravenous infusion on Day 1 of each 21-day cycle. Treatment continues until disease progression, unacceptable toxicity, or patient withdrawal. - Препарат Nab-paclitaxel
Nab-paclitaxel will be administered at 125 mg/m² via intravenous infusion on Days 1 and 8 of each 21-day cycle. Treatment continues until disease progression, unacceptable toxicity, or patient withdrawal.
Первичные конечные точки
- Progression-Free Survival (PFS) [Срок оценки: From randomization until disease progression or death, assessed up to 36 months]
Вторичные конечные точки (5)
- Overall Survival (OS) [Срок оценки: From randomization until death, assessed up to 48 months]
- Objective Response Rate (ORR) [Срок оценки: From first dose to first confirmed response, assessed up to 36 months]
- Duration of Response (DOR) [Срок оценки: From first response until progression or death, assessed up to 36 months]
- Time to Response (TTR) [Срок оценки: From randomization to first response, assessed up to 36 months]
- Incidence of Adverse Events and Serious Adverse Events [Срок оценки: From first dose until 30 days after last dose]
Критерии участия
Критерии включения
- Female patients aged ≥18 years.
- Histologically or cytologically confirmed triple-negative breast cancer (TNBC).
- Unresectable locally advanced or metastatic disease.
- PD-L1 positive (CPS ≥1 as assessed by central laboratory).
- No prior systemic treatment for advanced or metastatic TNBC.
- Measurable disease per RECIST v1.1.
- ECOG performance status of 0 or 1.
- Adequate hematologic, hepatic, and renal function.
- Willingness to provide informed consent.
Критерии исключения
- Prior treatment with any anti-PD-1, anti-PD-L1, or anti-CTLA-4 antibodies.
- Known active central nervous system metastases.
- Active autoimmune disease or history of autoimmune disorders requiring systemic treatment.
- Active infection requiring systemic therapy.
- Pregnancy or lactation.
- Other active malignancies requiring treatment within the past 5 years.
- History of severe hypersensitivity reactions to study drugs.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
Китай · 1 центр
- Sun Yat-sen Memorial Hospital of Sun Yat-sen University — Гуанчжоу
Идентификаторы
NCT: NCT07040644 · CO-US-979-7331