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Metastatic Breast CancerPhase 1/2NCT06202261

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

A Phase 1/2 study testing TQB2930 for injection, Paclitaxel for injection (albumin-bound) and TQB3616 capsule in people with Metastatic Breast Cancer and Recurrent Breast Cancer, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 2 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
TQB2930 for injection, Paclitaxel for injection (albumin-bound) and TQB3616 capsule
Could I receive a placebo?
No, everyone receives an active treatment
How many people
154 participants
Where
2 sitesChina
Study dates
13 Apr 2023to Oct 2027
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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
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  • 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.

Who cannot join

  • 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;
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  • 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.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Qingyuan Zhang, Doctor contact

+86 0451 86298070

sy86298276@163.com

Xiaohua Zeng, Doctor contact

13983687701

zengxiaohua000017@163.com

China2 sites, 2 recruiting
  • Affiliated Cancer Hospital of Chongqing University

    Chongqing, Chongqing Municipality, 400000

    Xiaohua Zeng, 13983687701, zengxiaohua000017@163.com

    Recruiting
  • Affiliated cancer hospital of harbin medical university

    Harbin, Heilongjiang, 150001

    Qingyuan Zhang, Doctor, +86 0451 86298070, sy86298276@163.com

    Recruiting

Other trials in China

About this study

Official 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

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).

Being tested
TQB2930 for injection, Paclitaxel for injection (albumin-bound), TQB3616 capsule, Fulvestrant injection, Capecitabine tablets
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TQB2930 for injectionDrug

    TQB2930 for injection is a HER2 bispecific antibody.

  • Paclitaxel for injection (albumin-bound)Drug

    It is an anti-microtubule chemotherapy drug

  • TQB3616 capsuleDrug

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

  • Fulvestrant injectionDrug

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

  • Capecitabine tabletsDrug

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

  • Vinorelbine tartrate injectionDrug

    Vinorelbine is an anti-tumor drug of vinca alkaloids.

  • Eribulin mesylate injectionDrug

    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 injectionDrug

    Gemcitabine is a cell cycle specific anti-metabolic anticancer agent

Study groups in NCT06202261
Study groupRoleWhat they receive
TQB2930 for injectionExperimentalTQB2930 for injection,10 mg/kg, quaque week (QW), 21 day as a treatment cycle; TQB2930 for injection, 20 mg/kg, quaque 2 weeks (Q2W), 28 day as a treatment cycle; TQB2930 for injection,30 mg/kg, quaque 3 weeks (Q3W), 21 day as a treatment cycle.
Receives: Drug: TQB2930 for injection
TQB2930 for injection 30mg/kg + Paclitaxel for injection (albumin-bound)ExperimentalTQB2930 for injection 30mg/kg combined with paclitaxel (albumin-bound) for injection, 21 days for one treatment cycle
Receives: Drug: TQB2930 for injection; Drug: Paclitaxel for injection (albumin-bound)
TQB2930 for injection+TQB3616 capsule for injection + fulvestrant injectionExperimentalTQB2930 for injection 20mg/kg combined with TQB3616 capsule 120mg or 150mg or 180mg, and fulvestrant injection. Q2W, 28 days a cycle.
Receives: Drug: TQB2930 for injection; Drug: TQB3616 capsule; Drug: Fulvestrant injection
TQB2930 for injection + chemotherapyExperimentalTQB2930 for injection 30mg/kg combined with capecitabine tablets or vinorelbine tartrate injection or eribulin mesylate injection or gemcitabine hydrochloride for injection, 21 days a cycle.
Receives: Drug: TQB2930 for injection; Drug: Capecitabine tablets; Drug: Vinorelbine tartrate injection; Drug: Eribulin mesylate injection; Drug: gemcitabine hydrochloride for injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum tolerated dose (MTD)

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

    Measured: Baseline up to 4 months

  2. Phase II recommended dose (P2RD)

    Optimal tolerated dose determined after the end of phase 1

    Measured: Baseline up to 1 year

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

    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.

    Measured: Baseline up to 2 year

Secondary outcomes (12)
  1. Immunogenicity

    Incidence of anti-drug antibody (ADA)

    Measured: 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.

  2. Peak concentration (Cmax), QW

    The maximum serum concentration after administration

    Measured: 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.

  3. Peak concentration (Cmax), Q2W

    The maximum serum concentration after administration

    Measured: 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.

  4. Peak concentration (Cmax), Q3W

    The maximum serum concentration after administration

    Measured: 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.

  5. Overall survival (OS)

    From randomization to the time of death from any cause.

    Measured: Baseline up to 4 years

  6. Adverse event rate

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

    Measured: Baseline up to 2 years

  7. Progression-free survival (PFS)

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

    Measured: Baseline up to 1 year

  8. Disease control rate (DCR)

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

    Measured: Baseline up to 2 years

  9. Duration of remission (DOR)

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

    Measured: Baseline up to 2 years

  10. Clinical benefit rate (CBR)

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

    Measured: Baseline up to 2 years

  11. Peak concentration (Cmax), arm 2

    The maximum serum concentration after administration in arm 2

    Measured: 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.

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

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

    Measured: 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.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jan 2024
  2. Study start13 Apr 2023
  3. Primary completionDec 2026 (estimated)
  4. Study completionOct 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
154 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06202261
Sponsor's protocol ID
TQB2930-Ib/II-01
Status last verified
Mar 2024
First submitted
2 Jan 2024
Last updated
12 Mar 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing TQB2930 for injection, Paclitaxel for injection (albumin-bound) and TQB3616 capsule in people with Metastatic Breast Cancer and Recurrent Breast Cancer, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 2 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 12 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Qingyuan Zhang, Doctor (+86 0451 86298070, sy86298276@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum tolerated dose (MTD) (time frame: Baseline up to 4 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Mar 2024.

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