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Tests treatment safety and results for Breast Cancer
Official title To Evaluate the Efficacy and Safety of Disitamab Vedotin Combined With Toripalimab Sequential Chemotherapy as Neoadjuvant Treatment in Patients With HR-positive, HER2-low Breast Cancer
ClinicalTrials.gov ID: NCT06389006
What this study is testing
What is Disitamab Vedotin for Injection?
Disitamab Vedotin for Injection is an investigational medicine, given as an infusion into a vein, being studied as a potential treatment for breast cancer.
Also referred to as RC48.
Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.
- What it's testing
- The purpose of this study is to evaluate the efficacy and safety of Disitamab Vedotin combined with Toripalimab sequential chemotherapy as in patients with HR-positive, HER2-low breast cancer
- Phase 2: a mid-size study of how well it works
A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.
Who can take part
Ages 18 and older
You may be able to join if
- Voluntarily agree to participate in the study and sign the informed consent;
- Age ≥18 years old (including the threshold value);
- Histologically confirmed invasive breast cancer with clinical stage T1c-T2(≥2cm)cN1-2M0 or T3cN0-2M0;
- As assessed by the research Center, the people can tolerate and plan to undergo radical surgery for breast cancer and have not previously received...
- Invasive breast tumor tissue with low HER2 expression confirmed by the central laboratory is defined as IHC 1+ or IHC 2+ expression of HER2 protein...
You likely can't join if
- Bilateral invasive breast cancer;
- Previous history of invasive breast cancer;
- Previously had carcinoma in situ of the breast and received adjuvant endocrine therapy within 5 years of surgery;
- Use of the investigational drug or major surgery within 4 weeks prior to study dosing;
- Have received or plan to receive live or attenuated vaccine within 4 weeks before the start of study dose;
- Previous history of receiving allogeneic hematopoietic stem cell transplantation or organ transplantation;
See the full eligibility criteria
- Voluntarily agree to participate in the study and sign the informed consent;
- Age ≥18 years old (including the threshold value);
- Histologically confirmed invasive breast cancer with clinical stage T1c-T2(≥2cm)cN1-2M0 or T3cN0-2M0;
- As assessed by the research Center, the people can tolerate and plan to undergo radical surgery for breast cancer and have not previously received any anti-tumor systemic therapy for breast cancer;
- Invasive breast tumor tissue with low HER2 expression confirmed by the central laboratory is defined as IHC 1+ or IHC 2+ expression of HER2 protein detected by immunohistochemistry (IHC), and no amplification detected...
- According to the American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) 2020 guidelines, tumor tissue estrogen receptor (ER) and progesterone receptor (PgR) expression ≥ 1%;
- Histological grade (Nottingham grading system) G3 or G2 with ER expression
- ECOG physical status 0 or 1;
- At least one measurable lesion according to RECIST v1.1 standard;
- Heart function:
- New York Heart Association (NYHA) Grade \< 3;
- left ventricular ejection fraction ≥50%;
- Bone marrow or organ function should meet the following criteria within 7 days before the study dose: Hemoglobin ≥ 90g/L; Absolute neutrophil count (ANC) ≥1.5×109/L; Platelet ≥ 100 ×109/L; Serum total bilirubin ≤ 1.5...
- Fertile female people who meet the following conditions
- A serum pregnancy test (minimum sensitivity 25 mIU/mL or equivalent units of β-human chorionic gonadotropin [β-hCG]) must be negative within 72 hours before the first dosing of the study intervention. people with false...
- Must agree to contraception for the duration of the study and for at least 6 months after the last dose of investigational drug.
- Must agree not to breastfeed or donate eggs from the time of signing the informed consent until 6 months after the last dose of investigational drug.
- If sexually active and likely to result in pregnancy, continuous use of at least 2 acceptable forms of contraception, at least 1 of which must be highly effective from the time of the informed consent and continue until...
- Fertile male people who meet the following conditions
- Must agree not to donate sperm from the time of signing the informed consent until at least 4 months after the last dose of investigational drug.
- If sexual activity with a fertile person is likely to result in pregnancy, continuous use of at least 2 acceptable forms of contraception, at least 1 of which must be highly effective from the time of the informed...
- If sexually active with a pregnant or breastfeeding patient, condom use must continue from informed consent until at least 4 months after the last dosing of the investigational drug.
- Able to understand trial requirements, willing and able to follow trial and follow-up procedures.
- Bilateral invasive breast cancer;
- Previous history of invasive breast cancer;
- Previously had carcinoma in situ of the breast and received adjuvant endocrine therapy within 5 years of surgery;
- Use of the investigational drug or major surgery within 4 weeks prior to study dosing;
- Have received or plan to receive live or attenuated vaccine within 4 weeks before the start of study dose;
- Previous history of receiving allogeneic hematopoietic stem cell transplantation or organ transplantation;
- Previous treatment with PD-(L)1, PD-L2, CTLA4 inhibitors and other Antibody-Drug Conjugates;
- Uncontrolled or significant cardiovascular and cerebrovascular diseases
- Presence of other treatable or serious lung diseases, including but not limited to active tuberculosis, interstitial lung disease, etc.;
- Suffering from an active infection that requires systematic treatment;
- Have active autoimmune diseases requiring systemic treatment within the past 2 years, allowing for relevant replacement therapy;
- Have a clear past or present history of neurological or psychiatric disorders, including epilepsy or dementia;
- Persistent ≥ grade 2 sensory or motor neuropathy;
- In the judgment of the investigator, there is a serious concomitant disease that endangers the safety of the subject or interferes with the completion of the clinical study;
- Positive HIV test result; Patients with active hepatitis B or C; Persistent coronavirus (COVID-19) infection;
- Known hypersensitivity or delayed anaphylaxis to certain components of Disitamab Vedotin, and Toripalimab or Certain components of chemotherapy drugs or similar drugs used in the study;
- Suffering from another malignancy within 5 years prior to signing the informed consent
The study team makes the final eligibility decision.
Where it's taking place
- Shanghai, Fudan University Shanghai Cancer Center, China
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.
Where is this trial taking place?
Study sites include Shanghai, Fudan University Shanghai Cancer Center, China. Enter your location above to see the nearest site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.