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RC48 for Neoadjuvant Chemotherapy of HER2 Positive Breast Cancer

Primary Purpose

Breast Cancer, HER2-positive Breast Cancer

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Recombinant humanized anti-HER2 monoclonal antibody-MMAE coupling agent (RC48-ADC)
Sponsored by
Xijing Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Enrolled were ≥ 18 years of age and < 80 years of age
  2. Female or male breast cancer
  3. Patients with early or locally advanced breast cancer who are HER2-positive, have a tumor larger than 2 cm and/or have lymph node metastasis: HER2-positive is defined as 3 + by immunohistochemistry, or 2 + by immunohistochemistry, with a positive FISH test.
  4. Left ventricular score ≥ 55%
  5. ECOGPS score 0 or 1
  6. Able to understand the test requirements, willing and able to comply with the test and follow-up procedures
  7. Adequate organ function

Exclusion Criteria:

  1. cardiac, hepatic, renal, or psychiatric disease history
  2. History of other malignancy within the last 5 years, with the exception of adequately treated basal or squamous cell carcinoma of the skin or carcinoma in situ of the cervix.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    RC48 for neadjuvant chemotherapy

    Arm Description

    RC48-ADC: 2.0 mg/kg, IV drip, Q2W

    Outcomes

    Primary Outcome Measures

    Pathological complete response rate (pCR)
    absence of invasive carcinoma in the breast and axillary lymph nodes, while residual ductal carcinoma in situ was accepted (ypT0orTisypN0).

    Secondary Outcome Measures

    adverse effects
    Serious adverse effect occur within neoadjuvant chemotherapy

    Full Information

    First Posted
    September 23, 2021
    Last Updated
    November 14, 2021
    Sponsor
    Xijing Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05134519
    Brief Title
    RC48 for Neoadjuvant Chemotherapy of HER2 Positive Breast Cancer
    Official Title
    Phase II Clinical Study to Evaluate the Efficacy and Safety of Recombinant Humanized Anti-HER2 Monoclonal Antibody-MMAE Coupling Agent (RC48-ADC) for Neoadjuvant Treatment of Breast Cancer With Positive HER2 Expression (Seraph)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2021
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    November 26, 2021 (Anticipated)
    Primary Completion Date
    September 30, 2024 (Anticipated)
    Study Completion Date
    September 30, 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Xijing Hospital

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    This is a single-arm exploratory study to explore the effect of RC48 in HER2-positive neoadjuvant therapy and evaluate the non-inferiority of RC48 by comparing the latest reported data of T-DM1 in neoadjuvant therapy.
    Detailed Description
    A single-arm exploratory study was conducted in 20 patients with HER2-positive breast cancer to explore the effect of RC48 in HER2-positive neoadjuvant therapy (treatment regimen: RC482.0 mg/kg, intravenous drip, once every 2 weeks). After 4-6 cycles, surgery was performed to evaluate the effect of neoadjuvant chemotherapy. The latest reported data of T-DM1 in neoadjuvant therapy were compared to evaluate the non-inferiority of RC48.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Breast Cancer, HER2-positive Breast Cancer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    20 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    RC48 for neadjuvant chemotherapy
    Arm Type
    Experimental
    Arm Description
    RC48-ADC: 2.0 mg/kg, IV drip, Q2W
    Intervention Type
    Drug
    Intervention Name(s)
    Recombinant humanized anti-HER2 monoclonal antibody-MMAE coupling agent (RC48-ADC)
    Other Intervention Name(s)
    RC48
    Intervention Description
    Regimen: RC48-ADC: 2.0 mg/kg, intravenous drip, once every 2 weeks,4-6 cycles
    Primary Outcome Measure Information:
    Title
    Pathological complete response rate (pCR)
    Description
    absence of invasive carcinoma in the breast and axillary lymph nodes, while residual ductal carcinoma in situ was accepted (ypT0orTisypN0).
    Time Frame
    At the end of Cycle 1 (each cycle is 14 days)
    Secondary Outcome Measure Information:
    Title
    adverse effects
    Description
    Serious adverse effect occur within neoadjuvant chemotherapy
    Time Frame
    during the period of neadjuvant chemotherapy

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Enrolled were ≥ 18 years of age and < 80 years of age Female or male breast cancer Patients with early or locally advanced breast cancer who are HER2-positive, have a tumor larger than 2 cm and/or have lymph node metastasis: HER2-positive is defined as 3 + by immunohistochemistry, or 2 + by immunohistochemistry, with a positive FISH test. Left ventricular score ≥ 55% ECOGPS score 0 or 1 Able to understand the test requirements, willing and able to comply with the test and follow-up procedures Adequate organ function Exclusion Criteria: cardiac, hepatic, renal, or psychiatric disease history History of other malignancy within the last 5 years, with the exception of adequately treated basal or squamous cell carcinoma of the skin or carcinoma in situ of the cervix.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    RC48 for Neoadjuvant Chemotherapy of HER2 Positive Breast Cancer

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