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A Study of MRG002 in Treatment of Advanced HER-2 Positive Breast Cancer Patients

Primary Purpose

Breast Cancer With Liver Metastases

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
MRG002
Sponsored by
Shanghai Miracogen Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer With Liver Metastases focused on measuring MRG002, Antibody Drug Conjugate (ADC), HER2

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Willing to sign the informed consent form and follow the requirements specified in the protocol.
  2. Aged 18 to 75 (including 18 and 75), both genders; Life expectancy ≥ 12 weeks;
  3. The score of ECOG for performance status is 0 or 1
  4. Patients with HER2-positive breast cancer confirmed by central laboratory and with evidence of liver metastasis by imaging;
  5. Archival or biopsy tumor specimens should be provided (primary or metastatic) for HER2 testing;
  6. Patients must have measurable lesions according to the Response Criteria in Solid Tumors (RECISTv1.1);
  7. Organ functions must meet the basic requirements.
  8. Patients of childbearing potential are willing to take effective contraceptive measures from the time of signing the informed consent form to 6 months after last administration of the study drug.

Exclusion Criteria:

  1. Previous history of other primary malignancies;
  2. Presence of peripheral neuropathy ≥ grade 2 (according to CTCAE V5.0);
  3. Previously received antibody-drug conjugates, investigational drugs, anti-tumor vaccines or drugs, endocrine therapy for breast cancer, radiotherapy, CYP3A4 inhibitors or inducers, anthracyclines and other treatments;
  4. Central nervous system metastasis and/or neoplastic meningitis;
  5. History of decompensated cirrhosis, or liver metastases with a single lesion ≥ 10 cm in longest diameter;
  6. Pleural or peritoneal effusion with combined clinical symptoms, which seriously endangers the life safety of subjects or urgently requires clinical treatment; Or pericardial effusion with combined clinical symptoms;
  7. Any serious or uncontrolled systemic disease judged by the investigator;
  8. Uncontrolled cardiac disease;
  9. Evidence of active infection;
  10. Pulmonary embolism or deep venous thrombosis within 3 months prior to study treatment;
  11. History of interstitial pneumonia, severe chronic obstructive pulmonary disease, severe pulmonary dysfuction, symptomatic bronchospasm, etc.;
  12. Patients with active autoimmune disease or a history of autoimmune diseases who are receiving immunosuppressive agents or systemic hormone therapy, and are still using them within 2 weeks prior to enrollment;
  13. History of hypersensitivity to any component of MRG002 or known history of hypersensitivity of ≥ Grade 3 to trastuzumab injection;
  14. Uncontrolled tumor-related bone pain or urgent spinal cord compression;
  15. Other conditions inappropriate for participation in this study, as deemed by the investigator.

Sites / Locations

  • Fifth Medical Center of PLA General HospitalRecruiting
  • Sun Yat-sen Memorial HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

MRG002

Arm Description

MRG002 will be administrated via intravenous infusion of 2.6 mg/kg once on Day 1 of every 3 weeks (21-day cycle).

Outcomes

Primary Outcome Measures

Objective Response Rate (ORR) by Independent Review Committee (IRC)
ORR is defined as the proportion of subjects with complete response (CR) and partial response (PR) assessed by IRC according to RECIST v1.1.

Secondary Outcome Measures

Objective Response Rate (ORR) by Investigator
ORR is defined as the proportion of subjects with CR and PR assessed by investigator according to RECIST v1.1.
Duration of Response (DOR)
DOR is defined as the duration from the initial recording of objective disease response to the first onset of tumor progression, or death of any cause.
Clinical Benefit Rate (CBR)
CBR is defined as the proportion of subjects with CR, PR and stable disease (SD) ≥ 6 months after treatment.
Time to Response (TTR)
TTR is defined as the time from the start of treatment until the first occurrence of CR or PR by tumor assessment.
Disease Control Rate (DCR)
DCR is defined as the proportion of subjects achieving CR, PR, and stable disease (SD) after treatment.
Progression Free Survival (PFS)
PFS is defined as the duration from the start of treatment to the onset of tumor progression or death of any cause.
Overall Survival (OS)
OS is defined as the duration from the start of treatment to death of any cause.
Adverse Events (AEs)
Any reaction, side effect, or untoward event that occurs during the course of the clinical trial whether or not the event is considered related to the study drug.
PK parameters: concentration-time curve
Plot of drug concentration changing with time after drug administration.
Immunogenicity (ADA)
The proportion of patients with positive ADA results.

Full Information

First Posted
February 21, 2022
Last Updated
November 29, 2022
Sponsor
Shanghai Miracogen Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05263869
Brief Title
A Study of MRG002 in Treatment of Advanced HER-2 Positive Breast Cancer Patients
Official Title
An Open-label, Multi-center, Single-arm Phase II Clinical Study to Evaluate the Efficacy and Safety of MRG002 in Advanced HER-2 Positive Breast Cancer Patients Previously Treated With Trastuzumab and TKIs (Magic-009)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Recruiting
Study Start Date
March 23, 2022 (Actual)
Primary Completion Date
December 2022 (Anticipated)
Study Completion Date
October 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Miracogen Inc.

4. Oversight

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

5. Study Description

Brief Summary
The objective of this study is to assess the safety, efficacy, pharmacokinetics, and immunogenicity of MRG002 in patients with HER2 positive breast cancer with liver metastases.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer With Liver Metastases
Keywords
MRG002, Antibody Drug Conjugate (ADC), HER2

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
MRG002
Arm Type
Experimental
Arm Description
MRG002 will be administrated via intravenous infusion of 2.6 mg/kg once on Day 1 of every 3 weeks (21-day cycle).
Intervention Type
Drug
Intervention Name(s)
MRG002
Intervention Description
Administrated intravenously
Primary Outcome Measure Information:
Title
Objective Response Rate (ORR) by Independent Review Committee (IRC)
Description
ORR is defined as the proportion of subjects with complete response (CR) and partial response (PR) assessed by IRC according to RECIST v1.1.
Time Frame
Baseline to study completion (up to 12 months)
Secondary Outcome Measure Information:
Title
Objective Response Rate (ORR) by Investigator
Description
ORR is defined as the proportion of subjects with CR and PR assessed by investigator according to RECIST v1.1.
Time Frame
Baseline to study completion (up to 12 months)
Title
Duration of Response (DOR)
Description
DOR is defined as the duration from the initial recording of objective disease response to the first onset of tumor progression, or death of any cause.
Time Frame
Baseline to study completion (up to 12 months)
Title
Clinical Benefit Rate (CBR)
Description
CBR is defined as the proportion of subjects with CR, PR and stable disease (SD) ≥ 6 months after treatment.
Time Frame
Baseline to study completion (up to 12 months)
Title
Time to Response (TTR)
Description
TTR is defined as the time from the start of treatment until the first occurrence of CR or PR by tumor assessment.
Time Frame
Baseline to study completion (up to 12 months)
Title
Disease Control Rate (DCR)
Description
DCR is defined as the proportion of subjects achieving CR, PR, and stable disease (SD) after treatment.
Time Frame
Baseline to study completion (up to 12 months)
Title
Progression Free Survival (PFS)
Description
PFS is defined as the duration from the start of treatment to the onset of tumor progression or death of any cause.
Time Frame
Baseline to study completion (up to 12 months)
Title
Overall Survival (OS)
Description
OS is defined as the duration from the start of treatment to death of any cause.
Time Frame
Baseline to study completion (up to 12 months)
Title
Adverse Events (AEs)
Description
Any reaction, side effect, or untoward event that occurs during the course of the clinical trial whether or not the event is considered related to the study drug.
Time Frame
Baseline to 30 days after the last dose of study treatment
Title
PK parameters: concentration-time curve
Description
Plot of drug concentration changing with time after drug administration.
Time Frame
Baseline to 14 days after decision to discontinue treatment
Title
Immunogenicity (ADA)
Description
The proportion of patients with positive ADA results.
Time Frame
Baseline to 14 days after decision to discontinue treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Willing to sign the informed consent form and follow the requirements specified in the protocol. Aged 18 to 75 (including 18 and 75), both genders; Life expectancy ≥ 12 weeks; The score of ECOG for performance status is 0 or 1 Patients with HER2-positive breast cancer confirmed by central laboratory and with evidence of liver metastasis by imaging; Archival or biopsy tumor specimens should be provided (primary or metastatic) for HER2 testing; Patients must have measurable lesions according to the Response Criteria in Solid Tumors (RECISTv1.1); Organ functions must meet the basic requirements. Patients of childbearing potential are willing to take effective contraceptive measures from the time of signing the informed consent form to 6 months after last administration of the study drug. Exclusion Criteria: Previous history of other primary malignancies; Presence of peripheral neuropathy ≥ grade 2 (according to CTCAE V5.0); Previously received antibody-drug conjugates, investigational drugs, anti-tumor vaccines or drugs, endocrine therapy for breast cancer, radiotherapy, CYP3A4 inhibitors or inducers, anthracyclines and other treatments; Central nervous system metastasis and/or neoplastic meningitis; History of decompensated cirrhosis, or liver metastases with a single lesion ≥ 10 cm in longest diameter; Pleural or peritoneal effusion with combined clinical symptoms, which seriously endangers the life safety of subjects or urgently requires clinical treatment; Or pericardial effusion with combined clinical symptoms; Any serious or uncontrolled systemic disease judged by the investigator; Uncontrolled cardiac disease; Evidence of active infection; Pulmonary embolism or deep venous thrombosis within 3 months prior to study treatment; History of interstitial pneumonia, severe chronic obstructive pulmonary disease, severe pulmonary dysfuction, symptomatic bronchospasm, etc.; Patients with active autoimmune disease or a history of autoimmune diseases who are receiving immunosuppressive agents or systemic hormone therapy, and are still using them within 2 weeks prior to enrollment; History of hypersensitivity to any component of MRG002 or known history of hypersensitivity of ≥ Grade 3 to trastuzumab injection; Uncontrolled tumor-related bone pain or urgent spinal cord compression; Other conditions inappropriate for participation in this study, as deemed by the investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Program Director
Phone
86-21-61637960
Email
clinicaltrials@miracogen.com.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zefei Jiang, MD
Organizational Affiliation
Fifth Medical Center of PLA General Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Qiang Liu, MD
Organizational Affiliation
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fifth Medical Center of PLA General Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100071
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zefei Jiang, Doctor
Phone
13901372170
Email
jiangzefei@csco.cog.cn
Facility Name
Sun Yat-sen Memorial Hospital
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510300
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Qiang Liu, Doctor
Phone
18922182851
Email
liuqiang_ng_sysu@163.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study of MRG002 in Treatment of Advanced HER-2 Positive Breast Cancer Patients

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