search
Back to results

Precise Treatment for BLIS Subtype of TNBC in the First-line Treatment of Locally Advanced or Metastatic Breast Cancer

Primary Purpose

Triple-Negative Breast Cancer

Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
VEGFR
nab-paclitaxel
Eribulin Mesylate/Vinorelbine/Capecitabine/Carboplatin
Sponsored by
Fudan University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Triple-Negative Breast Cancer

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: ECOG Performance Status of 0-1 Expected lifetime of not less than three months Metastatic or locally advanced, histologically documented TNBC (absence of HER2, ER, and PR expression) Cancer stage: recurrent or metastatic breast cancer; Local recurrence be confirmed by the researchers could not be radical resection Patients had received no previous chemotherapy or targeted therapy for metastatic triple-negative breast cancer At least one measurable or non-measurable lesion according to Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1), which didn't receive radiation therapy The functions of major organs are basically normal For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures as outlined for each specific treatment arm Have the cognitive ability to understand the protocol and be willing to participate and to be followed up Exclusion Criteria: Symptomatic, untreated, or actively progressing CNS metastases Significant cardiovascular disease Adverse reactions of Grade ≥1 that are still continuing due to previous treatments. Exceptions are those of hair loss or which researchers take it as exception Active hepatitis B or hepatitis C History of malignancy other than breast cancer within 5 years prior to screening, with the exception of those with a negligible risk of metastasis or death Pregnancy or breastfeeding, or intention of becoming pregnant during the study History of gastrointestinal bleeding within 6 months or any serious bleeding events Abdominal fistula, gastrointestinal perforation or abdominal abscess occurred within 28 days before participating in this study Long-term unhealing wound or incomplete healing of fracture Urine protein ≥2+ and 24h urine protein quantitative > 1 g Patients suffering from hypertension and unable to reach the normal range after antihypertensive drug treatment (systolic blood pressure >140mmHg, diastolic blood pressure >90mmHg)

Sites / Locations

  • Breast cancer institute of Fudan University Cancer HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Experimental

Active Comparator

Arm Label

De novo or DFI≥12m Arm 1

De novo or DFI≥12m Arm 2

DFI<12m Arm 1

DFI<12m Arm 2

Arm Description

If patients were De novo or their disease-free interval (DFI) were more than or equal to 12 months and were randomized to experimental arm, they would receive VEGFR BP102 with nab-palitaxel (Nab-P).

If patients were De novo or their disease-free interval (DFI) were more than or equal to 12 months and were randomized to control arm, they would receive nab-palitaxel (Nab-P).

If patients' disease-free interval (DFI) were less than 12 months and were randomized to experimental arm, they would receive VEGFR BP102 with treatment of physician's choice (TPC).

If patients' disease-free interval (DFI) were less than 12 months and were randomized to control arm, they would receive physician's choice (TPC).

Outcomes

Primary Outcome Measures

PFS
time to progressive disease (according to RECIST1.1)

Secondary Outcome Measures

ORR
The proportion of participants whose best outcome is complete remission or partial remission (according to RECIST1.1)
DoR
Duration of Overall Response.The date of the first assessed PR/CR (according to RECIST 1.1) to the date of the first assessed tumor progression (according to RECIST 1.1) or death from any cause.
DCR
The percentage of subjects with CR+PR+SD and last more than 4 weeks in all of the participants with measurable lesions.
OS
Time to death due to any cause

Full Information

First Posted
March 9, 2023
Last Updated
June 4, 2023
Sponsor
Fudan University
search

1. Study Identification

Unique Protocol Identification Number
NCT05806060
Brief Title
Precise Treatment for BLIS Subtype of TNBC in the First-line Treatment of Locally Advanced or Metastatic Breast Cancer
Official Title
Precise Treatment for BLIS Subtype of Triple-negative Breast Cancer in the First-line Treatment of Locally Advanced or Metastatic Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 25, 2023 (Actual)
Primary Completion Date
August 31, 2025 (Anticipated)
Study Completion Date
February 28, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Fudan University

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
The study is being conducted to evaluate VEGFR BP102 with nab-paclitaxe or treatment of physician's choice (TPC) versus nab-paclitaxe or TPC in patients for basal-like immune suppressed (BLIS) subtype of triple-negative breast cancer (TNBC) in the first-line teatment of unresectable locally advanced or metastatic TNBC.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
192 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
De novo or DFI≥12m Arm 1
Arm Type
Experimental
Arm Description
If patients were De novo or their disease-free interval (DFI) were more than or equal to 12 months and were randomized to experimental arm, they would receive VEGFR BP102 with nab-palitaxel (Nab-P).
Arm Title
De novo or DFI≥12m Arm 2
Arm Type
Active Comparator
Arm Description
If patients were De novo or their disease-free interval (DFI) were more than or equal to 12 months and were randomized to control arm, they would receive nab-palitaxel (Nab-P).
Arm Title
DFI<12m Arm 1
Arm Type
Experimental
Arm Description
If patients' disease-free interval (DFI) were less than 12 months and were randomized to experimental arm, they would receive VEGFR BP102 with treatment of physician's choice (TPC).
Arm Title
DFI<12m Arm 2
Arm Type
Active Comparator
Arm Description
If patients' disease-free interval (DFI) were less than 12 months and were randomized to control arm, they would receive physician's choice (TPC).
Intervention Type
Drug
Intervention Name(s)
VEGFR
Other Intervention Name(s)
BP102
Intervention Description
VEGFR
Intervention Type
Drug
Intervention Name(s)
nab-paclitaxel
Intervention Description
Nab paclitaxel
Intervention Type
Drug
Intervention Name(s)
Eribulin Mesylate/Vinorelbine/Capecitabine/Carboplatin
Intervention Description
TPC
Primary Outcome Measure Information:
Title
PFS
Description
time to progressive disease (according to RECIST1.1)
Time Frame
Randomization until the first occurrence of disease progression or death from any cause, which ever occurs first, through the end of study (approximately 1.5 years)
Secondary Outcome Measure Information:
Title
ORR
Description
The proportion of participants whose best outcome is complete remission or partial remission (according to RECIST1.1)
Time Frame
max 6 months
Title
DoR
Description
Duration of Overall Response.The date of the first assessed PR/CR (according to RECIST 1.1) to the date of the first assessed tumor progression (according to RECIST 1.1) or death from any cause.
Time Frame
max 6 months
Title
DCR
Description
The percentage of subjects with CR+PR+SD and last more than 4 weeks in all of the participants with measurable lesions.
Time Frame
max 6 months
Title
OS
Description
Time to death due to any cause
Time Frame
approximately 3 years

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ECOG Performance Status of 0-1 Expected lifetime of not less than three months Metastatic or locally advanced, histologically documented TNBC (absence of HER2, ER, and PR expression) Cancer stage: recurrent or metastatic breast cancer; Local recurrence be confirmed by the researchers could not be radical resection Patients had received no previous chemotherapy or targeted therapy for metastatic triple-negative breast cancer At least one measurable or non-measurable lesion according to Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1), which didn't receive radiation therapy The functions of major organs are basically normal For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures as outlined for each specific treatment arm Have the cognitive ability to understand the protocol and be willing to participate and to be followed up Exclusion Criteria: Symptomatic, untreated, or actively progressing CNS metastases Significant cardiovascular disease Adverse reactions of Grade ≥1 that are still continuing due to previous treatments. Exceptions are those of hair loss or which researchers take it as exception Active hepatitis B or hepatitis C History of malignancy other than breast cancer within 5 years prior to screening, with the exception of those with a negligible risk of metastasis or death Pregnancy or breastfeeding, or intention of becoming pregnant during the study History of gastrointestinal bleeding within 6 months or any serious bleeding events Abdominal fistula, gastrointestinal perforation or abdominal abscess occurred within 28 days before participating in this study Long-term unhealing wound or incomplete healing of fracture Urine protein ≥2+ and 24h urine protein quantitative > 1 g Patients suffering from hypertension and unable to reach the normal range after antihypertensive drug treatment (systolic blood pressure >140mmHg, diastolic blood pressure >90mmHg)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Zhimin Shao
Phone
86-021-64175590
Ext
8888
Email
zhimingshao@yahoo.com
Facility Information:
Facility Name
Breast cancer institute of Fudan University Cancer Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200032
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhi-Ming Shao, MD
Phone
86-21-641755901105
Email
zhimingshao@yahoo.com
First Name & Middle Initial & Last Name & Degree
Lei Fan, MD
Phone
86-21-641755901105
Email
cmchen@medmail.com.cn
First Name & Middle Initial & Last Name & Degree
Zhi-Ming Shao, MD
First Name & Middle Initial & Last Name & Degree
Min He, MD
First Name & Middle Initial & Last Name & Degree
Linxiaoxi Ma, MD
First Name & Middle Initial & Last Name & Degree
Ying Zhou

12. IPD Sharing Statement

Learn more about this trial

Precise Treatment for BLIS Subtype of TNBC in the First-line Treatment of Locally Advanced or Metastatic Breast Cancer

We'll reach out to this number within 24 hrs