Study of Sacituzumab Govitecan-hziy Versus Treatment of Physician's Choice in Participants With HR+/HER2- Metastatic Breast Cancer (TROPiCS-02)
Metastatic Breast Cancer
About this trial
This is an interventional treatment trial for Metastatic Breast Cancer
Eligibility Criteria
Key Inclusion Criteria:
- Documented evidence of hormone receptor-positive human epidermal growth factor receptor 2 negative (HER2-negative) (hormonal receptor-positive (HR+)/HER2-) metastatic breast cancer (MBC) confirmed
Refractory to or relapsed after at least 2, and no more than 4, prior systemic chemotherapy regimens for MBC including:
- At least 1 prior anticancer hormonal treatment.
- At least 1 cyclin-dependent kinase inhibitor 4/6 in the metastatic setting.
- Eligible for one of the chemotherapy options listed in the TPC arm
- Documented disease progression after the most recent therapy
- Adequate bone marrow function (hemoglobin ≥ 9 g/dL, absolute neutrophil count (ANC) ≥ 1,500 per mm^3, platelets ≥ 100,000 per mm^3).
- Adequate renal function: calculated creatinine clearance ≥ 30 mL/minute according to the Cockcroft and Gault formula
- Adequate hepatic function (bilirubin ≤ 1.5 institutional upper limit of normal (IULN), aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) ≤ 2.5 x IULN or 5.0 x IULN)
- Females must not be lactating or pregnant at Screening or Baseline (as documented by a negative beta human chorionic gonadotropin (ß-hCG))
Key Exclusion Criteria:
- Previous treatment with topoisomerase 1 Inhibitors as a free form or as other formulations
- History of significant cardiovascular disease or clinically significant electrocardiogram (ECG) abnormality
- Individuals with Gilbert's disease.
- Active serious infection requiring antibiotics
- Individuals with a history of an anaphylactic reaction to irinotecan
- Other concurrent medical or psychiatric conditions that, in the Investigator's opinion, may be likely to confound study interpretation or prevent completion of study procedures and follow-up examinations.
- Locally advanced MBC (stage IIIc) in individuals who are candidates for curative intent therapy at the time of study enrollment
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- HonorHealth Research Institute
- Arizona Oncology Associates, PC
- Highlands Oncology Group
- University of California, San Diego Moores Cancer Center
- Los Angeles Hematology Oncology Medical Group
- UCLA Department of Medicine - Hematology/Oncology
- University of California, Irvine Medical Center-Chao Family Comprehensive Cancer Center
- Southern California Permanente Medical Group
- UCSF Helen Diller Family Comprehensive Cancer Center
- Rocky Mountain Cancer Centers
- University of Colorado
- Yale University Cancer Center
- Georgetown University Medical Center
- University of Miami - Sylvester Comprehensive Cancer Center
- Miami Cancer Institute
- Orlando Health, Inc.
- Moffitt Cancer Center
- Emory University - Winship Cancer Institute
- Northside Hospital, Inc.
- University of Chicago Medical Center
- The University of Kansas Cancer Center
- James Graham Brown Cancer Center
- Mercy Medical Center, Medical Oncology & Hematology
- Maryland Oncology Hematology, P.A.
- Massachusetts General Hospital
- Beth Israel Deaconess Medical Center
- Dana Farber Cancer Institute
- Allina Health, Virginia Piper Cancer Institute
- Masonic Cancer Center, University of Minnesota
- Saint Luke's Cancer Institute
- Washington University School of Medicine - Siteman Cancer Center
- St. Vincent Frontier Cancer Center
- Summit Medical Group
- Rutgers Cancer Institute of New Jersey
- New York Oncology Hematology, P.C.
- Laura and Isaac Perlmutter Cancer Center/NYU Langone Health
- Icahn School of Medicine at Mount Sinai
- Columbia University Medical Center
- Memorial Sloan Kettering Cancer Center
- The Ohio State University
- Thomas Jefferson University
- Magee-Womens Hospital of UPMC
- The West Clinic, PC dba West Cancer Center
- Tennessee Oncology, PLLC
- Vanderbilt University Medical Center
- Texas Oncology-Baylor Charles A. Sammons Cancer Center
- University of Texas Southwestern Harold C. Simmons Comprehensive Cancer Center
- Texas Oncology-Denton South
- Houston Methodist Hospital/Houston Methodist Cancer Center
- Texas Oncology-Longview Cancer Center
- UT Health San Antonio - Mays Cancer Center
- Virginia Cancer Specialists
- Virginia Oncology Associates
- Oncology & Hematology Associates of Southwest Virginia, Inc. DBA Blue Ridge Cancer Care
- Northwest Medical Specialties, PLLC
- Chirec Cancer Institute
- Institut Jules Bordet
- Universitair Ziekenhuis Leuven
- CHU UCL Namur/Site Sainte Elisabeth
- Nova Scotia Cancer Centre
- Centre Hospitalier de L'Universite de Montreal - Hôpital Notre-Dame
- Centre Hospitalier Universitaire de Sherbrooke - Fleurimont
- Hopital de Mercy
- Institut Sainte Catherine
- Hôpital Jean-Minjoz
- Centre Georges-Francois Leclerc
- Centre Leon Berard
- Institut Régional du Cancer de Montpellier
- Institut Curie
- Hospices Civils de Lyon
- Institut de Cancérologie Lucien Neuwirth
- Institut Claudius Regaud
- HELIOS Klinikum Berlin-Buch
- Gynakologisches Zentrum Bonn
- Marienhospital Bottrop
- Städtisches Klinikum Dessau
- Universitätsklinikum Erlangen
- Kliniken Essen-Mitte
- Centrum für Hämatologie und Onkologie Bethanien
- Onkologische Schwerpunktpraxis Eppendorf
- Gynakologisch-Onkologische Praxis Hannover
- DIAKOVERE Krankenhaus gGmbH Henriettenstift - Standort Kirchrode
- Nationales Centrum für Tumorerkrankungen - Heidelberg
- Praxisklinik für Hämatologie und Onkologie Koblenz
- Universitätsmedizin Mannheim
- Klinikum Mutterhaus der Borromäerinnen
- Azienda Ospedaliera Spedali Civili di Brescia
- Ospedale di Desio
- Ospedale Vito Fazzi di Lecce
- Ospedale San Raffaele
- Azienda Ospedaliera San Gerardo di Monza
- Azienda Unità Sanitaria Locale di Piacenza-Ospedale Guglielmo da Saliceto
- IFO Istituto Nazionale dei Tumori Regina Elena
- Antoni van Leeuwenhoekziekenhuis
- Medisch Centrum Haaglanden Antoniushove
- Maastricht UMC+
- Complejo Hospitalario Universitario A Coruna
- Hospital Quirónsalud Barcelona Instituto Oncologico Baselga
- Hospital Universitari Vall d'Hebron
- Hospital de la Santa Creu I Sant Pau
- Hospital Provincial de Castellón
- Hospital Universitari Arnau de Vilanova
- Hospital General Universitario Gregorio Maranon
- Instituto Oncologico Bureau (IOB)
- Hospital Universitario 12 de Octubre
- Hospital Clinico Universitario de Santiago de Compostela
- Hospital Universitario Virgen del Rocio
- Royal Cornwall Hospital NHS Trust
- Royal Surrey County Hospital
- Leicester Royal Infirmary
- Barts Health NHS Trust
- The Royal Marsden NHS Foundation Trust
- The Christie NHS Foundation Trust
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Sacituzumab Govitecan-hziy
Treatment of Physician's Choice (TPC)
Participants will receive sacituzumab govitecan-hziy 10 mg/kg via intravenous (IV) injection administered on Day 1 and Day 8 of a 21-day cycle.
Participants will receive TPC determined prior to randomization from one of the following single-agent treatment: Dosing per National Comprehensive Cancer Network (NCCN) guidelines (with dose modifications for if toxic) Eribulin: 1.4 mg/m^2 for North American sites, 1.23 mg/m^2 for European sites) via IV on Days 1 and 8 of a 21-day cycle Capecitabine: 1000-1250 mg/m^2 orally twice daily for 2 weeks followed by a 1-week rest period given as a 21-day cycle Gemcitabine: 800-1200 mg/m^2 via IV on Days 1, 8, and 15 of each 28-day cycle or per institution Vinorelbine: 25 mg/m^2 via IV on Day 1 weekly cycle per institution