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Difficulty in completing enrollment within the planned time
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This is an open-label, multicenter, dose-escalation and parallel-group expansion Phase II clinical trial to evaluate the efficacy, safety and tolerability of KN026 in combination with palbociclib and fulvestrant in women or male with HER2-positive metastatic breast cancer .The subjects will receive 20 mg/kg IV Q2W+ palbociclib 100/125 mg/day orally+/-Fulvestrant 500 mg IM until progressive disease, unacceptable toxicity or death.
KN026 is an anti-HER2 bispecific antibody that can simultaneously bind two non-overlapping epitopes of HER2, leading to a dual HER2 signal blockade.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| dose-escalation Phase | KN026 20 mg/kg + palbociclib125 mg/day+Fulvestrant 500 mg (Patients with HR+/HER2-positive MBC ) | ||
| parallel-group expansion Phase | KN026 20 mg/kg + palbociclib +Fulvestrant 500 mg(Patients with HR+/HER2-positive MBC ) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KN026 combined with Palbociclib and Fulvestrant | Drug | HR+/HER2-positive MBC will be treated by KN026 20 mg/kg+Palbociclib+fulvestrant 500 mg |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose limiting toxicity (DLT) | The proportion of patients experiencing dose limiting toxicities | up to 24 weeks |
| Objective response rate (ORR) | ORR as assessed by the investigator according to RECIST 1.1 | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of response (DOR) | clinical response time (DOR) as determined by investigators based on RECIST 1.1 criteria | through study completion, an average of 1 year |
| Progression free survival (PFS) rates |
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Inclusion Criteria:
Exclusion Criteria:
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diagnosing locally advanced unresectable or metastatic HER2-positive
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Shanghai | China |
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| ID | Term |
|---|---|
| C500026 | palbociclib |
| D000077267 | Fulvestrant |
| ID | Term |
|---|---|
| D004958 | Estradiol |
| D004963 | Estrenes |
| D004962 | Estranes |
| D013256 | Steroids |
| D000072473 |
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ctDNA and single cell sequencing analysis may be performed using plasma samples collected from subjects at baseline and upon disease progression.
|
Progression free survival (PFS) rates
| 6 months and 12 months |
| Overall survival (OS) | Overall survival (OS) rates | 6 months and 12 months |
| Clinical benefit rate (CBR) | Clinical benefit rate | CBR calculated as the proportion of subjects with best overall response of CR, PR, or SD ≥24 weeks |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D045166 | Estradiol Congeners |
| D012739 | Gonadal Steroid Hormones |
| D042341 | Gonadal Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |