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This is a Phase III, randomized, open-label, 2-arm, multicentre, international study assessing the efficacy and safety of FDA018-ADC compared with Investigator's Choice Chemotherapy(ICC) in participants with locally recurrent inoperable or metastatic Triple-negative Breast Cancer(TNBC) who are resistant to, or recurring during or after taxane therapy.
The primary objectives of the study are to demonstrate the superiority of FDA018-ADC relative to ICC by assessment of PFS per Blinded Independent Central Review(BICR) and OS in participants with locally recurrent inoperable or metastatic TNBC who are resistant to, or recurring during or after taxane therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FDA018-ADC | Experimental | Subjects will receive FDA018-ADC 10 mg/kg of body weight via intravenous(IV) infusion on Day1 and 8 of a 21-day cycle in follow-up period until disease progression, unacceptable toxicity or death. |
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| Investigator's Choice of Chemotherapy (ICC) | Active Comparator | Participants will receive ICC (ie, eribulin, capecitabine, gemcitabine, or vinorelbine), administered as a single-agent regimen that is selected by the investigator before participant randomization. Participants will continue treatment until disease progression, unacceptable toxicity or death. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FDA018-ADC | Drug | Subjects will receive FDA018-ADC 10 mg/kg of body weight via intravenous(IV) infusion on Day1 and 8 of a 21-day cycle in follow-up period until disease progression, unacceptable toxicity or death. |
| Measure | Description | Time Frame |
|---|---|---|
| Progression-free survival (PFS) | PFS is defined as time from randomisation until progression per RECIST 1.1 as assessed by BICR, or death due to any cause | up to 24 months |
| Overall Survival (OS) | OS is defined as the time from randomisation until the date of death due to any cause. | up to 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Progression-Free Survival (PFS) by Investigator assessment | PFS is defined as time from randomisation until progression per RECIST 1.1 as assessed by the investigator, or death due to any cause | up to 24 months |
| Objective Response Rate (ORR) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jian Zhang | Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Shanghai | Shanghai Municipality | 200000 | China |
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| Eribulin | Drug | 1.4mg/m^2, IV (in the vein) on day 1 and Day 8 of each 21 day cycle |
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| Capecitabine | Drug | 1000 to 1250 mg/m^2 will be administered in a 21-day cycle, with capecitabine administered orally twice daily for 2 weeks followed by 1-week rest |
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| Gemcitabine | Drug | 800 to 1200 mg/m^2 will be administered IV on day 1 and Day 8 of each 21 day cycle |
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| Vinorelbine | Drug | 25 mg/m^2, IV (in the vein) on day 1 and Day 8 of each 21 day cycle |
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ORR is defined as the proportion of participants who have a confirmed CR or PR, as determined by BICR/investigator assessment, per RECIST 1.1.
| up to 24 months |
| Duration of Response Duration of Response (DoR) | DoR is defined as the time from the date of first documented confirmed response until date of documented progression per RECIST 1.1, as assessed by BICR/investigator assessment or death due to any cause. | up to 24 months |
| Disease Control Rate (DCR) | DCR is defined as the proportion of patients who have achieved complete responseļ¼partial response and stable disease assessed by BICR/investigator according to RECIST v 1.1 | up to 24 months |
| Incidence of Treatment-Emergent Adverse Events | Incidence and severity of AEs and SAEs (graded by CTCAE version 5.0). | up to 24 months |
| Immunogenicity of FDA018-ADC | Presence of ADAs for FDA018-ADC | up to 24 months |
| ID | Term |
|---|---|
| D064726 | Triple Negative Breast Neoplasms |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C490954 | eribulin |
| D000069287 | Capecitabine |
| D000093542 | Gemcitabine |
| D000077235 | Vinorelbine |
| ID | Term |
|---|---|
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D005472 | Fluorouracil |
| D014498 | Uracil |
| D011744 | Pyrimidinones |
| D003853 | Deoxyribonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D014748 | Vinca Alkaloids |
| D046948 | Secologanin Tryptamine Alkaloids |
| D026121 | Indole Alkaloids |
| D000470 | Alkaloids |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D054836 | Indolizidines |
| D007212 | Indolizines |
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