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To evaluate the efficacy and safety of toripalimab in combination with investigator-selected chemotherapy in patients with recurrent or metastatic HER2-negative breast cancer who have failed prior systemic therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort A | Experimental | Cohort A: triple-negative breast cancer (TNBC) previously treated with immune-checkpoint inhibitors (ICI); |
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| Cohort B | Experimental | Cohort B: TNBC without prior ICI exposure; |
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| Cohort C | Experimental | Cohort C: HR-positive/HER2-negative breast cancer. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Toripalimab | Drug | Toripalimab |
| |
| Measure | Description | Time Frame |
|---|---|---|
| ORR by investigator | ORR is the percentage of evaluable patients with a confirmed investigator-assessed response of CR (complete response) or PR (partial response) per RECIST v1.1. | At baseline, at the time point of every 8 weeks within first 24 weeks, thereafter every 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| PFS | PFS is the time from the date of first dose until the date of objective radiographic disease progression or death (by any cause in the absence of progression). | up to 3 years |
| DCR | DCR is the percentage of evaluable patients with a confirmed investigator-assessed response of CR (complete response), PR (partial response) or SD (stable disease) per RECIST v1.1. |
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Inclusion Criteria:
Voluntary participation: the subject must give written informed consent, be compliant, and agree to attend all follow-up visits.
Age ≥ 18 years.
ECOG performance-status score ≤ 1 and life expectancy ≥ 3 months.
Histologically or cytologically confirmed HER2-negative breast cancer (HER2-negative is defined as either IHC 0, IHC 1+, or IHC 2+ with a negative in-situ-hybridisation [ISH] result).
For subjects with unresectable locally advanced or metastatic triple-negative breast cancer (TNBC):
- Must have experienced progression during/after at least one prior systemic regimen for recurrent/metastatic disease (recurrence ≤ 12 months after neoadjuvant/adjuvant therapy counts as first-line failure).
- Cohort assignment by prior immune-checkpoint-inhibitor (ICI) exposure:
Cohort A - ICI-pretreated:
Cohort B - ICI-naïve: no prior anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4, or any other antibody targeting T-cell co-stimulatory or checkpoint pathways.
For subjects with hormone-receptor-positive (HR+) breast cancer:
At least one measurable lesion per RECIST v1.1.
Adequate organ function, defined as:
Haematology (no transfusion within 14 days):
Women of child-bearing potential (WOCBP) must have a negative serum pregnancy test within 7 days before first dose and must use highly effective contraception from first dose until 6 months after last dose.
WOCBP is defined as any sexually mature female who has not undergone hysterectomy or bilateral oophorectomy and who has not experienced natural amenorrhoea for ≥ 24 consecutive months (including women with treatment-induced amenorrhoea).Men whose partners are WOCBP must also use effective contraception during the same period.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Min Yan, Chief physician | Contact | +86-15713857388 | ym200678@126.com | |
| Meng wei Zhang, Associate Chief Physician | Contact |
| Name | Affiliation | Role |
|---|---|---|
| Min Yan, Chief physician | Henan Cancer Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Henan Cancer Hospital | Recruiting | Zhengzhou | Henan | 450003 | China |
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| ID | Term |
|---|---|
| C000656314 | toripalimab |
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| TPC |
| Drug |
Treatment of Physician's Choice |
|
| At baseline, at the time point of every 8 weeks within first 24 weeks, thereafter every 12 weeks |
| DoR | DoR is the time from the date of first detection of objective response (which is subsequently confirmed) until the date of objective radiographic disease progression. | up to 3 years |
| OS | OS is the time from the date of first dose until the date of death by any cause. | up to 3 years |
| Safety (Proportion of AEs) | An AE is defined as any unfavorable and unintended sign, symptom, disease, or worsening of preexisting condition temporally associated with study treatment and irrespective of causality to study treatment. Percentage of participants who experienced an adverse event and discontinued study drug due to an AE. | from time of informed consent provided to 30 days after the last dose of study therapy |