A Study to Evaluate the Pharmacokinetics, Efficacy, and Safety of HLX319 vs. EU-Phesgo® in the Neoadjuvant Therapy of HER2-Positive Early or Locally Advanced Breast Cancer

Phase
Recruitment status
Not yet recruiting
Participants
Lead sponsor
Shanghai Henlius Biotech
Start date

Summary
This is a study to compare the similarity in Pharmacokinetics (PK) profile of HLX319 vs. EU-Phesgo® in patients with HER2-positive early or locally advanced breast cancer .
Short title
A Study to Evaluate the Pharmacokinetics, Efficacy, and Safety of HLX319 vs. EU-Phesgo® in the Neoadjuvant Therapy of HER2-Positive Early or Locally Advanced Breast Cancer
Official title
A Multicenter, Randomized, Double-Blind, Parallel-Controlled Phase I Clinical Study to Evaluate the Pharmacokinetics, Efficacy, and Safety of Phesgo® Biosimilar HLX319 vs. EU-Phesgo® in the Neoadjuvant Therapy of HER2-Positive Early or Locally Advanced Breast Cancer

Control arm
Active comparator
Registry reports results
Listing at source
Recruitment status
Not yet recruiting
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments

Registry sponsor category
Lead sponsor
Shanghai Henlius Biotech
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Treatment
Masking
Double masking
Masked roles
Participants, Investigators
Sources for study design

  1. Peak concentration (Cmax)

    Timeframe: up to 180 days

    Peak concentration after a single drug administration in Cycle 1.

  2. Area under the serum drug concentration-time curve from 0 to 21 days (AUC0-21d)

    Timeframe: up to 180 days

    Area under the serum drug concentration-time curve from 0 to 21 days after a single drug administration in Cycle 1.

  3. Steady-state peak concentration (Cmax,ss)

    Timeframe: up to 180 days

    The steady-state peak concentration after multiple doses administration in Cycle 4.

  4. Steady-state area under the serum drug concentration-time curve within a dosing interval (AUCss)

    Timeframe: up to 180 days

    Steady-state area under the serum drug concentration-time curve within a dosing interval after multiple doses administration in Cycle 4.

  1. Trough concentration (Ctrough)

    Timeframe: up to 180 days

    Trough concentration after a single dose administration

  2. Area under the serum drug concentration-time curve from time 0 to infinity (AUC0-inf)

    Timeframe: up to 180 days

    Area under the serum drug concentration-time curve from time 0 to infinity after a single dose administration

  3. Percentage of extrapolated area in the total AUC (%AUCex)

    Timeframe: up to 180 days

    Percentage of extrapolated area in the total AUC after a single dose administration

  4. Time to peak concentration (Tmax)

    Timeframe: up to 180 days

    time to peak concentration after a single dose administration

  5. Elimination half-life (T1/2)

    Timeframe: up to 180 days

    elimination half-life after a single dose administration

  6. Total clearance (CL/F)

    Timeframe: up to 180 days

    total clearance after a single dose administration

  7. Terminal phase distribution volume (Vz/F)

    Timeframe: up to 180 days

    terminal phase distribution volume after a single dose administration

  8. Mean residence time (MRT)

    Timeframe: up to 180 days

    mean residence time after a single dose administration

  9. Steady-state trough concentration (Ctrough,ss)

    Timeframe: up to 180 days

    steady-state trough concentration after multiple doses administration in Cycle 4

  10. Average steady-state concentration (Caverage,ss)

    Timeframe: up to 180 days

    average steady-state concentration after multiple doses administration in Cycle 4

  11. Steady-state time to peak concentration (Tmax,ss)

    Timeframe: up to 180 days

    steady-state time to peak concentration after multiple doses administration in Cycle 4

  12. Elimination half-life (T1/2,ss)

    Timeframe: up to 180 days

    elimination half-life after multiple doses administration in Cycle 4

  13. Steady-state volume of distribution (Vss/F)

    Timeframe: up to 180 days

    steady-state volume of distribution after multiple doses administration in Cycle 4

  14. Steady-state total clearance (CLss/F)

    Timeframe: up to 180 days

    steady-state total clearance after multiple doses administration in Cycle 4

  15. accumulation ratio based on Cmax (RCmax)

    Timeframe: up to 180 days

    accumulation ratio based on Cmax after multiple doses administration in Cycle 4

  16. Accumulation ratio based on AUC (RAUC)

    Timeframe: up to 180 days

    accumulation ratio based on AUC after multiple doses administration in Cycle 4

  17. The total pathological complete response (tpCR) rate assessed by the investigator

    Timeframe: up to 180 days

  18. Breast pathologic complete response (bpCR) rate assessed by the investigator

    Timeframe: up to 180 days

  19. Objective response rate (ORR) assessed by the investigator

    Timeframe: up to 180 days

    according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria

  20. Incidence and severity of adverse events (AEs)

    Timeframe: up to 180 days

    severity determined according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 6.0

  21. Number of participants with abnormal vital signs

    Timeframe: up to 180 days

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

  22. Number of participants with abnormal physical examination findings

    Timeframe: up to 180 days

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

  23. Number of participants with abnormal Laboratory tests results

    Timeframe: up to 180 days

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

  24. Number of participants with abnormal 12-lead ECG readings

    Timeframe: up to 180 days

    Detailed Outcome Measure will be defined in the Statistical Analysis Plan

  25. Positivity rates of anti-drug antibodies (ADA)

    Timeframe: up to 180 days

And 1 more, listed on the interactive page.

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Healthy volunteers
No

  • Voluntary participation in the clinical study and signed the Informed Consent Form (ICF).
  • Male or female aged ≥ 18 years old at the time of signing the ICF;
  • Histologically confirmed invasive breast cancer, stage II-IIIC, Human Epidermal Growth Factor Receptor 2 (HER2) positive confirmed by central laboratory.
  • Participants agree to undergo surgery while meeting the criteria for surgery after neoadjuvant therapy.
  • Left ventricular ejection fraction (LVEF) at baseline ≥ 55%.
  • An Eastern Cooperative Oncology Group (ECOG) performance status (PS) score of 0-1.
  • Adequate major organ functions.
  • Women with child-bearing potential have a negative result of serum pregnancy test at screening period (within 7 days prior to the first dose) or if they are infertile, non- lactating, reproduction-age men and women following highly effective contraceptive measures until 7 months after last dose.

  • Stage IV breast cancer, bilateral breast cancer, or multicentric breast cancer.
  • History of other malignancy within 5 years.
  • Prior systemic therapy for breast cancer treatment or radiotherapy.
  • Patients with a history of ductal carcinoma in situ (DCIS) or lobular carcinoma in situ (LCIS) who have received systemic therapy or radiotherapy to the ipsilateral breast.
  • Patients who have undergone excision biopsy of the primary tumor and/or axillary lymph nodes or lymph node dissection.
  • Have severe heart disease or medical conditions.
  • Participants with viral hepatitis or those with autoimmune hepatitis, sclerosing cholangitis, or liver cirrhosis.
  • Human Immunodeficiency Virus (HIV) infection, HIV antibody positive.
  • Daily use of corticosteroid treatment is required.
  • Sensitivity to any study medications or any of its ingredients or excipients.
  • Participants who underwent any major surgery within 28 days prior to the first dose. Or participants who have received local radiotherapy, radiofrequency ablation, or interventional therapy within 2 weeks prior to the first dose.
  • Received another interventional clinical trial therapy within 4 weeks prior to enrollment in the study, or intentionally participated in another interventional clinical trial during the entire study period.
  • Severe, uncontrolled systemic diseases that may currently interfere with the therapeutic plan.
  • Any other conditions which are inappropriate for the study in the opinion of the investigator.
Sources for eligibility

Related records

Drugs (2)

Lead sponsors (1)

Conditions (1)

Targets (1)