to Evaluate Efficacy and Safety of HLX10 in Combination With Chemotherapy Versus Placebo in Combination With Chemotherapy as Neoadjuvant Therapy and HLX10 Versus Placebo as Adjuvant Therapy in Patients With Triple Negative Breast Cancer (TNBC)

Henlius Pharmaceuticals

Status and phase: Not yet enrolling; Phase 3

Conditions: Triple Negative Breast Cancer

Treatments: Drug: HLX10; Drug: Placebo; Drug: nab-paclitaxel, carboplatin, doxorubicin or epirubicin and cyclophosphamide

Study type: Interventional

Funder types: Industry

Identifiers

NCT04301739

HLX10-013-TNBCneo

Details and patient eligibility

About

This study is a randomized, double-Blind,international multi-Centre, phase III clinical study to evaluate efficacy and safety of HLX10 in combination with chemotherapy versus placebo in combination with chemotherapy as neoadjuvant therapy and HLX10 versus placebo as adjuvant therapy in previously untreated and potentially resectable patients with TNBC and without distant metastasis.

Eligible subjects in this study will be randomized to Arm A or Arm B at 2:1 ratio as follows:

Arm A (HLX10 arm): HLX10 + chemotherapy (nab-paclitaxel carboplatin) (4 cycles) → HLX10 + chemotherapy (doxorubicin or epirubicin cyclophosphamide) (4 cycles) → surgery → HLX10 (9 cycles) Arm B (placebo arm): Placebo + chemotherapy (nab-paclitaxel carboplatin) (4 cycles) → Placebo + chemotherapy (doxorubicin or epirubicin cyclophosphamide) (4 cycles) → surgery → Placebo (9 cycles) The three stratification factors for randomization include: lymph node metastasis (yes or no), size of primary tumor lesion (T1/T2 or T3/T4), asian population (yes or no).

Enrollment: 522 estimated patients

Sex: Female

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Subjects histologically diagnosed with previously untreated TNBC (lack of human epidermal growth factor receptor-2 [HER2], estrogen receptor [ER], progesterone receptor expression as determined by the study site).

2. Subjects who are judged as one of the following by the American Joint Committee on Cancer (AJCC) within 4 weeks prior to randomisation:

   1. T1c, N1-N2, M0
   2. T2, N0-N2, M0
   3. T3, N0-N2, M0
   4. T4a-c, N0-N2, M0.

3. Major organs are functioning well

4. Participant must keep contraception

Exclusion criteria

1. Subjects with any other active malignancy within 5 years prior to signing the informed consent form or at the same time. Localised tumours that have been cured such as basal cell carcinoma, squamous-cell skin cancer, superficial bladder carcinoma, and cervical cancer in situ are acceptable.
2. Subjects who have received chemotherapy, targeted therapy, or radiotherapy within 12 months prior to the initial dose of the investigational product.
3. Subjects with a history of severe allergy to any monoclonal antibody or investigational product and its excipient.
4. Pregnant or lactating women.
5. Subjects with a known history of psychotropics abuse or drug abuse
6. Subjects presenting other factors not suitable for participation as judged by the investigator.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Sequential Assignment

Masking: Quadruple Blind

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522 participants in 2 patient groups, including a placebo group

HLX10 + chemotherapy→ HLX10

Experimental group

Description:

HLX10 + chemotherapy (nab-paclitaxel carboplatin) (4 cycles) → HLX10 + chemotherapy (doxorubicin or epirubicin cyclophosphamide) (4 cycles) → surgery → HLX10 (9 cycles)

Treatment:

Drug: HLX10

Drug: nab-paclitaxel, carboplatin, doxorubicin or epirubicin and cyclophosphamide

Placebo + chemotherapy→ Placebo

Placebo Comparator group

Description:

Placebo + chemotherapy (nab-paclitaxel carboplatin) (4 cycles) → Placebo + chemotherapy (doxorubicin or epirubicin cyclophosphamide) (4 cycles) → surgery → Placebo (9 cycles)

Treatment:

Drug: Placebo

Drug: nab-paclitaxel, carboplatin, doxorubicin or epirubicin and cyclophosphamide