JSKN003 Versus Treatment Of Physician'S Choice For HER2-low, Unresectable and/or Metastatic Breast Cancer Subjects

Recruiting now · Phase 3

Conditions studied: Breast Cancer

In brief

This study is a randomized controlled, open-label, multicenter phase III clinical study evaluating the efficacy and safety of chemotherapy selected by investigator JSKN003 s in subjects with recurrent or metastatic breast cancer who have previously failed first- or second-line chemotherapy in subjects with recurrent or metastatic breast cancer who have failed prior first- or second-line chemotherapy. The study planned to enroll 408 subjects in a 1:1 ratio and stratified block randomization method assigned to: * Experimental group: JSKN003 monotherapy * Control group: investigator's chosen chemotherapy drug (capecitabine, gemcitabine, vinorelbine, docetaxel, albumin-bound paclitaxel, or eribulin) monotherapy

Key facts

Study ID

NCT06079983

Run by

Jiangsu Alphamab Biopharmaceuticals Co., Ltd

People needed

400

Starts

2023-12-01

Expected to finish

2029-03-01

Last updated by the study team

2025-09-12

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 1. The subject is able to understand the informed consent form, voluntarily participate and sign the informed consent form.
• The subject ≥ 18 years old on the day of signing the informed consent form, male or female.
• Unresectable locally recurrent or metastatic breast cancer, previous histopathological reports of HER2 IHC 1+ or 2+ and ISH-, previous histopathological reports have not been diagnosed as HER2 IHC 3+ or 2+ and ISH+.
• Have received at least 1 to 2 lines of chemotherapy regimens for breast cancer in the relapse/metastatic stage.
• Willing to provide sufficient archived tumor pathology specimens for central laboratory detection of HER2 status.
• Documented radiographic disease progression (during or after the most recent treatment).
• At least one extracranial measurable lesion at baseline according to RECIST 1.1 criteria.
• Expected survival ≥ 3 months. 9. ECOG score of 0 or 1 within 14 days prior to administration. 10. Female subjects of childbearing potential or male subjects of fertile partner consent to use highly effective contraception from the signing of informed consent.
• Laboratory tests within 14 days before administration and cardiac function tests within 28 days meet the criteria.
• Have sufficient elution of previous treatment before administration.

You may not qualify if…

• 1. Untreated, or unstable brain parenchymal metastases, spinal cord metastases or compression, cancerous meningitis.
• Patients with only skin lesions as target lesions. 3. Those with a history of other primary malignant tumors within 5 years before administration.
• Selection of the control drug by the investigator who is not suitable for the protocol prescribed.
• Previous use of antibody conjugates containing topoisomerase I inhibitors. 6. There is a third gap fluid that cannot be controlled by drainage, etc. 7. Previous or current interstitial pneumonia/lung disease requiring systemic hormone therapy.
• Inability to swallow, chronic diarrhea, intestinal obstruction, or other factors that affect oral administration and absorption of the drug.
• Previous or current autoimmune disease. 10. Have uncontrolled comorbidities. 11. The toxicity of previous antitumor therapy has not been restored to grade ≤1 (NCI-CTCAE v5.0).
• History of previous immunodeficiency. 13. History of life-threatening allergic reactions or known ≥ grade 3 allergy to any component or excipient in the investigational pharmaceutical formulation.
• Other conditions that the investigators believe will affect the safety or adherence to drug treatment in this study, including but not limited to psychiatric disorders, alcohol or drug abuse.

Where it is running

• Meizhou People's Hospital — Meizhou, China (enrolling)
• The Third Hospital of Nanchang — Nanchang, China (enrolling)
• The First Affiliated Hospital of University of South China — Hengyang, China (enrolling)
• The First Affiliated Hospital of Henan University of Science and Technology — Luoyang, China (enrolling)
• Jiangxi Provincial Cancer Hospital — Nanchang, China (enrolling)
• Peking University Cancer Hospital — Beijing, China (enrolling)
• The First Affiliated Hospital of China Medical University — Beijing, China (enrolling)
• The Affiliated Hospital of Guizhou Medical University — Guiyang, China (enrolling)
• Shandong Cancer Hospital — Jinan, China (enrolling)
• The First Hospital of Lanzhou University — Lanzhou, China (enrolling)
• The First People's Hospital of Changde — Changde, China (enrolling)
• Cancer Hospital, Chinese Academy of Medical Sciences — Beijing, China (enrolling)
• Hunan Cancer Hospital — Changsha, China (enrolling)
• Affiliated Hospital of Chengde Medical University — Chengde, China (enrolling)
• Sichuan Cancer Hospital — Chengdu, China (enrolling)
• Sichuan Provincial People's Hospital — Chengdu, China (enrolling)
• The Affiliated Hospital of Guangdong Medical University — Guangzhou, China (enrolling)
• Guizhou Provincial People's Hospital — Guiyang, China (enrolling)
• Affiliated Hospital of Inner Mongolia Medical University — Hohhot, China (enrolling)
• Jiangmen Central Hospital — Jiangmen, China (enrolling)
• Affiliated Hospital of Jining Medical University — Jining, China (enrolling)
• Fujian Provincial Hospital — Fuzhou, China (enrolling)
• Union Hospital Affiliated to Fujian Medical University — Fuzhou, China (enrolling)
• The First Affiliated Hospital of Gannan Medical University — Ganzhou, China (enrolling)
• Jiangsu Provincial Cancer Hospital — Nanjing, China (enrolling)

Full record on ClinicalTrials.gov

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