To evaluate the safety and efficacy of BAT8001 for the treatment of HER2-positive advanced breast cancer, using lapatinib in combination with capecitabine as the positive control drug.
This is a multicenter, randomized, open-label, positive-controlled, superiority phase III clinical study. The object is to evaluate the safety and efficacy of BAT8001 for the treatment of HER2-positive advanced breast cancer, using lapatinib in combination with capecitabine as the positive control drug. Eligible subjects will be randomized to the experimental or control group in a 1:1 ratio and stratified by the number of HER2-positive advanced/metastatic breast cancer treatment regimens (0, 1 VS \> 1) and lesion site (organ VS non-organ).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
410
3.6 mg/kg, q3w, administered intravenously on day 1 of each treatment cycle, 21 days/treatment cycle.
Lapatinib 1250 mg was administered orally once per day of each 21-day cycle.
Capecitabine 1000 milligrams per square meter (mg/m\^2) was administered orally twice daily on Days 1-14 of each 21-day cycle.
Progression-free survival (PFS)
PFS is defined as the time from randomization to the first occurrence of disease progression as determined by the investigator using Response Evaluation Criteria in Solid Tumors (RECIST) Version (v1.1), or death from any cause during the study, whichever occurs first.
Time frame: Up to approximately 18 months
Overall Survival (OS)
OS is defined as the time from the date of randomization to the date of death from any cause.
Time frame: Up to approximately 30 months
Objective Response Rate (ORR)
ORR is defined as percentage of participants with partial response (PR) or complete response (CR) determined on the basis of investigator assessments with the use of RECIST v1.1.
Time frame: Up to approximately 30 months
Duration of Response (DOR)
DOR is defined as as the time from the date of initial confirmed PR or CR to the date of disease progression or death within the study.
Time frame: Up to approximately 30 months
Clinical Benefit Rate (CBR)
CBR is defined as the proportion of subjects with best overall response (confirmed PR or CR) or with stable disease (confirmed SD) for at least 6 months;
Time frame: Up to approximately 30 months
Serum Concentration of BAT8001
Concentration of BAT8001 will be measured in serum from participants, who received BAT8001.
Time frame: Pre-dose and 15-30 minutes after dose on Day 1, Day 8, Day 15 of each 21-day cycle during Cycles 1-4 and at completion/early termination visit (up to approximately 30 months)
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The First Affiliated Hospital of Bengbu Medical College
Bengbu, Anhui, China
Anhui Provincial Hospital
Hefei, Anhui, China
Beijing Hospital
Beijing, Beijing Municipality, China
Beijing Shijitan Hospital
Beijing, Beijing Municipality, China
Chinese PLA General Hospital
Beijing, Beijing Municipality, China
Peking union medical college hospital
Beijing, Beijing Municipality, China
Chongqing Cancer Hospital
Chongqing, Chongqing Municipality, China
The First Affiliated Hospital of Xiamen University
Xiamen, Fujian, China
Foshan City No. 1 People's Hospital
Foshan, Guangdong, China
Cancer Center of Guangzhou Medical University
Guangzhou, Guangdong, China
...and 41 more locations
Serum Concentration of total antibody of BAT8001 for injection
Concentration of total antibody will be measured in serum from participants, who received BAT8001.
Time frame: Pre-dose and 15-30 minutes after dose on Day 1, Day 8, Day 15 of each 21-day cycle during Cycles 1-4 and at completion/early termination visit (up to approximately 30 months)
Plasma Concentration of batansine (a maytansine derivative, which is the 3AA-MDC complex)
Concentration of batansine will be measured in plasma from participants, who received BAT8001.
Time frame: Pre-dose and 15-30 minutes after dose on Day 1, Day 8, Day 15 of each 21-day cycle during Cycles 1-4 and at completion/early termination visit (up to approximately 30 months)
Percentage of Participants with Anti-therapeutic Antibodies (ATA) to BAT8001
ATA to BAT8001 were measured in serum of participants, who received BAT8001.
Time frame: Pre-dose on Day 1 of each 21-day cycle during Cycles 1-4 and at completion/early termination visit (up to approximately 30 months)