This is a randomized, controlled, open-label, multicenter, phase Ш clinical study designed to compare the efficacy and safety of KN026 in combination with HB1801 to trastuzumab in combination with pertuzumab and docetaxel in the first-line treatment of subjects with HER2-positive recurrent or metastatic breast cancer. The statistical assumption for this study is superiority. The primary study endpoint was PFS as assessed by Blinded Independ Review Committee (BIRC).
The purpose of this study is to assess the efficacy and safety of KN026 combined with HB1801 versus trastuzumab combined with pertuzumab and docetaxel as first-line treatment for HER2-positive recurrent or metastatic breast cancer. This study will establish an independent data monitoring committee (IDMC) to conduct safety assessments after approximately 20 subjects in the treatment group complete the first cycle of treatment. During the safety assessment period, the study will continue to enroll subjects, and safety review meetings will be at 1 year of randomization in the first subject. In addition, the IDMC plans to conduct one interim analysis of efficacy during the study period. The primary study hypotheses are that the combination of KN026 combined with HB1801 is superior to trastuzumab combined with pertuzumab and docetaxel with respect to: Progression-free Survival (PFS) as assessed by the BIRC per Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
880
IV infusion
IV infusion
840 mg loading dose followed by 420 mg per cycle, D1 Q3W, IV infusion
8 mg/kg loading dose followed by 6 mg/kg per cycle, D1 Q3W, IV infusion
75 mg/m\^2, D1 Q3W, IV infusion
Clinical Trials Information Group
Beijing, chaoyang, China
RECRUITINGFree-progression survival (PFS) as evaluated by BIRC (RECIST1.1).
Time frame: Up to approximately 4 years
PFS (investigator assessment, RECIST1.1)
Time frame: Up to approximately 4 years
Overall survival (OS)
Time frame: Up to approximately 4 years
Objective response rate (ORR)
Time frame: Up to approximately 4 years
Disease control rate (DCR)
Time frame: Up to approximately 4 years
Duration of response (DoR)
Time frame: Up to approximately 4 years
Frequency and severity of TEAE and SAE
Time frame: Up to approximately 4 years
Concentration of KN026 in serum
Time frame: Up to approximately 4 years
Concentration of HB1801 in serum
Time frame: Up to approximately 4 years
Incidence of KN026 Anti-drug antibody (ADA) and neutralizing antibody (Nab) (if applicable)
Time frame: Up to approximately 4 years
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