The goal of this clinical trial is to learn if the drug, sacituzumab govitecan, works to treat: 1. Salivary gland cancers that have spread to other parts of the body or come back after previous treatment, and cannot be removed by surgery 2. A type of thyroid cancer (specifically, differentiated thyroid carcinoma) that has spread to other parts of the body or come back after previous treatment, no longer responds to radioactive iodine treatment and cannot be removed by surgery The main question it aims to answer is whether sacituzumab govitecan can treat the 2 conditions mentioned above in a safe and effective manner. Participants will: * Receive sacituzumab govitecan by intravenous (IV) infusion on Day 1 and Day 8 of each treatment cycle. Each treatment cycle is 21 days (3 weeks) long. * Visit the clinic before each infusion for checkups and blood tests * Go through CT/PET/MRI scan once every 6 weeks for the first 24 weeks, then every 9 weeks thereafter. * Go through 2 tumour biopsies (if assessed by the doctor to be safe) at the start and at the end of study participation Participants will continue to receive treatment with sacituzumab govitecan until their cancer stops responding to the drug or if they decide to withdraw from the study.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
32
Day 1 and Day 8: Sacituzumab Govitecan will be administered at the dose of 10 mg/kg via intravenous infusion.
National University Cancer Institute Singapore
Singapore, Singapore
RECRUITINGObjective response rate (ORR)
ORR is defined as the as the percentage of participants with a complete response (CR) or partial response (PR) according to response evaluation criteria in solid tumours (RECIST) version 1.1.
Time frame: Up to 3 years
Progression free survival (PFS)
PFS is defined as the time from treatment assignment to disease progression or death, whichever occurs first
Time frame: From date of treatment assignment until first documented progression or date of death, whichever occurs earlier, assessed up to 3 years
Incidence of Treatment-Related Adverse Events (TRAEs)
The frequency and outcome of TRAEs as assessed and graded according to the CTCAE version 5.0.
Time frame: From date of informed consent till 90 days following the date of last dose of study treatment.
6-months Disease control rate (DCR)
6-months DCR is defined to be the percentage of participants with a complete response (CR), partial response (PR) or stable disease (SD) noted as the objective response status, according to RECIST version 1.1, at 6 months after initiating study treatment.
Time frame: Up to 6 months after initiating study treatment.
Correlation of ORR with Trop-2 expression in tumour samples
Relationship between ORR and Trop-2 expression levels measured in tumour samples.
Time frame: Up to 3 years
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