About this trial
This study aims to evaluate the safety and effectiveness of JSKN016 in combination with different treatments for patients with HER2-negative breast cancer that cannot be removed by surgery or has spread to other parts of the body. The study includes four groups of patients based on treatment history and tumor characteristics. Each group will receive JSKN016 with chemotherapy or immunotherapy. The goal is to find out how well the treatment works and how safe it is.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Capable of understanding and signing the informed consent form.
Aged ≥18 and ≤75 years, regardless of sex.
Histologically or cytologically confirmed inoperable locally advanced or metastatic HER2-negative breast cancer.
Hormone receptor-positive participants with progression/intolerance after standard endocrine therapy, or unsuitable for it.
Disqualifiers
CNS metastasis (except stable cases treated with radiation or surgery).
Unstable spinal cord compression or untreated history.
Recent live vaccine (except seasonal flu vaccines).
Recent anti-tumor treatment within 28 days or 5 half-lives (whichever is shorter).
Trial design
Single group
Treatments tested in this trial
JSKN016
DrugJSKN016 is administered via intravenous infusion at doses of 5mg/kg or 6mg/kg every 3 weeks, starting on Day 1 of each cycle. If the 5mg/kg dose is well tolerated during the safety lead-in phase, the dose may be increased to 6mg/kg for subsequent cycles.
Capecitabine
DrugThe drug is administered orally at a dose of 1000mg/m², twice daily for two weeks, followed by a one-week break. Treatment cycles repeat every three weeks.
Paclitaxel (albumin bound)
DrugThe drug is administered intravenously at a dose of 125mg/m², with infusions on Day 1 and Day 8 of each treatment cycle. The treatment cycle is repeated every 3 weeks.
Eribulin
DrugThe drug is administered intravenously at a dose of 1.4mg/m², with infusions on Day 1 and Day 8 of each treatment cycle. The treatment cycle is repeated every 3 weeks.
Pembrolizumab
DrugThe drug is administered intravenously at a fixed dose of 200mg, with infusions on Day 1 of each 3-week treatment cycle.
Treatment groups
Trial outcomes
Primary outcomes
Objetctive Response Rate (ORR)
The proportion of participants who achieve a confirmed complete response (CR) or partial response (PR), as assessed by investigators according to RECIST v1.1 criteria.
Secondary outcomes
Duration of Response (DoR)
The time from the first documentation of CR or PR to the first documentation of disease progression or death from any cause, whichever occurs first, as assessed by investigators per RECIST v1.1.
Disease Control Rate (DCR)
The proportion of participants who achieve a best overall response of CR, PR, or stable disease (SD), as assessed by investigators using RECIST v1.1 criteria.
Progression-Free Survival (PFS)
Time from the date of first dose of study drug to the first documentation of disease progression or death from any cause, whichever occurs first, based on investigator assessment using RECIST v1.1.
Overall Survival (OS)
Time from the date of first dose of study drug to death from any cause.
Sponsors and contacts
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