About this trial
This is an open-label, multicenter Phase II clinical study conducted in subjects with advanced breast cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
1. Age ≥ 18 years old;
3. Sufficient tumor specimens must be provided for biomarker testing (human epidermal growth factor receptor 3-HER3), preferably obtained during or after the most recent treatment period; During safety run-in period, subjects who cannot provide sufficient tissue samples may be screened after sponsor's evaluation and approval;
4. Documented disease progression or intolerability with the most recent systemic anti-tumor treatment;
5. According to RECIST 1.1, at least one evaluable lesion (safety run-in period) or measurable lesion (cohort expansion phase);
Disqualifiers
1. Prior treatment with HER3-targeted ADC therapy;
2. Applicable to Cohort 1: a. Prior treatment with any topoisomerase I inhibitor-loaded ADC therapy; b. Current presence or impending visceral crisis that has caused or may cause impending organ damage and/or other life-threatening complications;
3. Applicable to Cohort 2: a. Prior exposure to anthracyclines with cumulative dose exceeding 360 mg/m²doxorubicin equivalent; b. LVEF once dropped to < 40% during prior anti-HER2 drug therapy, or symptomatic CHF occurred;
4. History of other malignancies within 3 years before randomization/first dose or concurrent active malignancies (except cured localized tumors such as basal cell carcinoma of the skin, squamous cell carcinoma of the skin, superficial bladder cancer, carcinoma in situ of the prostate, carcinoma in situ of the cervix, carcinoma in situ of the breast, etc., which are allowed to enroll);
Trial design
Single group
Treatments tested in this trial
SYS6023
DrugSYS6023 is a novel antibody-drug conjugate (ADC) targeting HER3, administered via intravenous infusion.
KN026
DrugKN026 is an antibody targeting HER2, administered via intravenous infusion.
Treatment groups
Trial outcomes
Primary outcomes
The incidence of dose-limiting toxicity (DLT)
Frequency and severity of AEs and SAEs (according to NCI-CTCAE 6.0);
Recommended Phase 2 Dose(RP2D)
Objective Response Rate (ORR)
Secondary outcomes
Maximum Plasma Concentration( Cmax)
Time to Maximum Plasma Concentration (Tmax)
Area Under the Serum Concentration Time Curve ( AUC)
Elimination half-life (t1/2)
Sponsors and contacts
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