About this trial
The study is being conducted to explore the reasonable dosage and evaluate the efficacy, safety and tolerability of HLX43 (Anti-PD-L1 ADC) as a monotherapy or in combination with immune checkpoint inhibitors in Subjects with locally advanced, recurrent or metastatic triple-negative breast cancer (TNBC).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Voluntary written informed consent obtained before any study procedures.
Age ≥ 18 years at consent; no gender restriction.
Histopathologically confirmed TNBC: ER < 1%, PR < 1%, HER2 IHC 0/1+/2+ with no FISH amplification.
Phase I: Recurrent or metastatic TNBC after ≥1 prior line of standard systemic therapy.
Disqualifiers
Prior topoisomerase I-targeting therapy (e.g., irinotecan, topotecan, or ADCs).
Second primary malignancy within 2 years before randomization (except cured carcinoma in situ or stage I tumors).
Prior grade ≥3 immune-related adverse event during immunotherapy.
Uncontrolled, recurrent malignant pleural, pericardial, or ascitic effusions requiring repeated drainage.
Trial design
Parallel
Treatments tested in this trial
HLX43 DOSE 1 IN ≥2L TNBC
DrugDose 1; HLX43 is an anti-PD-L1 monoclonal antibody conjugated with a novel high potency DNA topoisomerase I (topo I) inhibitor, with a drug-antibody-ratio (DAR) of 8.
HLX43 DOSE 2 IN ≥2L TNBC
DrugDose 2; HLX43 is an anti-PD-L1 monoclonal antibody conjugated with a novel high potency DNA topoisomerase I (topo I) inhibitor, with a drug-antibody-ratio (DAR) of 8.
HLX43 DOSE 1 + HLX10
DrugHLX43 is an anti-PD-L1 monoclonal antibody conjugated with a novel high potency DNA topoisomerase I (topo I) inhibitor, with a drug-antibody-ratio (DAR) of 8. HLX10 is a humanized anti-PD-1 monoclonal antibody that functions as an immune checkpoint inhibitor.
HLX43 DOSE1 IN 1L TNBC
DrugHLX43 is an anti-PD-L1 monoclonal antibody conjugated with a novel high potency DNA topoisomerase I (topo I) inhibitor, with a drug-antibody-ratio (DAR) of 8.
HLX43 DOSE 2 IN 1L TNBC
DrugHLX43 is an anti-PD-L1 monoclonal antibody conjugated with a novel high potency DNA topoisomerase I (topo I) inhibitor, with a drug-antibody-ratio (DAR) of 8.
HLX43 DOSE2 + HLX10
DrugHLX43 is an anti-PD-L1 monoclonal antibody conjugated with a novel high potency DNA topoisomerase I (topo I) inhibitor, with a drug-antibody-ratio (DAR) of 8. HLX10 is a humanized anti-PD-1 monoclonal antibody that functions as an immune checkpoint inhibitor.
Treatment groups
6
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
ORR
Objective response rate (ORR) (assessed by BICR according to the RECIST v1.1 criteria)
PFS
Defined as the time (in months) from randomization to the first confirmed and documented progressive disease or death (whichever occurs first) as assessed by BICR according to the RECIST v1.1 criteria.
Sponsors and contacts
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