About this trial
This trial is a registrational Phase III, randomized, open-label, multicenter study designed to compare the efficacy and safety of BL-B01D1 in combination with a PD-1 monoclonal antibody versus nab-paclitaxel in combination with a PD-1 monoclonal antibody in patients with PD-L1-positive, previously untreated, inoperable locally advanced or recurrent metastatic triple-negative breast cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Voluntarily sign the informed consent form and agree to comply with the protocol requirements;
Female patients aged 18 to 75 years;
Expected survival time ≥ 3 months;
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
Disqualifiers
Received surgery, radical radiotherapy, or immunotherapy within 4 weeks before the first dose;
Prior exposure to ADC drugs with topoisomerase I inhibitor payload;
Prior treatment with other T-cell receptor-targeting agents (excluding PD-1/PD-L1);
Use of immunomodulators within 14 days before the first study drug dose;
Trial design
Parallel
Treatments tested in this trial
BL-B01D1
DrugAdministration by intravenous infusion for a cycle of 3 weeks.
PD-1 monoclonal antibody
DrugAdministration by intravenous infusion for a cycle of 3 weeks.
Nab-paclitaxel
DrugAdministration by intravenous infusion for a cycle of 3 weeks.
Treatment groups
Trial outcomes
Primary outcomes
BICR-assessed Progression-free Survival (PFS)
Progression-free survival (PFS) as assessed by BICR is defined as the time between the date subjects were randomized and the first observation of disease progression (based on BICR's image-based assessment) or death.
Secondary outcomes
Overall Survival (OS)
Overall survival (OS) is defined as the time between the day the subject is randomized and the subject's death.
Investigator-assessed Progression-free Survival (PFS)
Investigator-assessed progression-free survival (PFS) per RECIST v1.1 is defined as the time from treatment initiation until the first documented disease progression according to RECIST v1.1 criteria, or death from any cause, whichever occurs first, as determined by the local treating investigator.
Objective Response Rate (ORR)
Objective response rate (ORR) is defined as the number of CR and PR in the treatment and control groups divided by the number of that group in the full analysis set (FAS).
Disease Control Rate (DCR)
Disease Control Rate (DCR) : Percentage of all randomized subjects who rated the best overall response (BOR) as complete response (CR), partial response (PR), and disease stabilization (SD) according to RECIST 1.1 criteria.
Sponsors and contacts
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Sichuan Baili Pharmaceutical Co., Ltd.
Lead sponsor
Baili-Bio (Chengdu) Pharmaceutical Co., Ltd.
Collaborator