CClinicalTrials.gg
Status unknownNCT04185649Updated Dec 4, 2019

The Efficacy and Safety of BAT8001 Injection for the Treatment of HER2-positive Advanced Breast Cancer

A Phase 3 interventional study of BAT8001 for injection and Lapatinib in HER2-positive Advanced Breast Cancer, sponsored by Bio-Thera Solutions. Status unknown at 51 sites in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-12-04.

Sponsored by Bio-Thera Solutions · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2019), so the status shown — last known as Active, not recruiting — may be out of date.

From the registry’s dates

  • Registered 1 year 5 months after the study started (first participant enrolled Jul 2018, registered Dec 2019).
Phase
Phase 3
Study type
Interventional
Enrollment
410
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

To evaluate the safety and efficacy of BAT8001 for the treatment of HER2-positive advanced breast cancer, using lapatinib in combination with capecitabine as the positive control drug.

Read the detailed description

This is a multicenter, randomized, open-label, positive-controlled, superiority phase III clinical study. The object is to evaluate the safety and efficacy of BAT8001 for the treatment of HER2-positive advanced breast cancer, using lapatinib in combination with capecitabine as the positive control drug.

Eligible subjects will be randomized to the experimental or control group in a 1:1 ratio and stratified by the number of HER2-positive advanced/metastatic breast cancer treatment regimens (0, 1 VS > 1) and lesion site (organ VS non-organ).

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Conditions studied

  • HER2-positive Advanced Breast Cancer

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03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 410 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Bio-Thera Solutions is the lead sponsor of 54 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients are required to provide at least 10 unstained sections.
  2. HER2-positive (defined as: IHC 3+ or FISH+) confirmed by the central laboratory of this study.
  3. Histologically and/or cytologically confirmed invasive breast cancer, including unresectable locally advanced breast cancer (LABC) or metastatic breast cancer (MBC).
  4. LABC or MBC that has progressed during or after treatment, or during or within 12 month following adjuvant therapy as confirmed by imaging.
  5. Previously received adjuvant therapy, or locally advanced/metastatic breast cancer treatment regimen that included taxanes and trastuzumab (including approved biosimilars) as monotherapy or combination therapy。
  6. At least one measurable lesion or a single metastatic tumor in the bone as per the Response Evaluation Criteria in Solid Tumor (RECIST) 1.1.
  7. A score of 0-1 for performance status as per the Eastern Cooperative Oncology Group (ECOG) scale.
  8. Expected survival ≥ 3 months.
  9. Left ventricular ejection fraction (LVEF) ≥ 50%.
  10. If anthracyclines are used, the cumulative dose must meet the following criteria: the cumulative dose must not exceed the equivalent dose of doxorubicin 500 mg/m2.
  11. Women of childbearing age or fertile male subjects must agree to use oral, implanted, or injectable hormone contraceptives as well as one or two forms of non-hormonal contraceptive measures during the study period and until 6 months after the end of the study.
  12. Blood pregnancy test must indicate non-pregnant for all women of childbearing potential and those who do not meet the definition of postmenopause.

Exclusion criteria

Exclusion Criteria:

  1. Current presence of grade ≥ 2 peripheral neuropathy.
  2. History of other malignant tumors within the past 5 years, but does not include properly treated cervical carcinoma in situ, non-melanoma skin cancer, stage 1 uterine cancer, or other tumors with good prognosis.
  3. Received treatment with a cancer drug or investigational drug within 21 days from the first dose of the study drug, except for hormone therapy..
  4. Received radiation therapy within 14 days prior to the first test drug administration of this study; or subject has not recovered from the acute toxicity of radiation therapy prior to the first test drug administration of this study.
  5. Brain metastasis that is symptomatic or requires treatment to control symptoms within 30 days before randomization.
  6. Subjects who must receive the first test drug administration within less than 14 days following the completion of radiation therapy for symptomatic brain metastasis.
  7. Currently experiences moderate or severe dyspnea at rest caused by advanced malignancy or other complications or severe primary lung diseases, or currently requires continuous oxygen therapy, or subject currently suffers from interstitial lung disease (ILD) or pneumonia/pneumonitis.
  8. History of myocardial infarction or unstable angina within 6 months prior to first test drug administration.
  9. Previous history of LVEF falling below 40%; or presence of symptomatic congestive heart failure (CHF) during trastuzumab (including other analogues) treatment.
  10. Symptomatic congestive heart failure (CHF; New York Heart Association [NYHA] Class II-IV); Severe arrhythmias requiring treatment.
  11. Presence of severe and uncontrollable systemic diseases (e.g. clinically significant cardiovascular, lung or metabolic diseases).
  12. Patients who currently require coumarin derivative-based anticoagulation therapy such as warfarin and phenprocoumon.
  13. Presence of diseases that may affect intestinal absorption, including malabsorption syndrome, stomach and small bowel resection, and ulcerative colitis.
  14. Intolerance (grade 3-4 infusion reactions) or allergy to trastuzumab (and other analogues) or mouse proteins or any ingredient of the medication.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
410 participants (estimated)

Study arms

  • Experimental
    BAT8001 for injection

    Participants with HER2-positive, unresectable LABC or MBC who have experienced disease progression after treatment with trastuzumab and a taxane will be treated with trastuzumab emtansine. Participants may continue to receive study treatment until disease progression (as assessed by the investigator), unmanageable toxicity, or study termination by the Sponsor.

    Biological: BAT8001 for injection

  • Active comparator
    Control (lapatinib + capecitabine)

    Participants with HER2-positive, unresectable LABC or MBC who have experienced disease progression after treatment with trastuzumab and a taxane will be treated with lapatinib plus capecitabine. Participants may continue to receive study treatment until disease progression (as assessed by the investigator), unmanageable toxicity, or study termination by the Sponsor.

    Drug: Lapatinib · Drug: Capecitabine

Interventions

  • BiologicalBAT8001 for injection

    3.6 mg/kg, q3w, administered intravenously on day 1 of each treatment cycle, 21 days/treatment cycle.

  • DrugLapatinib

    Lapatinib 1250 mg was administered orally once per day of each 21-day cycle.

    Also known as: Lapatinib ditosylate tablets

  • DrugCapecitabine

    Capecitabine 1000 milligrams per square meter (mg/m\^2) was administered orally twice daily on Days 1-14 of each 21-day cycle.

    Also known as: capecitabine tablets

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What researchers measure

Primary outcomes

  1. Progression-free survival (PFS)

    PFS is defined as the time from randomization to the first occurrence of disease progression as determined by the investigator using Response Evaluation Criteria in Solid Tumors (RECIST) Version (v1.1), or death from any cause during the study, whichever occurs first.

    Time frame: Up to approximately 18 months

Secondary outcomes

  1. Overall Survival (OS)

    OS is defined as the time from the date of randomization to the date of death from any cause.

    Time frame: Up to approximately 30 months

  2. Objective Response Rate (ORR)

    ORR is defined as percentage of participants with partial response (PR) or complete response (CR) determined on the basis of investigator assessments with the use of RECIST v1.1.

    Time frame: Up to approximately 30 months

  3. Duration of Response (DOR)

    DOR is defined as as the time from the date of initial confirmed PR or CR to the date of disease progression or death within the study.

    Time frame: Up to approximately 30 months

  4. Clinical Benefit Rate (CBR)

    CBR is defined as the proportion of subjects with best overall response (confirmed PR or CR) or with stable disease (confirmed SD) for at least 6 months;

    Time frame: Up to approximately 30 months

  5. Serum Concentration of BAT8001

    Concentration of BAT8001 will be measured in serum from participants, who received BAT8001.

    Time frame: Pre-dose and 15-30 minutes after dose on Day 1, Day 8, Day 15 of each 21-day cycle during Cycles 1-4 and at completion/early termination visit (up to approximately 30 months)

  6. Serum Concentration of total antibody of BAT8001 for injection

    Concentration of total antibody will be measured in serum from participants, who received BAT8001.

    Time frame: Pre-dose and 15-30 minutes after dose on Day 1, Day 8, Day 15 of each 21-day cycle during Cycles 1-4 and at completion/early termination visit (up to approximately 30 months)

  7. Plasma Concentration of batansine (a maytansine derivative, which is the 3AA-MDC complex)

    Concentration of batansine will be measured in plasma from participants, who received BAT8001.

    Time frame: Pre-dose and 15-30 minutes after dose on Day 1, Day 8, Day 15 of each 21-day cycle during Cycles 1-4 and at completion/early termination visit (up to approximately 30 months)

  8. Percentage of Participants with Anti-therapeutic Antibodies (ATA) to BAT8001

    ATA to BAT8001 were measured in serum of participants, who received BAT8001.

    Time frame: Pre-dose on Day 1 of each 21-day cycle during Cycles 1-4 and at completion/early termination visit (up to approximately 30 months)

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Study locations

51 sites
  • The First Affiliated Hospital of Bengbu Medical College
    Bengbu, Anhui, China
  • Anhui Provincial Hospital
    Hefei, Anhui, China
  • Beijing Hospital
    Beijing, Beijing, China
  • Beijing Shijitan Hospital
    Beijing, Beijing, China
  • Peking union medical college hospital
    Beijing, Beijing, China
  • Chinese PLA General Hospital
    Peking, Beijing, China
  • Chongqing Cancer Hospital
    Chongqing, Chongqing, China
  • The First Affiliated Hospital of Xiamen University
    Xiamen, Fujian, China
  • Foshan City No. 1 People's Hospital
    Foshan, Guangdong, China
  • Cancer Center of Guangzhou Medical University
    Guangzhou, Guangdong, China
  • Sun Yat-sen Memorial Hospital. SYSU
    Guangzhou, Guangdong, China
  • Sun Yat-sen University Cancer Center
    Guangzhou, Guangdong, China
  • Peking University Shenzhen Hospital
    Shenzhen, Guangdong, China
  • Shenzhen People's Hospital
    Shenzhen, Guangdong, China
  • The First Affiliated Hospital of Guangdong Medical University
    Zhanjiang, Guangdong, China
  • The Fifth Affiliated Hospital Sun Yat-sen University
    Zhuhai, Guangdong, China
  • Liuzhou workers hospital
    Liuzhou, Guangxi, China
  • The First Affiliated Hospital of Hainan Medical College
    Haikou, Hainan, China
  • Harbin Medical University Cancer Hospital
    Harbin, Heilongjiang, China
  • The First Affiliated Hospital of Henan University of science and technology
    Luoyang, Henan, China
  • The First Affiliated Hospital of Xixiang Medical College
    Xinxiang, Henan, China
  • Hubei Cancer Hospital
    Wuhan, Hubei, China
  • Tongji Hospital of Tongji Medical College of HUST
    Wuhan, Hubei, China
  • Zhongnan Hospital of Wuhan University
    Wuhan, Hubei, China
  • Yichang Central Hospital
    Yichang, Hubei, China
  • Hunan Cancer Hospital
    Changsha, Hunan, China
  • Xiangya Hospital Central South University
    Changsha, Hunan, China
  • Jiangsu Cancer Hospital
    Nanning, Jiangsu, China
  • Affiliated Hospital of Jiangnan University
    Wuxi, Jiangsu, China
  • Yancheng City No. 1 People's Hospital
    Yancheng, Jiangsu, China
  • Jiangxi Cancer Hospital
    Nanchang, Jiangxi, China
  • The Third Hospital of Nanchang
    Nanchang, Jiangxi, China
  • Jilin Cancer Hospital
    Chang chun, Jilin, China
  • The First Bethune Hospital of Jilin University
    Changchun, Jilin, China
  • Jinzhou Central Hospital
    Jinzhou, Liaoning, China
  • Liaoning Cancer Hospital
    Shenyang, Liaoning, China
  • General Hospital of Ningxia Medical University
    Yinchuan, Ningxia, China
  • Shandong Cancer Hospital
    Jinan, Shandong, China
  • Linyi Cancer Hospital
    Linyi, Shandong, China
  • Weifang People's Hospital
    Weifang, Shandong, China
  • Fudan University Shanghai Cancer Hospital
    Shanghai, Shanghai, China
  • Shanghai General Hospital
    Shanghai, Shanghai, China
  • Shanghai Sixth People's Hospital
    Shanghai, Shanghai, China
  • The Second Hospital of Anhui Medical University
    Shanghai, Shanghai, China
  • Shanxi Cancer Hospital
    Xi'an, Shanxi, China
  • The First Affiliated Hospital of Xi'an Jiaotong University
    Xi'an, Shanxi, China
  • West China Hospital of Sichuan University
    Chengdu, Sichuan, China
  • Yunnan Cancer Hospital
    Kunming, Yunnan, China
  • The Second Affiliated Hospital of Zhejiang University School of Medicine
    Hangzhou, Zhejiang, China
  • Zhejiang Cancer Hospital
    Hangzhou, Zhejiang, China
  • Taizhou Hispotal of Zhejiang Province
    Taizhou, Zhejiang, China
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 4, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04185649
Lead sponsor
Bio-Thera Solutions
Responsible party
Sponsor
First posted
Dec 4, 2019
Start date
Jul 1, 2018
Primary completion
Jul 31, 2020 (estimated)
Completion
Dec 31, 2021 (estimated)
Last update
Dec 4, 2019

Study contacts

Shusen Wang, M.D.
principal investigator · Sun Yat-sen University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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