Patologia: Neoplasie della mammella
Osservazionale-Sperimentale: Sperimentale
Monocentrico-Multicentrico: Multicentrico
Randomizzato: Sì
Fase di studio: III
Linee di trattamento: Non applicabile
Criteri di inclusione:
- Has unresectable locally advanced or metastatic centrally-confirmed hormone receptor positive (HR+)/human epidermal growth factor receptor 2 negative (HER2-) breast cancer
- Has radiographic disease progression on one or more lines of endocrine therapy for unresectable locally advanced/metastatic HR+/HER2- breast cancer, with one in combination with a CDK4/6 inhibitor
- Is a chemotherapy candidate
- Has an eastern cooperative oncology group (ECOG) performance status of 0 to 1 assessed within 7 days before randomization
- Has adequate organ function
- Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy
- Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received HBV antiviral therapy for at least 4 weeks, and have undetectable HBV viral load
- Participants with a history of Hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable.
Criteri di esclusione:
- Has breast cancer amenable to treatment with curative intent
- Has experienced an early recurrence (<6 months after completing adjuvant/neoadjuvant chemotherapy) and therefore is eligible to receive second-line (2L) treatment
- Has symptomatic advanced/metastatic visceral spread at risk of rapidly evolving into life-threatening complications
- Has received prior chemotherapy for unresectable locally advanced or metastatic breast cancer
- Active autoimmune disease that has required systemic treatment in the past 2 years
- History of (noninfectious) pneumonitis/interstitial lung disease that requires steroids, or has current pneumonitis/interstitial lung disease
- Has an active infection requiring systemic therapy.
Trattamento sperimentale:
Arm A: Sacituzumab tirumotecan
Arm B: Pembrolizumab + Sacituzumab tirumotecan
Trattamento di controllo:
Arm C: Treatment of Physician's Choice (TPC)
Ospedale S.Orsola Malpighi, Università di Bologna
Via Pietro Albertoni 15 - 40138 Bologna - BO
Riferimento: Prof. Claudio Zamagni
Telefono: 0512144548
Email: cinzia.pizzirani@aosp.bo.it
IRCCS - IRST Meldola Dino Amadori
Via P. Maroncelli 40 - 47014 Meldola - FC
Riferimento: Dr. Filippo Merloni
Telefono: 0543739100
Email: filippo.merloni@irst.emr.it
IRCCS A.O.U. San Martino - IST
Largo Rosanna Benzi 10 - 16132 Genova - GE
Riferimento: Prof.ssa Lucia Del Mastro
Telefono: 0105558908
Email: lucia.delmastro@hsanmartino.it
IRCCS Istituto Nazionale dei Tumori
Via Venezian 1 - 20133 Milano - MI
Riferimento: Dr.ssa Giulia Valeria Bianchi
Email: giulia.bianchi@istitutotumori.mi.it
Istituto Europeo di Oncologia
Via Ripamonti 435 - 20141 Milano - MI
Senologia Medica
Riferimento: Dr. Marco Angelo Colleoni
Telefono: 0257489970
Email: marco.colleoni@ieo.it
Ospedale San Raffaele di Milano
Via Olgettina 60 - 20132 Milano - MI
Riferimento: Prof. Giampaolo Bianchini
Email: bianchini.giampaolo@hsr.it
Istituto Clinico Humanitas Rozzano
Via Manzoni 56 - 20089 Rozzano - MI
Riferimento: Prof. Armando Santoro
Email: armando.santoro@cancercenter.humanitas.it
Centro di Riferimento Oncologico
Via Franco Gallini 2 - 33081 Aviano - PN
Riferimento: Prof. Fabio Puglisi
Email: Ricerca.omp@cro.it
Fondazione Policlinico A. Gemelli
Largo Agostino Gemelli 8 - 00168 Roma - RM
UOC Oncologia Medica
Numero di iscrizione a registro: 2023-504918-29
Data di inserimento: 23.12.2024
Data di aggiornamento: 14.03.2025
Merck Sharp & Dohme LLC
Riferimento: Dr. Info non applicabile
Telefono: 00000
Email: na@na.it
Localita: na