New drug shows promise for Hard-to-Treat breast cancer
NCT ID NCT04639986
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 study tests a drug called sacituzumab govitecan (Trodelvy) against standard chemotherapy in 331 Asian patients with HR+/HER2- metastatic breast cancer who have already tried at least two prior chemotherapies. The goal is to see if the new drug can delay cancer growth or improve survival. Participants receive either the study drug or a doctor-chosen standard treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Sacituzumab govitecan (Trodelvy)
- What this could lead to
- If successful, this could offer a new, more effective treatment option for people with HR+/HER2- metastatic breast cancer who have run out of standard chemotherapy options.
- What could go wrong
- This is a late-stage trial, but the drug may still not prove better than existing treatments. Side effects like diarrhea and low blood cell counts are common and can be serious.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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331 people
The number who actually took part.
- Started
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Nov 2020
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Female or male individuals aged ≥18 years at the time of signing the informed consent form * Documented evidence of hormone receptor-positive HER2-negative (HR+/HER2-) MBC confirmed * Refractory to or relapsed after at least 2, and no more than 4, prior systemic chemotherapy regimens for MBC * Should have been previously treated with at least 1 taxane in any setting, at least 1 prior anticancer hormonal treatment in any setting * Eligible for one of the chemotherapy options listed in the TPC arm * Documented radiographic disease progression after the most recent therapy * Measurable disease by CT or MRI in accordance with RECIST v 1.1, bone-only disease is not measurable and is not permitted. * Adequate bone marrow function, hepatic and renal function * Females must not be lactating or pregnant at Screening or Baseline (as documented by a negative beta human chorionic gonadotropin \[ß-hCG\] Key Exclusion Criteria: * Previous treatment with Topoisomerase 1 Inhibitors as a free form or as other formulations * Individuals who have known brain metastases. * Have an active second malignancy within 3 years prior to providing informed consent * Individuals with active hepatitis B virus (HBV), or hepatitis C virus infection (measurable viral RNA load with polymerase chain reaction). * Active serious infection requiring systemic antibiotic use within 7 days before Cycle1 Day 1. * Other concurrent medical or psychiatric conditions that, in the Investigator's opinion, may be likely to confound study interpretation or prevent completion of study procedures and follow-up examinations. * Known hypersensitivity or intolerance to either of the study treatments or any of the excipients. Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Affiliated Tumor Hospital of Xinjiang Medical University
Ürümqi, China
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Ajou University Hospital
Suwon, South Korea
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Anhui Provincial Hospital
Hefei, China
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Asan Medical Center
Seoul, South Korea
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Cancer Hospital Chinese Academy of Medical Science
Beijing, China
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Chang Gung Memorial Hospital, Linkou
Taoyuan, Taiwan
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Changhua Christian Medical Foundation Changhua Christian Hospital
Changhua, Taiwan
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China Medical University Hospital
Taichung, Taiwan
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Chinese PLA General Hospital
Beijing, China
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Chongqing University Cancer Hospital
Chengdu, China
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Dong-A University Hospital
Busan, South Korea
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Fujian Medical University Union Hospital
Fuzhou, China
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Guangdong Provincial People's Hospital
Guangzhou, China
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Henan Cancer Hospital
Zhengzhou, China
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Hubei Cancer Hospital
Wuhan, China
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Jiangsu Province Hospital
Nanjing, China
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Jilin Cancer Hospital
Changchun, China
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Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, Taiwan
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Korea University Anam Hospital
Seoul, South Korea
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Linyi Cancer Hospital
Linyi, China
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Nanjing Drum Tower Hospital
Nanjing, China
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National Cheng Kung University Hospital
Tainan, Taiwan
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National Taiwan University Hospital
Taipei, Taiwan
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Peking University People's Hospital
Beijing, China
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Samsung Medical Center
Seoul, South Korea
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Seoul National University Bundang Hospital
Seongnam, South Korea
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Seoul National University Hospital
Seoul, South Korea
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Severance Hospital Yonsei University Health System
Seoul, South Korea
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Shandong Cancer Hospital
Jinan, China
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Shanghai General Hospital
Shanghai, China
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Sir Run run Shaw hospital Zhejiang University School of Medicine
Hangzhou, China
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Sun Yat Sen Memorial Hospital of Sun Yat sen University
Guangzhou, China
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Sun Yat-sen University Cancer Center
Guangzhou, China
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Taipei Veterans General Hospital
Taipei, Taiwan
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The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an, China
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The First Hospital of Jilin University
Changchun, China
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The second Hospital of Anhui Medical University
Hefei, China
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Tianjin Medical University Cancer Institute & Hospital
Tianjin, China
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Tri-Service General Hospital
Taipei, Taiwan
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Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, China
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West China Hospital, Sichuan University
Chengdu, China
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Yunnan Cancer Hospital
Kunming, China
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Zhejiang Cancer Hospital
Hangzhou, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can an oral drug replace injections for advanced breast cancer?
- Can a Three-Drug combo crack Triple-Negative breast cancer?
- Can a blood test reveal when breast cancer treatment stops working?
- New antibody aims to preserve immune checkpoint while fighting cancer
- Zapping a few growing tumors may keep breast cancer drugs working longer
- Can a Two-Drug combo outsmart resistant breast and ovarian cancers?