Can a targeted drug extend life in Hard-to-Treat breast cancer?
NCT ID NCT06993506
First seen Aug 18, 2026 · Last updated Aug 19, 2026 · Updated 1 time
Summary
This study looks at how well sacituzumab tirumotecan (SKB264) works, either alone or with other treatments, in people with advanced HER2-negative breast cancer that has spread or come back. It includes two groups: those with triple-negative breast cancer and those with hormone receptor-positive, HER2-negative disease. The goal is to see how long patients go before needing a different treatment and to check the drug's safety in everyday clinical practice.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Sacituzumab tirumotecan (SKB264) given alone or with other drugs
- What this could lead to
- If successful, this could provide a new treatment option for advanced HER2-negative breast cancer, potentially improving how long patients live without the disease progressing.
- What could go wrong
- This is an observational study, so it cannot prove the drug works better than existing treatments. Results may vary in real-world settings, and side effects are possible.
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.
- Participants
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About 500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2026
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with Unresectable Locally Advanced, Recurrent or Metastatic HER2-Negative Breast Cancer
- 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.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Aged ≥ 18 years old at the time of signing the informed consent form, regardless of gender; 2. Patient must meet one of the following pathological diagnoses and classifications: 2.1) For TNBC Cohort: -Histological/cytological confirmed of triple-negative breast cancer (TNBC) from the most recent pre-SKB264 biopsy/pathological report, with: HER2 negative: immunohistochemistry (IHC) of 0 or 1+; if is 2+ by IHC, negative HER2 expression must be confirmed by fluorescence in situ hybridization (FISH); Estrogen and progesterone receptor negative means that less than 1% of the cells express hormone receptors as indicated by IHC; -Locally advanced, recurrent, or metastatic disease (locally advanced disease should be confirmed by investigators as ineligible for curative resection); 2.2) For HR+/HER2- BC Cohort: -Histological/cytological confirmed of HR+/HER2- breast cancer from the most recent pre-SKB264 biopsy/pathological report, with: HER2 negative: IHC of 0 or 1+; if is 2+ by IHC, negative HER2 expression must be confirmed by FISH; HR positive: Hormone receptor-positive (HR, ER, or PR status) was defined as ≥1% expression by IHC.-Locally advanced, recurrent, or metastatic disease (locally advanced disease should be confirmed by investigators as ineligible for curative resection); 3. Plan to receive SKB264 monotherapy or combination therapy; 4. Prior treatment lines: -For TNBC Cohort: ≤2 lines of systemic antitumor therapy for unresectable locally advanced, recurrent, or metastatic disease; -For HR+/HER2- BC Cohort: ≤2 lines of systemic antitumor therapy (excluding endocrine therapy) for unresectable locally advanced, recurrent, or metastatic disease; 5. Voluntarily participate in the study, sign the informed consent form and demonstrate good compliance. Exclusion Criteria: 1. Patients with other malignancies, except cured basal or squamous cell skin cancer or in situ cancer of cervix; and patients with other malignancies must have a tumor-free period of at least 5 years; 2. Patients who are currently participating in other interventional clinical studies; 3. Known allergy to the investigational drug or any of its components; 4. Pregnant or lactating women; 5. Any situation that the researchers consider to interfere with the evaluation of the study drug or the safety of the subjects or the analysis of the study results, or any other situation that the researchers consider inappropriate to participate in this study.
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Get notified about this study
Sign up to get updates when this study changes or when new studies for HER2-negative breast cancer are added.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
19 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Cancer Hospital, Chinese Academy of Medical Sciences
RECRUITINGBeijing, Beijing Municipality, 100021, China
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Chinese PLA General Hospital
RECRUITINGBeijing, Beijing Municipality, 100853, China
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Fujian Cancer Hospital
NOT_YET_RECRUITINGFuzhou, Fujian, 350000, China
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Hubei Cancer Hospital
NOT_YET_RECRUITINGWuhan, Hubei, 430079, China
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Peking University First Hospital
RECRUITINGBeijing, Beijing Municipality, 100034, China
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Shanxi Bethune Hospital
RECRUITINGTaiyuan, Shanxi, 030032, China
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Suining Central Hospital
RECRUITINGSuining, Sichuan, 629000, China
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Taihe Hospital
RECRUITINGShiyan, Hubei, 442099, China
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The Affiliated People's Hospital of Ningbo University
RECRUITINGNingbo, Zhejiang, 315100, China
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The First Affiliated Hospital of Xiamen University
NOT_YET_RECRUITINGXiamen, Fujian, China
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The First Affiliated Hospital of Zhengzhou University
NOT_YET_RECRUITINGZhengzhou, Henan, China
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The First People's Hospital of Changde City
RECRUITINGChangde, Hunan, 415003, China
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The Fourth Hospital of Hebei Medical University
NOT_YET_RECRUITINGShijiazhuang, Hebei, China
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The Second Affiliated Hospital of Anhui Medical University
RECRUITINGHefei, Anhui, 230601, China
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The Third People's Hospital of Zhengzhou
NOT_YET_RECRUITINGZhengzhou, Henan, 450000, China
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The first hospital of Jilin University
RECRUITINGChangchun, Jilin, 130021, China
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Union Hospital Tongji Medical College Huazhong University of Science and Technology
NOT_YET_RECRUITINGWuhan, Hubei, 430022, China
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Yantai Yuhuangding Hospital
RECRUITINGYantai, Shandong, 264000, China
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Zhongshan Hospital Fudan University
RECRUITINGShanghai, Shanghai Municipality, 200032, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Gut bacteria may hold clues to why some cancer treatments work better
- Daily pill giredestrant put to the test for sticking with breast cancer treatment
- Can pulsed radiation extend life in metastatic cervical cancer?
- Unlocking TNBC survival: genetic clues from 3,648 women
- New drug targets Sugar-Coated proteins on cancer cells
- Can a blood test reveal when breast cancer treatment stops working?