Actively Recruiting

Phase 2
Age: 18Years - 70Years
All Genders
NCT06367088

Cadonilimab Combined With Chemotherapy as First or Second Line Treatment in Recurrent or Metastatic Triple Negative Breast Cancer

Led by Union Hospital, Tongji Medical College, Huazhong University of Science and Technology · Updated on 2025-05-20

27

Participants Needed

1

Research Sites

156 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The prognosis of recurrent and metastatic triple negative breast cancer (TNBC) is poor, and chemotherapy is still the main treatment for TNBC. Some studies have shown that combination therapy of antibodies targeting cytotoxic T-lymphocyte antigen-4 (CTLA-4) and programmed cell death-1 (PD-1) significantly improves clinical benefit over PD-1 antibody alone. However, broad application of this combination has been limited by toxicities. Cadonilimab is a humanized immunoglobulin G1 bispecific antibody targeting PD-1 and CTLA-4. It mutates to eliminate Fc receptor and complement-mediated cytotoxic effects. The purpose of this study is to evaluate the efficacy and safety of Cadonilimab combined with chemotherapy as a first or second-line treatment of recurrent and metastatic TNBC. This study is a multicenter, single arm, phase II, non randomized, open label, Simon two-stage design. It is planned to enroll 27 late stage TNBC patients.

CONDITIONS

Official Title

Cadonilimab Combined With Chemotherapy as First or Second Line Treatment in Recurrent or Metastatic Triple Negative Breast Cancer

Who Can Participate

Age: 18Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Recurrent or metastatic triple negative breast cancer (TNBC) patients
  • TNBC defined by immunohistochemistry as ER<1%, PR<1%, Her2=0~1+, or 2+ with no HER2 amplification by Fish test
  • No prior chemotherapy or only first-line chemotherapy for recurrent or metastatic TNBC
  • Ages 18 to 75 years at consent
  • ECOG performance status score of 0 or 1
  • Expected survival of at least 3 months
  • At least one measurable lesion per RECIST version 1.1
  • Acceptable kidney and liver function
Not Eligible

You will not qualify if you...

  • Previous treatment with immune checkpoint inhibitors (anti-PD-1, anti-PD-L1, anti-CTLA-4 antibodies)
  • Active central nervous system metastatic lesions or meningeal metastases
  • Active autoimmune disease requiring systemic treatment in the past 2 years
  • Known primary immunodeficiency
  • Pregnant or breastfeeding women
  • Any current or past abnormalities in disease, treatment, or lab tests that could affect study results or participation

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China, 430022

Actively Recruiting

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Research Team

J

Jie Xiong, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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