SMP-656 for HER2-Positive Advanced Breast Cancer
NCT07726342 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2026-07-24
Summary
The goal of this clinical trial is to learn if single-agent SMP-656 works to treat patients with HER2-positive locally advanced or metastatic breast cancer who have progressed after prior HER2-targeted topoisomerase inhibitor antibody-drug conjugate (ADC) treatment. It will also evaluate the safety of SMP-656 and identify the optimal dose for future trials. The main questions it aims to answer are:
What is the objective tumor response rate (DOR, PFS, DCR, OS) of two different dose regimens of intravenous SMP-656? What are the side effects and safety risks of these two SMP-656 dose regimens? Which dose level achieves the best balance of anti-cancer activity and tolerability? This is a randomized, open-label, dose-optimization Phase II clinical trial. Participants will be randomly assigned 1:1 to receive one of two fixed doses of SMP-656 given intravenously once every 3 weeks.
Participants will:
Complete screening tests within 28 days before the first SMP-656 infusion to confirm eligibility Receive study treatment every 3 weeks until cancer progression, intolerable side effects, withdrawal, or other stopping criteria Have regular tumor imaging scans, physical exams, vital sign checks, and blood tests to monitor tumor response and safety Attend a safety follow-up visit 30 days after the last dose of SMP-656 Complete longer-term survival follow-up after the 30-day safety check Provide optional blood and tumor tissue samples for additional research studies
Conditions
- HER2-positive Breast Cancer
- Metastatic Breast Cancer
- Locally Advanced Breast Cancer (LABC)
Interventions
- DRUG
-
SMP-656 Injection
SMP-656 injection administered via intravenous infusion at a dose of 2.0 mg/kg once every 3 weeks (Q3W). Treatment continues until disease progression, intolerable toxicity, voluntary withdrawal, death, or trial termination.
- DRUG
-
SMP-656 Injection
SMP-656 injection administered via intravenous infusion at a dose of 2.2 mg/kg once every 3 weeks (Q3W). Treatment continues until disease progression, intolerable toxicity, voluntary withdrawal, death, or trial termination.
Sponsors & Collaborators
-
Chengdu SciMount Pharmatech Co., Ltd.
lead INDUSTRY
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-16
- Primary Completion
- 2027-07-07
- Completion
- 2027-10-20
Countries
- China
Study Locations
More Related Trials
-
A Phase III Study of SHR-A1811 Injection With or Without Pertuzumab in HER2-Positive Recurrent or Metastatic Breast Cancer
NCT06057610 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Clinical Trial of TQB2102 for Injection Versus Trastuzumab Emtansine for Injection in HER2-positive Advanced Breast Cancer
NCT07008976 ·Status: RECRUITING ·Phase: PHASE3
-
Adaptive Therapy With Capecitabine for Treatment of Metastatic ER Positive, HER2 Negative Breast Cancer
NCT06525766 ·Status: RECRUITING ·Phase: PHASE2
-
Capecitabine Plus Pyrotinib Versus Capecitabine Plus Trastuzumab and Pertuzumab in the First-line Treatment of HER2-positive Metastatic Breast Cancer
NCT04246502 ·Status: UNKNOWN ·Phase: PHASE2
-
The Clinical Trial of TQB2102 for Injection Against Human Epidermal Growth Factor Receptor 2 Negative Breast Cancer
NCT06452706 ·Status: RECRUITING ·Phase: PHASE2
-
Thero2-01S22 in HER2-positive Breast Cancer
NCT05698186 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
DP303c in Patients With HER2-positive Advanced Breast Cancer
NCT05901935 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
B002 in Patients With HER2-positive Breast Cancer
NCT04382352 ·Status: COMPLETED ·Phase: PHASE1
-
A Study of MRG002 in Treatment of Advanced HER-2 Positive Breast Cancer Patients
NCT05263869 ·Status: UNKNOWN ·Phase: PHASE2
-
Real-world Study of SKB264 Monotherapy or Combination Therapy in Recurrent or Metastatic HER2-negative Breast Cancer
NCT06993506 ·Status: NOT_YET_RECRUITING
-
Clinical Study of Recombinant Anti-HER2 Humanized Monoclonal Antibody for Injection
NCT04170595 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
A Study to Evaluate Pertuzumab + Trastuzumab + Docetaxel vs. Placebo + Trastuzumab + Docetaxel in Previously Untreated HER2-Positive Metastatic Breast Cancer
NCT00567190 ·Status: COMPLETED ·Phase: PHASE3
-
A Phase III Study of SYS6010 Versus Chemotherapy in HER2-Negative, EGFR-Positive Recurrent or Metastatic Breast Cancer
NCT07406542 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
GW572016 For Treatment Of Refractory Metastatic Breast Cancer
NCT00062686 ·Status: COMPLETED ·Phase: PHASE2
-
A Study of BB-1701 in Previously Treated Participants With Human Epidermal Growth Factor Receptor 2 (HER2)-Positive or HER2-low Unresectable or Metastatic Breast Cancer
NCT06188559 ·Status: COMPLETED ·Phase: PHASE2
-
A Study of Samuraciclib and Elacestrant in Participants With Metastatic or Locally Advanced HR+/HER2-negative Breast Cancer
NCT05963997 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Pyrotinib Rechallenge in Her2-positive Metastatic Breast Cancer Pretreated With Pyrotinib and Trastuzumab
NCT05346861 ·Status: UNKNOWN ·Phase: PHASE3
-
Compare Efficacy, Safety and Immunogenicity of HLX02 and Herceptin in Previously Untreated HER2 +Overexpressing Metastatic Breast Cancer
NCT03084237 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluate BL-M17D1 in Patients w/HER2-Expressing/Mutant Advanced or Metastatic Solid Tumors
NCT06714617 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
microRNA of Human Epidermal Growth Factor Receptor 2 (HER2)Positive Patient Treated With Herceptin
NCT02656589 ·Status: UNKNOWN
-
A Study of Herceptin (Trastuzumab) in Women With Metastatic Breast Cancer
NCT00475670 ·Status: COMPLETED ·Phase: PHASE2
-
A Clinical Study of Sacituzumab Tirumotecan (Sac-TMT, MK-2870) in People With Breast Cancer (MK-2870-032)
NCT06966700 ·Status: RECRUITING ·Phase: PHASE3
-
Pyrotinib Combined With Trastuzumab and AI in the First-line Treatment of HER2 Positive/ HR Positive MBC
NCT03910712 ·Status: UNKNOWN ·Phase: PHASE2
-
TPIV100 and Sargramostim for the Treatment of HER2 Positive, Stage II-III Breast Cancer in Patients With Residual Disease After Chemotherapy and Surgery
NCT04197687 ·Status: UNKNOWN ·Phase: PHASE2
-
A Study of Neoadjuvant Treatment With TQB2102 for Injection for Human Epidermal Growth Factor Receptor 2 (HER2) Positive Breast Cancer
NCT06198751 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2