Skip to content

ALTER : A Phase 2, Multicenter, Randomized, Open-label trial assessing sacituzumab-govitecan and trastuzumab-deruxtecan combinaison in an ALTERnating regimen for patients with metastatic or locally advanced Her2-low triple-negative breast Cancer

Status
Not yet recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2025-521909-40-00
Acronym
UC-BCG-2503
Enrollment
260
Registered
2025-10-23
Start date
Unknown
Completion date
Unknown
Last updated
2025-10-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patients with metastatic or locally advanced HER2-low triple-negative breast cancer and eligible to receive sacituzumab-govitecan and T-Dxd according to their indication.

Brief summary

Overall survival estimated by the Kaplan-Meier method will be used as primary efficacy outcome. Overall survival is defined as the interval between the date of randomization and the date of death from any cause. Alive patients will be censored at the date of last follow-up.

Detailed description

Efficacy : The clinical benefit rate (CBR), defined as the percentage of patients with a complete response (CR, defined as a disappearance of all target lesions), a partial response (PR, defined as at least a 30% decrease in the sum of diameters of target lesions), or stable disease (SD, defined as neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease for at least 24 weeks, Efficacy : Objective response rate (ORR), defined as the percentage of patients with a complete response (CR, defined as a disappearance of all target lesions) or a partial response (PR, defined as at least a 30% decrease in the sum of diameters of target lesions)., Efficacy : The progression-free survival (PFS), defined as the interval between the date of randomization and the date of progression or death from any cause, whichever occurs first. A patient alive and without progression will be censored at the date of last follow-up., Efficacy : Quality adjusted PFS (QA-PFS) calculated as the product of the PFS function and the overall health utility index EQ-5D-5L., Safety and Quality of life : Safety and tolerability of sacituzumab govitecan will be evaluated by the frequency and severity of adverse events (AEs), serious adverse events (SAEs), adverse events of special interest (AESIs) graded according to the NCI-CTCAE v5.0; The proportion of treatment discontinuations, interruptions and dose reductions due to any AEs will also be measured., Safety and Quality of life : Mean changes from Baseline in Global Health Status/Quality of Life (GHS/QoL) will be measured at week 24 via the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30).

Interventions

DRUGTRASTUZUMAB DERUXTECAN
DRUGSACITUZUMAB GOVITECAN

Sponsors

Unicancer
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Overall survival estimated by the Kaplan-Meier method will be used as primary efficacy outcome. Overall survival is defined as the interval between the date of randomization and the date of death from any cause. Alive patients will be censored at the date of last follow-up.

Secondary

MeasureTime frame
Efficacy : The clinical benefit rate (CBR), defined as the percentage of patients with a complete response (CR, defined as a disappearance of all target lesions), a partial response (PR, defined as at least a 30% decrease in the sum of diameters of target lesions), or stable disease (SD, defined as neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease for at least 24 weeks, Efficacy : Objective response rate (ORR), defined as the percentage of patients with a complete response (CR, defined as a disappearance of all target lesions) or a partial response (PR, defined as at least a 30% decrease in the sum of diameters of target lesions)., Efficacy : The progression-free survival (PFS), defined as the interval between the date of randomization and the date of progression or death from any cause, whichever occurs first. A patient alive and without progression will be censored at the date of last follow-up., Efficacy : Quality

Countries

France

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026