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A single-arm, phase II study to evaluate the efficacy and safety of Sacituzumab Tirumotecan in second-line and subsequent treatments for advanced thymic epithelial tumors

A single-arm, phase II study to evaluate the efficacy and safety of Sacituzumab Tirumotecan in second-line and subsequent treatments for advanced thymic epithelial tumors

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2600122047
Enrollment
Unknown
Registered
2026-04-08
Start date
2026-04-20
Completion date
Unknown
Last updated
2026-04-14

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

Conditions

Advanced thymic epithelial tumor

Interventions

Sponsors

Sun Yat-sen University Cancer Center
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1.Advanced (unresectable or metastatic) thymic epithelial tumor confirmed by histology or cytology; 2.Progress after receiving at least first-line systemic therapy (chemotherapy or immune checkpoint inhibitor); 3.According to RECISTv1.1 standard, there is at least one measurable lesion; 4.No central nervous system metastasis or stable brain metastasis after treatment (asymptomatic and hormone withdrawal for >=4 weeks); 5.Age > 18 years old, male or female; 6.ECOG (Performance status, PS) score 0-1; 7.Expected survival time >=12 weeks; 8.Organ function compliance (confirmed by laboratory examination within 14 days before treatment): Bone marrow function: I. Neutrophils >= 1500× 10^9/L; Ii. Platelets >= 100× 10^9/L; Iii. hemoglobin > 90g/l; Renal function: I. Serum creatinine =50mL/min; Ii. Urine protein = 28g/l; Coagulation function: NR or APTT= 50%;Thyroid stimulating hormone (TSH), free thyroxine (FT4) or free triiodothyronine (FT3) were within ± 10% of normal values; 9.Before making any evaluation related to the study, the subjects must understand and volunteer. Sign the informed consent form and voluntarily comply with other requirements of the study; 10.Female subjects with reproductive function must be treated within 3 days before the first medication. Urine or serum pregnancy test (if the result of urine pregnancy test cannot be confirmed as negative, serum pregnancy test is needed, and the serum pregnancy result shall prevail). If a fertile woman has sex with an unsterilized male partner, the subjects agree to continue using contraception and avoid breastfeeding during the medication; 11.Male subjects are willing to agree to continue using contraception during the medication.

Exclusion criteria

Exclusion criteria: 1.Previously received targeted drug therapy with Lucasatuzumab; 2.Have received any drug therapy targeting topoisomerase I in the past, including antibody-coupled drug (ADC) therapy; 3.Patients with grade 3-4 interstitial lung disease; 4.Subjects known to have meningeal metastasis, brain stem metastasis, spinal cord metastasis and/or compression, active or brain metastasis without local treatment. Subjects with brain metastases who have previously received local treatment can participate in the study if they are clinically stable for at least 4 weeks before the first administration of the study treatment and do not need to use corticosteroids or anticonvulsants for at least 14 days before the first administration; For the subjects with brain metastases first discovered during screening, if they receive local treatment (such as radiotherapy), they must have imaging evidence to show that the brain metastases have not progressed for at least 4 weeks from the first imaging diagnosis of brain metastases, and they can only enter the group after confirming that the brain metastases are stable; 5.Patients with previous malignant tumors (except skin malignant tumors other than melanoma, and carcinoma in situ in the following parts [bladder, stomach, colorectal cancer, endometrium, cervix, melanoma or breast]) cannot be included in this study. However, if the malignant tumor has achieved complete remission for five years or more, and no additional anti-tumor treatment is needed during this study, it can be included in the study; 6.Myocardial infarction and uncontrolled arrhythmia occurred within 6 months before the first administration (including QTc interval >=450ms for men and >= 470 ms for women) (QTc interval is calculated by Fridericia formula); Or grade III-IV cardiac insufficiency according to NYHA standard or left ventricular ejection fraction 10mg of prednisone or equivalent dose of systemic corticosteroid therapy or equivalent anti-inflammatory active drugs or any form of immunosuppressive therapy. Subjects who need bronchodilators, inhaled or topical steroids or local steroid injections, and who are used as preventive drugs for hypersensitivity (such as drugs before CT examination) may be admitted into the group; 13.Known history of hereditary bleeding tendency disease or coagulation dysfunction; 14.Pregnant or lactating women; 15.During the screening before the first administration, the condition deteriorated rapidly, such as serious

Design outcomes

Primary

MeasureTime frame
Objective Response Rate;

Secondary

MeasureTime frame
Overall Survival;Adverse event;Progression-Free Survival;Duration of Response;Disease Control Rate;

Countries

China

Contacts

Public ContactXue Hou

Sun Yat-sen University Cancer Center

houxue@sysucc.org.cn+86 20 87342470

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Apr 17, 2026