A Study of BL-M07D1 Versus Investigator's Choice of Chemotherapy in Patients With HER2-positive L⦠(NCT07152405) | Clinical Trial Compass
RecruitingPhase 3
A Study of BL-M07D1 Versus Investigator's Choice of Chemotherapy in Patients With HER2-positive Locally Advanced or Metastatic Gastric or Gastro-esophageal Junction Adenocarcinoma
China490 participantsStarted 2025-09-24
Plain-language summary
This trial is a registrational Phase III, randomized, controlled, open-label, multicenter study designed to evaluate the efficacy and safety of BL-M07D1 in patients with HER2-positive locally advanced or metastatic gastric or gastro-esophageal junction (G/GEJ) adenocarcinoma after failure of first-line anti-HER2 therapy and first-line standard chemotherapy.
Who can participate
Age range18 Years β 75 Years
SexALL
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Inclusion criteria
β. Voluntarily sign the informed consent form and comply with the protocol requirements;
β. No gender restrictions;
β. Age at the time of signing the informed consent form is β₯18 years and β€75 years;
β. Expected survival time β₯3 months;
β. Patients with histologically or cytologically confirmed unresectable locally advanced or metastatic HER2-positive gastric or gastroesophageal junction adenocarcinoma;
β. Must have at least one measurable target lesion as defined by RECIST v1.1;
β. ECOG performance status score of 0 or 1;
β. Toxicity from previous antitumor therapy has recovered to β€ Grade 1 as defined by NCI-CTCAE v5.0;
Exclusion criteria
β. Received chemotherapy with mitomycin C and nitrosoureas within 6 weeks prior to the first dose, or underwent major surgery, radical radiotherapy, immunotherapy, etc., within 4 weeks prior to the first dose;
β. Previous treatment with HER2-ADC drugs, or ADC drugs with topoisomerase 1 inhibitors as the payload, or prior irinotecan therapy;
β. History of severe cardiovascular or cerebrovascular diseases within the past 6 months before screening;
β. Prolonged QT interval, complete left bundle branch block, third-degree atrioventricular block, or frequent and uncontrollable arrhythmias;