Clinical trial Recruiting at 70 sites Phase 3 Interventional Ages 18 to 75

GQ1005 versus T-DM1 in HER2-positive unresectable or metastatic breast cancer

Official title: A Phase III, Multicenter, Open-label, Randomized Controlled Study Comparing GQ1005 and Trastuzumab Emtansine (T-DM1) in Patients With HER2-Positive Unresectable or Metastatic Breast Cancer Previously Treated With Trastuzumab and a Taxane

Run by GeneQuantum Healthcare (Suzhou) Co., Ltd. · NCT07673029 · Data updated 2026-11-12

This trial tests whether GQ1005 works as well as T-DM1 for adults with HER2-positive unresectable or metastatic breast cancer who have already had trastuzumab and taxane.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment228 (estimated)
SponsorGeneQuantum Healthcare (Suzhou) Co., Ltd.
Industry-sponsored
Drugs / interventionstrastuzumab, radiation
Locations70 sites (Bengbu, Anhui and 69 other locations)
StatusRecruiting
StartedJanuary 10, 2025
Main results expectedJanuary 9, 2027
Study endsJanuary 9, 2028
Registry record updatedJune 29, 2026
Trial IDNCT07673029 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with HER2-positive unresectable or metastatic breast cancer previously treated with trastuzumab and taxane, ECOG 0-1, and at least one measurable lesion.

Probably not a fit

Patients with prior anti-HER2 ADC therapy, certain lung conditions requiring steroids, or other active cancers may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 3, multicenter, open-label, randomized study comparing GQ1005 to T-DM1 in patients with HER2-positive unresectable or metastatic breast cancer who have previously received trastuzumab and taxane. About 228 patients will be randomized 1:1 to receive either GQ1005 or T-DM1. The trial aims to assess efficacy and safety of the two treatments, using RECIST v1.1 for measurable disease and standard clinical criteria. Eligible participants include adults with ECOG 0-1 and at least one measurable lesion, with an expected survival of 12 weeks or more. Key exclusions include prior anti-HER2 ADC therapy and certain lung, allergic, or concurrent cancer conditions.

Why it matters

Potential benefit: If successful, participants may experience improved disease control and potentially longer survival with GQ1005 compared to T-DM1.

How similar studies have gone: Prior HER2-targeted ADCs have shown promise in similar settings, but this direct comparison between GQ1005 and T-DM1 is an explicit evaluation in a Phase 3 trial.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Male or female adults ≥ 18 years at the time of voluntary signing of informed consent.
* Pathologically confirmed unresectable or metastatic HER2 positive breast cancer previously treated with trastuzumab and taxane
* Eastern Cooperative Oncology Group (ECOG) performance status score is 0 or 1.
* Presence of at least one measurable lesion according to RECIST v1.1
* Expected survival time ≥ 12 weeks.
* Patients must give informed consent to this study and voluntarily sign written informed consent form prior to the study NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Exclusion Criteria:

* Prior anti-HER2 ADC therapy.
* Previous history of interstitial lung disease/noninfectious pneumonitis/radiation pneumonitis requiring steroid therapy.
* Known serious hypersensitivity to the active ingredients of the study drug, inactive ingredients in the formulation, or other antibody drugs.
* Multiple primary malignancies within 3 years, except for adequately resected non-melanoma skin cancer, curatively treated in situ tumor, or contralateral breast cancer
* Uncontrolled infection requiring intravenous antibiotics, antiviral or antifungal agents, autoimmune disease requiring treatment, uncontrolled diabetes, hypertension, or other systemic disease that makes compliance with study procedures difficult
* Unrecovered toxicity from prior anticancer therapy, defined as toxicity (except for alopecia) not recovered to ≤Grade 1 (NCI-CTCAE v5.0) or baseline.

Where it's running

  • The First Affiliated Hospital of Bengbu Medical University
    Bengbu, Anhui, China
    Recruiting
  • The Affiliated Fuyang Hospital of Anhui Medical University
    Fuyang, Anhui, China
    Recruiting
  • The First Affiliated Hospital of Anhui Medical University
    Hefei, Anhui, China
    Recruiting
  • Anhui Cancer Hospital
    Hefei, Anhui, China
    Recruiting
  • The Fifth Medical Center of the Chinese People's Liberation Army General Hospital
    Beijing, Beijing Municipality, China
    Recruiting
  • Chongqing University Cancer Hospital
    Chongqing, Chongqing Municipality, China
    Recruiting
Show 44 more locations
  • Fujian Cancer Hospital
    Fuzhou, Fujian, China
    Recruiting
  • The Second Affiliated Hospital of Fujian Medical University
    Quanzhou, Fujian, China
    Recruiting
  • Sun Yat-sen University Cancer Center
    Guangzhou, Guangdong, China
    Recruiting
  • Sun Yat-sen Memorial Hospital, Sun Yat-sen University
    Guangzhou, Guangdong, China
    Recruiting
  • Meizhou People's Hospital
    Meizhou, Guangdong, China
    Recruiting
  • Shantou Central Hospital
    Shantou, Guangdong, China
    Recruiting
  • Guangxi Medical University Cancer Hospital
    Nanning, Guangxi, China
    Recruiting
  • Guizhou Provincial People's Hospital
    Guiyang, Guizhou, China
    Recruiting
  • Guizhou Medical University Cancer Hospital
    Guiyang, Guizhou, China
    Recruiting
  • The Affiliated Hospital of Hebei University
    Baoding, Hebei, China
    Recruiting
  • The Affiliated Hospital of Hebei University of Engineering
    Handan, Hebei, China
    Recruiting
  • The Fourth Hospital of Hebei Medical University
    Shijiazhuang, Hebei, China
    Recruiting
  • Xingtai People's Hospital
    Xingtai, Hebei, China
    Recruiting
  • Harbin Medical University Cancer Hospital
    Harbin, Heilongjiang, China
    Recruiting
  • Anyang Cancer Hospital
    Anyang, Henan, China
    Recruiting
  • Luoyang Central Hospital
    Luoyang, Henan, China
    Recruiting
  • The First Affiliated Hospital of Henan University of Science and Technology
    Luoyang, Henan, China
    Recruiting
  • The First Affiliated Hospital of Henan Medical University
    Xinxiang, Henan, China
    Recruiting
  • Xuchang Central Hospital
    Xuchang, Henan, China
    Recruiting
  • Henan Cancer Hospital
    Zhengzhou, Henan, China
    Recruiting
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan, China
    Recruiting
  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, Hubei, China
    Recruiting
  • Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, Hubei, China
    Recruiting
  • Renmin Hospital of Wuhan University
    Wuhan, Hubei, China
    Recruiting
  • Zhongnan Hospital of Wuhan University
    Wuhan, Hubei, China
    Recruiting
  • Hubei Cancer Hospital
    Wuhan, Hubei, China
    Recruiting
  • Hunan Cancer Hospital
    Changsha, Hunan, China
    Recruiting
  • Yongzhou Central Hospital
    Yongzhou, Hunan, China
    Recruiting
  • Xuzhou Central Hospital
    Xuzhou, Jiangsu, China
    Recruiting
  • Ganzhou Cancer Hospital
    Ganzhou, Jiangxi, China
    Recruiting
  • Nanchang People's Hospital
    Nanchang, Jiangxi, China
    Recruiting
  • The First Hospital of Jilin University
    Changchun, Jilin, China
    Recruiting
  • The Second Affiliated Hospital of Dalian Medical University
    Dalian, Liaoning, China
    Recruiting
  • The First Affiliated Hospital of Jinzhou Medical University
    Jinzhou, Liaoning, China
    Recruiting
  • The First Affiliated Hospital of China Medical University
    Shenyang, Liaoning, China
    Recruiting
  • Liaoning Cancer Hospital
    Shenyang, Liaoning, China
    Recruiting
  • The Second Affiliated Hospital of Xi'an Jiaotong University
    Xi'an, Shaanxi, China
    Recruiting
  • The First Affiliated Hospital of Xi'an Jiaotong University
    Xi'an, Shaanxi, China
    Recruiting
  • Shandong Cancer Hospital
    Jinan, Shandong, China
    Recruiting
  • The Second People's Hospital of Liaocheng City
    Linqing, Shandong, China
    Recruiting
  • Linyi Cancer Hospital
    Linyi, Shandong, China
    Recruiting
  • Linyi Central Hospital
    Linyi, Shandong, China
    Recruiting
  • The Affiliated Hospital of Qingdao University
    Qingdao, Shandong, China
    Recruiting
  • Yidu Central Hospital of Weifang City
    Qingzhou, Shandong, China
    Recruiting

+20 more sites. See ClinicalTrials.gov for the full list.

Study contacts

  • Principal investigator: Zefei Jiang, M.D. — The Fifth Medical Center of the Chinese People's Liberation Army General Hospital
  • Study coordinator: Zhenxing Yang
  • Email: yangzx@genequantum.com
  • Phone: +86 13801896162

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.