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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 228 (estimated) |
| Sponsor | GeneQuantum Healthcare (Suzhou) Co., Ltd. Industry-sponsored |
| Drugs / interventions | trastuzumab, radiation |
| Locations | 70 sites (Bengbu, Anhui and 69 other locations) |
| Status | Recruiting |
| Started | January 10, 2025 |
| Main results expected | January 9, 2027 |
| Study ends | January 9, 2028 |
| Registry record updated | June 29, 2026 |
| Trial ID | NCT07673029 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
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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
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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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.