Clinical trial Recruiting at 12 sites Observational Ages 18 and up

Real-world look at SKB264 in HER2-negative breast cancer that has come back or spread

Official title: Sacituzumab Tirumotecan Monotherapy or Combination Therapy in Patients With Unresectable Locally Advanced, Recurrent or Metastatic HER2-Negative Breast Cancer: A Real-World Study

Run by Cancer Institute and Hospital, Chinese Academy of Medical Sciences · NCT06993506 · Data updated 2026-11-12

This real-world study tests sacituzumab tirumotecan (SKB264) alone or with others in adults with recurrent or metastatic HER2-negative breast cancer.

More Metastasis trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment500 (estimated)
SponsorCancer Institute and Hospital, Chinese Academy of Medical Sciences
Academic / other
Drugs / interventionsSacituzumab
Locations19 sites (Hefei, Anhui and 18 other locations)
StatusRecruiting
StartedMay 28, 2026
Main results expectedAugust 1, 2027
Study endsOctober 31, 2027
Registry record updatedAugust 18, 2026
Trial IDNCT06993506 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18 years and older) with unresectable locally advanced, recurrent, or metastatic HER2-negative breast cancer, subdivided into TNBC or HR+/HER2- cohorts, as confirmed by pathology.

Probably not a fit

Patients with conditions or prior therapies that preclude SKB264 use or who do not respond to this agent may not experience benefit.

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

What this trial studies

This multicenter observational study plans to enroll about 500 patients divided into two cohorts: triple-negative breast cancer and HR+/HER2-negative breast cancer. Participants will receive SKB264 as a monotherapy or in combination, in a real-world setting outside of a controlled clinical trial. The study aims to describe how effective SKB264 is and how safe it is when used in routine clinical practice. Data will be collected from participating centers to characterize outcomes and tolerability in these cohorts. The exact study design and endpoints are not specified in the provided information.

Why it matters

Potential benefit: If successful, patients may experience meaningful treatment benefits from SKB264, either alone or in combination, in a real-world setting.

How similar studies have gone: Previous studies of SKB264 in similar HER2-negative breast cancer settings have shown activity in other contexts, but this real-world observational approach is novel for SKB264.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Aged ≥ 18 years old at the time of signing the informed consent form, regardless of gender;
2. Patient must meet one of the following pathological diagnoses and classifications:

   2.1) For TNBC Cohort: -Histological/cytological confirmed of triple-negative breast cancer (TNBC) from the most recent pre-SKB264 biopsy/pathological report, with: HER2 negative: immunohistochemistry (IHC) of 0 or 1+; if is 2+ by IHC, negative HER2 expression must be confirmed by fluorescence in situ hybridization (FISH); Estrogen and progesterone receptor negative means that less than 1% of the cells express hormone receptors as indicated by IHC; -Locally advanced, recurrent, or metastatic disease (locally advanced disease should be confirmed by investigators as ineligible for curative resection); 2.2) For HR+/HER2- BC Cohort: -Histological/cytological confirmed of HR+/HER2- breast cancer from the most recent pre-SKB264 biopsy/pathological report, with: HER2 negative: IHC of 0 or 1+; if is 2+ by IHC, negative HER2 expression must be confirmed by FISH; HR positive: Hormone receptor-positive (HR, ER, or PR status) was defined as ≥1% expression by IHC.-Locally advanced, recurrent, or metastatic disease (locally advanced disease should be confirmed by investigators as ineligible for curative resection);
3. Plan to receive SKB264 monotherapy or combination therapy;
4. Prior treatment lines: -For TNBC Cohort: ≤2 lines of systemic antitumor therapy for unresectable locally advanced, recurrent, or metastatic disease; -For HR+/HER2- BC Cohort: ≤2 lines of systemic antitumor therapy (excluding endocrine therapy) for unresectable locally advanced, recurrent, or metastatic disease;
5. Voluntarily participate in the study, sign the informed consent form and demonstrate good compliance.

Exclusion Criteria:

1. Patients with other malignancies, except cured basal or squamous cell skin cancer or in situ cancer of cervix; and patients with other malignancies must have a tumor-free period of at least 5 years;
2. Patients who are currently participating in other interventional clinical studies;
3. Known allergy to the investigational drug or any of its components;
4. Pregnant or lactating women;
5. Any situation that the researchers consider to interfere with the evaluation of the study drug or the safety of the subjects or the analysis of the study results, or any other situation that the researchers consider inappropriate to participate in this study.

Where it's running

  • The Second Affiliated Hospital of Anhui Medical University
    Hefei, Anhui, China
    Recruiting
  • Cancer Hospital, Chinese Academy of Medical Sciences
    Beijing, Beijing Municipality, China
    Recruiting
  • Peking University First Hospital
    Beijing, Beijing Municipality, China
    Recruiting
  • Chinese PLA General Hospital
    Beijing, Beijing Municipality, China
    Recruiting
  • Taihe Hospital
    Shiyan, Hubei, China
    Recruiting
  • The First People's Hospital of Changde City
    Changde, Hunan, China
    Recruiting
Show 13 more locations
  • The first hospital of Jilin University
    Changchun, Jilin, China
    Recruiting
  • Yantai Yuhuangding Hospital
    Yantai, Shandong, China
    Recruiting
  • Zhongshan Hospital Fudan University
    Shanghai, Shanghai Municipality, China
    Recruiting
  • Shanxi Bethune Hospital
    Taiyuan, Shanxi, China
    Recruiting
  • Suining Central Hospital
    Suining, Sichuan, China
    Recruiting
  • The Affiliated People's Hospital of Ningbo University
    Ningbo, Zhejiang, China
    Recruiting
  • Fujian Cancer Hospital
    Fuzhou, Fujian, China
    Not yet recruiting
  • The First Affiliated Hospital of Xiamen University
    Xiamen, Fujian, China
    Not yet recruiting
  • The Fourth Hospital of Hebei Medical University
    Shijiazhuang, Hebei, China
    Not yet recruiting
  • The Third People's Hospital of Zhengzhou
    Zhengzhou, Henan, China
    Not yet recruiting
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, Henan, China
    Not yet recruiting
  • Union Hospital Tongji Medical College Huazhong University of Science and Technology
    Wuhan, Hubei, China
    Not yet recruiting
  • Hubei Cancer Hospital
    Wuhan, Hubei, China
    Not yet recruiting

Study contacts

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.