HER2-positive Breast CancerPhase 3NCT07673029
A Trial Comparing GQ1005 and T-DM1 in Patients With HER2-Positive Unresectable or Metastatic Breast Cancer
A Phase 3 study testing GQ1005 and T-DM1 in people with HER2-positive Breast Cancer, run by GeneQuantum Healthcare (Suzhou) Co., Ltd. at 70 sites in China.
Trial summary
This study is designed to compare efficacy and safety of GQ1005 versus T-DM1 in HER2-positive, unresectable and/or metastatic breast cancer patients previously treated with trastuzumab and taxane. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- HER2-positive Breast Cancer
- What is being tested?
- GQ1005 and T-DM1
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 228 participants
- Where
- 70 sitesChina
- Study dates
- 10 Jan 2025to 9 Jan 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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.
Who cannot join
- 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.
Trial locations and contacts
70 sites in 1 country. Contact the study team or a site near you to ask about taking part.
70 sites in 1 country
China70 sites, 70 recruiting
- Recruiting
Anyang Cancer Hospital
Anyang, Henan, 455000
Jing Sun
- Recruiting
The Affiliated Hospital of Hebei University
Baoding, Hebei, 71000
Hua Yang
- Recruiting
The Fifth Medical Center of the Chinese People's Liberation Army General Hospital
Beijing, Beijing Municipality, 100071
Zefei Jiang
- Recruiting
The First Affiliated Hospital of Bengbu Medical University
Bengbu, Anhui, 233004
Zhang Mingliang
- Recruiting
The First Hospital of Jilin University
Changchun, Jilin, 130021
Jiuwei Cui
- Recruiting
Hunan Cancer Hospital
Changsha, Hunan, 410013
Quchang Ouyang
- Recruiting
The Third People's Hospital of Chengdu City
Chengdu, Sichuan, 610031
Zhume Luo
- Recruiting
West China Hospital of Sichuan University
Chengdu, Sichuan, 610041
Ting Luo
- Recruiting
Chongqing University Cancer Hospital
Chongqing, Chongqing Municipality, 400030
Xianjun Tang
- Recruiting
The Second Affiliated Hospital of Dalian Medical University
Dalian, Liaoning, 116023
Man Li
- Recruiting
Deyang People's Hospital
Deyang, Sichuan, 618000
Xinjian Jia
- Recruiting
The Affiliated Fuyang Hospital of Anhui Medical University
Fuyang, Anhui, 236000
Yingying Du
- Recruiting
Fujian Cancer Hospital
Fuzhou, Fujian, 350014
Fan Wu
- Recruiting
Ganzhou Cancer Hospital
Ganzhou, Jiangxi, 341000
Yongqiang Ye
- Recruiting
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, 510060
Fei Xu
- Recruiting
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, Guangdong, 510120
Ying Wang
Jianli Zhao
- Recruiting
Guizhou Provincial People's Hospital
Guiyang, Guizhou, 550002
Yong Li
- Recruiting
Guizhou Medical University Cancer Hospital
Guiyang, Guizhou, 550004
Zhihong Wang
- Recruiting
The Affiliated Hospital of Hebei University of Engineering
Handan, Hebei, 56002
Jianjun Han
- Recruiting
The First People's Hospital of Hangzhou City
Hangzhou, Zhejiang, 310006
Jian Liu
- Recruiting
Women's Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310006
Jingpei Long
- Recruiting
The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310009
Fuming Qiu
- Recruiting
Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310016
Xian Wang
- Recruiting
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022
Yabing Zheng
- Recruiting
The First People's Hospital of Xiaoshan District, Hangzhou City
Hangzhou, Zhejiang, 311200
Zhenyu Wang
- Recruiting
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150081
Qingyuan Zhang
- Recruiting
The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, 230001
Xinghua Han
- Recruiting
Anhui Cancer Hospital
Hefei, Anhui, 230031
Yueyin Pan
- Recruiting
Shandong Cancer Hospital
Jinan, Shandong, 250117
ZhiyongYu
- Recruiting
The First Affiliated Hospital of Jinzhou Medical University
Jinzhou, Liaoning, 121001
Zhenhua Zhai
- Recruiting
Yunnan Cancer Hospital
Kunming, Yunnan, 650118
Wenlin Chen
- Recruiting
The Second People's Hospital of Liaocheng City
Linqing, Shandong, 252601
Yanjun Wang
- Recruiting
Linyi Cancer Hospital
Linyi, Shandong, 276001
Jingfen Wang
- Recruiting
Linyi Central Hospital
Linyi, Shandong, 276003
Yuzhou Li
- Recruiting
Luoyang Central Hospital
Luoyang, Henan, 471000
Mingli Ni
- Recruiting
The First Affiliated Hospital of Henan University of Science and Technology
Luoyang, Henan, 471003
Xinshuai Wang
- Recruiting
Meizhou People's Hospital
Meizhou, Guangdong, 514011
Jingna Wu
- Recruiting
Nanchang People's Hospital
Nanchang, Jiangxi, 330006
Yili Wang
- Recruiting
Guangxi Medical University Cancer Hospital
Nanning, Guangxi, 530021
Weimin Xie
- Recruiting
The Second People's Hospital of Neijiang City
Neijiang, Sichuan, 641003
Xujuan Wang
- Recruiting
The Affiliated People's Hospital of Ningbo University
Ningbo, Zhejiang, 315040
Zhengyang Xu
- Recruiting
The Affiliated Hospital of Qingdao University
Qingdao, Shandong, 266003
WenfengLi
- Recruiting
Yidu Central Hospital of Weifang City
Qingzhou, Shandong, 262500
Peng Wang
- Recruiting
The Second Affiliated Hospital of Fujian Medical University
Quanzhou, Fujian, 362000
Jianqing Lin
- Recruiting
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200032
Biyun Wang
- Recruiting
Renji Hospital, School of Medicine, Shanghai Jiao Tong University
Shanghai, Shanghai Municipality, 200127
Jinsong Lu
- Recruiting
Shanghai Gaobo Cancer Hospital
Shanghai, Shanghai Municipality, 201103
Shuang Li
- Recruiting
Shantou Central Hospital
Shantou, Guangdong, 515031
Zhiyong Wu
- Recruiting
The First Affiliated Hospital of China Medical University
Shenyang, Liaoning, 110001
Yuee Teng
- Recruiting
Liaoning Cancer Hospital
Shenyang, Liaoning, 110042
Tao Sun
- Recruiting
The Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, 50011
Yunjiang Liu
- Recruiting
Suining Central Hospital
Suining, Sichuan, 629000
Hongwei Yang
- Recruiting
Shanxi Cancer Hospital
Taiyuan, Shanxi, 30013
Guohui Han
- Recruiting
Tianjin Cancer Hospital
Tianjin, Tianjin Municipality, 300060
Yehui Shi
- Recruiting
Weifang People's Hospital
Weifang, Shandong, 261041
Wenhui Wang
- Recruiting
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430022
Yanxia Zhao
- Recruiting
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430030
Huihua Xiong
- Recruiting
Renmin Hospital of Wuhan University
Wuhan, Hubei, 430060
Feng Yao
- Recruiting
Zhongnan Hospital of Wuhan University
Wuhan, Hubei, 430071
Haijun Yu
- Recruiting
Hubei Cancer Hospital
Wuhan, Hubei, 430079
Xinhong Wu
- Recruiting
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an, Shaanxi, 710004
Shuqun Zhang
- Recruiting
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an, Shaanxi, 710061
Jin Yang
- Recruiting
Xingtai People's Hospital
Xingtai, Hebei, 54001
Li Wang
- Recruiting
The First Affiliated Hospital of Henan Medical University
Xinxiang, Henan, 453003
Yinghua Ji
- Recruiting
Xuchang Central Hospital
Xuchang, Henan, 461000
Ping Li
- Recruiting
Xuzhou Central Hospital
Xuzhou, Jiangsu, 221009
Yanhua Liu
- Recruiting
Yantai Yuhuangding Hospital
Yantai, Shandong, 264000
Ping Sun
- Recruiting
Yongzhou Central Hospital
Yongzhou, Hunan, 425000
Sijuan Du
- Recruiting
Henan Cancer Hospital
Zhengzhou, Henan, 450008
Min Yan
- Recruiting
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052
Fang Wang
About this study
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
This study is designed to compare efficacy and safety of GQ1005 versus T-DM1 in HER2-positive, unresectable and/or metastatic breast cancer patients previously treated with trastuzumab and taxane.
Read the detailed description
This is a phase III, multicenter, open-label, randomized controlled study comparing GQ1005 with Trastuzumab Emtansine (T-DM1) in patients with HER2-positive unresectable or metastatic breast cancer previously treated with trastuzumab and taxane. Approximately 228 patients with unresectable or metastatic HER2-positive breast cancer will be randomized 1:1 to receive GQ1005 or T-DM1, respectively.
- Conditions
- HER2-positive Breast Cancer
- Being tested
- GQ1005, T-DM1
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GQ1005Drug
Administered I.V.
T-DM1Drug
Administered I.V.
| Study group | Role | What they receive |
|---|---|---|
| GQ1005 | Experimental | GQ1005 will be administered intravenously every 21 days. Receives: Drug: GQ1005 |
| T-DM1 | Experimental | T-DM1 will be administered intravenously every 21 days. Receives: Drug: T-DM1 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS) by Blinded Independent Central Review (BICR) assessment per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
Measured: Up to approximately 24 months
Secondary outcomes (11)
Overall Survival (OS)
Measured: Up to approximately 24 months
Progression Free Survival (PFS) by Investigator assessment per RECIST 1.1
Measured: Up to approximately 24 months
Objective response rate (ORR) by BICR and investigator assessment per RECIST 1.1
Measured: Up to approximately 24 months
Duration of response (DoR) by BICR and investigator assessment per RECIST 1.1
Measured: Up to approximately 24 months
Disease Control Rate (DCR) by BICR and investigator assessment per RECIST 1.1
Measured: Up to approximately 24 months
Adverse events:Number and percentage of patients who report serious adverse events (SAEs), treatment-emergent adverse events (TEAEs), TEAEs leading to study drug discontinuation, adverse events of special interest (AESIs) (graded according to the Nationa
Measured: Up to approximately 24 months
PK parameters:Plasma concentrations of GQ1005 ADC, total anti-HER2 antibody and free toxin DXd at each time point
Measured: Up to approximately 24 months
Anti-drug antibodies (ADA):Number and percentage of patients who develop anti-drug antibody (ADA).
Measured: Up to approximately 24 months
Quality of Life Assessment:Change in Health-Related Quality of Life Assessed by EQ-5D-5L
Change from baseline in EQ-5D-5L health state utility index score and Visual Analogue Scale (VAS) score. VAS score range from 0-100, higher scores indicate better health status.
Measured: Up to approximately 24 months
Quality of Life Assessment:Change in Health-Related Quality of Life Assessed by European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) - C30
Change from baseline in the functioning/symptom/global quality of life (QoL) subscales of EORTC QLQ-C30. Scale scores range from 0-100. For functioning and global QoL scales, higher scores indicate better functioning or global health status. For symptom scales, higher scores indicate greater symptom burden.
Measured: Up to approximately 24 months
Quality of Life Assessment:Change in Health-Related Quality of Life Assessed by EORTC QLQ-BR45
Change from baseline in the functioning/symptom subscales of EORTC QLQ-BR45. Scale scores range from 0-100. For functioning scales, higher scores indicate better functioning. For symptom scales, higher scores indicate greater symptom burden.
Measured: Up to approximately 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jun 2026
- Study start10 Jan 2025
- Primary completion9 Jan 2027 (estimated)
- Study completion9 Jan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HER2-positive Breast CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 228 participants (estimated)
Sponsor and investigators
- Lead sponsor
- GeneQuantum Healthcare (Suzhou) Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Zefei Jiang, M.D., Principal investigator, The Fifth Medical Center of the Chinese People's Liberation Army General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07673029
- Sponsor's protocol ID
- GQ1005-301
- Status last verified
- Jun 2026
- First submitted
- 17 Jun 2026
- Last updated
- 29 Jun 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT07673029
- Acronym / sponsor ID
- GQ1005-301
- Conditions
- HER2-positive Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 228 participants (estimated)
- Lead sponsor
- GeneQuantum Healthcare (Suzhou) Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 10 Jan 2025 (actual)
- Primary completion
- 9 Jan 2027 (estimated)
- Study completion
- 9 Jan 2028 (estimated)
- First posted
- 29 Jun 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is designed to compare efficacy and safety of GQ1005 versus T-DM1 in HER2-positive, unresectable and/or metastatic breast cancer patients previously treated with trastuzumab and taxane.
Detailed description
This is a phase III, multicenter, open-label, randomized controlled study comparing GQ1005 with Trastuzumab Emtansine (T-DM1) in patients with HER2-positive unresectable or metastatic breast cancer previously treated with trastuzumab and taxane. Approximately 228 patients with unresectable or metastatic HER2-positive breast cancer will be randomized 1:1 to receive GQ1005 or T-DM1, respectively.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GQ1005 | Experimental | Drug: GQ1005GQ1005 will be administered intravenously every 21 days. |
| T-DM1 | Experimental | Drug: T-DM1T-DM1 will be administered intravenously every 21 days. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- 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.
Key exclusion criteria (6 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| GQ1005Administered I.V. | Drug | GQ1005 |
| T-DM1Administered I.V. | Drug | T-DM1 |
Primary outcome
Progression Free Survival (PFS) by Blinded Independent Central Review (BICR) assessment per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
Time frame: Up to approximately 24 months
11 secondary outcomes
Overall Survival (OS)
Time frame: Up to approximately 24 months
Progression Free Survival (PFS) by Investigator assessment per RECIST 1.1
Time frame: Up to approximately 24 months
Objective response rate (ORR) by BICR and investigator assessment per RECIST 1.1
Time frame: Up to approximately 24 months
Duration of response (DoR) by BICR and investigator assessment per RECIST 1.1
Time frame: Up to approximately 24 months
Disease Control Rate (DCR) by BICR and investigator assessment per RECIST 1.1
Time frame: Up to approximately 24 months
Adverse events:Number and percentage of patients who report serious adverse events (SAEs), treatment-emergent adverse events (TEAEs), TEAEs leading to study drug discontinuation, adverse events of special interest (AESIs) (graded according to the Nationa
Time frame: Up to approximately 24 months
PK parameters:Plasma concentrations of GQ1005 ADC, total anti-HER2 antibody and free toxin DXd at each time point
Time frame: Up to approximately 24 months
Anti-drug antibodies (ADA):Number and percentage of patients who develop anti-drug antibody (ADA).
Time frame: Up to approximately 24 months
Quality of Life Assessment:Change in Health-Related Quality of Life Assessed by EQ-5D-5L
Time frame: Up to approximately 24 months
Quality of Life Assessment:Change in Health-Related Quality of Life Assessed by European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) - C30
Time frame: Up to approximately 24 months
Quality of Life Assessment:Change in Health-Related Quality of Life Assessed by EORTC QLQ-BR45
Time frame: Up to approximately 24 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Jun 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Zefei Jiang, M.D. principal investigator
The Fifth Medical Center of the Chinese People's Liberation Army General Hospital
70 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing GQ1005 and T-DM1 in people with HER2-positive Breast Cancer, run by GeneQuantum Healthcare (Suzhou) Co., Ltd. at 70 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 29 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 70 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Zhenxing Yang (+86 13801896162, yangzx@genequantum.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression Free Survival (PFS) by Blinded Independent Central Review (BICR) assessment per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) (time frame: Up to approximately 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jun 2026.