SMP-656 for HER2-Positive Advanced Breast Cancer

⚠️

This is not medical advice. AI-assisted translation — inaccuracies may occur. Always verify the original and consult your oncologist before taking any steps.

About the trial

The goal of this clinical trial is to learn if single-agent SMP-656 works to treat patients with HER2-positive locally advanced or metastatic breast cancer who have progressed after prior HER2-targeted topoisomerase inhibitor antibody-drug conjugate (ADC) treatment. It will also evaluate the safety of SMP-656 and identify the optimal dose for future trials. The main questions it aims to answer are: What is the objective tumor response rate (DOR, PFS, DCR, OS) of two different dose regimens of intravenous SMP-656? What are the side effects and safety risks of these two SMP-656 dose regimens? Which dose level achieves the best balance of anti-cancer activity and tolerability? This is a randomized, open-label, dose-optimization Phase II clinical trial. Participants will be randomly assigned 1:1 to receive one of two fixed doses of SMP-656 given intravenously once every 3 weeks. Participants will: Complete screening tests within 28 days before the first SMP-656 infusion to confirm eligibility Receive study treatment every 3 weeks until cancer progression, intolerable side effects, withdrawal, or other stopping criteria Have regular tumor imaging scans, physical exams, vital sign checks, and blood tests to monitor tumor response and safety Attend a safety follow-up visit 30 days after the last dose of SMP-656 Complete longer-term survival follow-up after the 30-day safety check Provide optional blood and tumor tissue samples for additional research studies

Original English text from ClinicalTrials.gov

Who can (and can't) join

✓ Qualifies

  • •Kobieta w wieku co najmniej 18 lat
  • •Potwierdzona diagnoza raka piersi HER2-dodatniego, który nie można operować lub rozprzestrzenił się na inne organy
  • •Wcześniejsze leczenie jednym rodzajem terapii skierowanej na HER2 (np. DS-8201) oraz pogorszenie się nowotworu po tej terapii
  • •Obecny mierzalny guz widoczny w badaniach obrazowych
  • •Ogólny stan zdrowia pozwalający na uczestnictwo w badaniu (ECOG 0-1)
  • •Spodziewana długość życia co najmniej 3 miesiące
  • •Prawidłowe wyniki badań krwi oraz funkcji wątroby i nerek w ciągu 7 dni przed pierwszą dawką

Simplified criteria — AI translation

Trial details

Minimum age
18 Years
Last updated (source)
October 15, 2026
Sex
No restrictions

Therapies / drugs in trial

Locations (15)

The Second Affiliated Hospital of Anhui Medical University

Hefei, China

Beijing Cancer Hospital

Beijing, China

Cancer Hospital, Chinese Academy of Medical Sciences

Beijing, China

Sun Yat-sen University Cancer Center

Guangzhou, China

The Fourth Hospital of Hebei Medical University

Shijiazhuang, China

Henan Provincial People's Hospital

Zhengzhou, China

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, China

Zhongnan Hospital of Wuhan University

Wuhan, China

The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University

Changsha, China

Zhongda Hospital, Southeast University

Nanjing, China

Liaoning Cancer Hospital & Institute

Shenyang, China

Shandong Cancer Hospital and Institute

Jinan, China

The First Affiliated Hospital of Xi'an Jiaotong University

Xi’an, China

Sichuan Cancer Hospital & Institute

Chengdu, China

Sir Run Run Shaw Hospital, Zhejiang University School of Medicine

Hangzhou, China

Trial contact

Contact information from ClinicalTrials.gov. Contact in English.

Share this trial

Data from ClinicalTrials.gov. AI-assisted translation, last sync: 10/16/2026.

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