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NCT03901339 · OUTCOME

Objective Response Rate (ORR) by BICR and Local Investigator Review (LIR) Assessment

Study of Sacituzumab Govitecan-hziy Versus Treatment of Physician's Choice in Participants With HR+/HER2- Metastatic Breast Cancer · Source last updated 2024-10-21

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
Up to 42.8 months

What was measured

ORR was defined as the percentage of participants who had the best overall response of either complete response (CR) or partial response (PR) that was confirmed at 4 weeks or later after initial response by BICR and LIR using RECIST 1.1. CR: Disappearance of all target and non-target lesions; and normalization of tumor marker levels initially above upper limits of normal; PR: ≥30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD.

Analysis population: Participants in the ITT Population with available data were analyzed.

Groups in this outcome

Sacituzumab Govitecan

Participants received sacituzumab govitecan 10 mg/kg of body weight, administered as a slow IV infusion on Days 1 and 8 of a 21-day treatment cycle until progression of disease, occurrence of unacceptable AEs, or another treatment discontinuation criterion was met (up to 40.1 months).

Treatment of Physician's Choice (TPC)

Participants received TPC (ie, eribulin, capecitabine, gemcitabine, or vinorelbine), administered as a single-agent treatment that was determined by the investigator before participant randomization until progression of disease, occurrence of unacceptable AEs, or another treatment discontinuation criterion was met. Dosing per NCCN guidelines (with dose modifications for if toxic) * Eribulin was administered IV at a dose 1.4 mg/m\^2 at North American sites and 1.2 mg/m\^2 at European sites on Days 1 and 8 of a 21-day cycle (up to 22.5 months). * Capecitabine 1000 to 1250 mg/m\^2 was administered in a 21-day cycle, with capecitabine administered orally twice daily for 2 weeks followed by 1-week rest period (up to 12.9 months). * Gemcitabine 800 to 1200 mg/m\^2 was administered IV on Days 1, 8, and 15 of a 28-day cycle (up to 22.3 months). * Vinorelbine 25 mg/m\^2 was administered as a weekly IV injection (up to 8.1 months). Vinorelbine was not allowed as TPC for any participant with Grade 2 neuropathy.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Sacituzumab Govitecan272
Treatment of Physician's Choice (TPC)271

Reported measurements

ORR by BICR Assessment
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Sacituzumab Govitecan21.3Not reported16.626.7Not reported
Treatment of Physician's Choice (TPC)14.0Not reported10.118.7Not reported
ORR by LIR Assessment
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Sacituzumab Govitecan16.5Not reported12.321.5Not reported
Treatment of Physician's Choice (TPC)9.2Not reported6.113.3Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    1.058
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.609
    group Description
    ORR by BICR Assessment
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    p Value
    0.0268
    param Type
    Odds Ratio (OR)
    param Value
    1.662
    statistical Method
    Cochran-Mantel-Haenszel
  2. ci Lower Limit
    1.174
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.369
    group Description
    ORR by LIR Assessment
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    p Value
    0.0098
    param Type
    Odds Ratio (OR)
    param Value
    1.989
    statistical Method
    Cochran-Mantel-Haenszel
Complete source fields
analyses
  1. ci Lower Limit
    1.058
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    2.609
    group Description
    ORR by BICR Assessment
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    p Value
    0.0268
    param Type
    Odds Ratio (OR)
    param Value
    1.662
    statistical Method
    Cochran-Mantel-Haenszel
  2. ci Lower Limit
    1.174
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.369
    group Description
    ORR by LIR Assessment
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    OTHER
    p Value
    0.0098
    param Type
    Odds Ratio (OR)
    param Value
    1.989
    statistical Method
    Cochran-Mantel-Haenszel
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        16.6
        upper Limit
        26.7
        value
        21.3
      2. group Id
        OG001
        lower Limit
        10.1
        upper Limit
        18.7
        value
        14.0
    title
    ORR by BICR Assessment
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        12.3
        upper Limit
        21.5
        value
        16.5
      2. group Id
        OG001
        lower Limit
        6.1
        upper Limit
        13.3
        value
        9.2
    title
    ORR by LIR Assessment
denoms
  1. counts
    1. group Id
      OG000
      value
      272
    2. group Id
      OG001
      value
      271
    units
    Participants
description
ORR was defined as the percentage of participants who had the best overall response of either complete response (CR) or partial response (PR) that was confirmed at 4 weeks or later after initial response by BICR and LIR using RECIST 1.1. CR: Disappearance of all target and non-target lesions; and normalization of tumor marker levels initially above upper limits of normal; PR: ≥30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants received sacituzumab govitecan 10 mg/kg of body weight, administered as a slow IV infusion on Days 1 and 8 of a 21-day treatment cycle until progression of disease, occurrence of unacceptable AEs, or another treatment discontinuation criterion was met (up to 40.1 months).
    id
    OG000
    title
    Sacituzumab Govitecan
  2. description
    Participants received TPC (ie, eribulin, capecitabine, gemcitabine, or vinorelbine), administered as a single-agent treatment that was determined by the investigator before participant randomization until progression of disease, occurrence of unacceptable AEs, or another treatment discontinuation criterion was met. Dosing per NCCN guidelines (with dose modifications for if toxic) * Eribulin was administered IV at a dose 1.4 mg/m\^2 at North American sites and 1.2 mg/m\^2 at European sites on Days 1 and 8 of a 21-day cycle (up to 22.5 months). * Capecitabine 1000 to 1250 mg/m\^2 was administered in a 21-day cycle, with capecitabine administered orally twice daily for 2 weeks followed by 1-week rest period (up to 12.9 months). * Gemcitabine 800 to 1200 mg/m\^2 was administered IV on Days 1, 8, and 15 of a 28-day cycle (up to 22.3 months). * Vinorelbine 25 mg/m\^2 was administered as a weekly IV injection (up to 8.1 months). Vinorelbine was not allowed as TPC for any participant with Grade 2 neuropathy.
    id
    OG001
    title
    Treatment of Physician's Choice (TPC)
param Type
NUMBER
population Description
Participants in the ITT Population with available data were analyzed.
reporting Status
POSTED
time Frame
Up to 42.8 months
title
Objective Response Rate (ORR) by BICR and Local Investigator Review (LIR) Assessment
type
SECONDARY
unit Of Measure
percentage of participants

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