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Trial · NCT03901339

Study of Sacituzumab Govitecan-hziy Versus Treatment of Physician's Choice in Participants With HR+/HER2- Metastatic Breast Cancer

NCT03901339, Phase 3, Completed, Gilead Sciences; results first posted 2024-10-21

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Sacituzumab Govitecan-hziy Versus Treatment of Physician's Choice in Participants With HR+/HER2- Metastatic Breast Cancer. Trials, record NCT03901339. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03901339

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Sacituzumab Govitecan-hziy Versus Treatment of Physician's Choice in Participants With HR+/HER2- Metastatic Breast Cancer
NCT number
NCT03901339
Status
Completed
Phases
Phase 3
Enrollment
543 participants, actual
Lead sponsor
Gilead Sciences
Conditions
Metastatic Breast Cancer
Interventions
Sacituzumab Govitecan-hziy, Eribulin, Capecitabine, Gemcitabine, Vinorelbine
First posted
2019-04-03
Last updated
2024-10-21
Other registries' IDs
eudract:2018-004201-33
Results first posted
2024-10-21

Source ClinicalTrials.gov

Registered outcomes13

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProgression-Free Survival (PFS) by Blinded Independent Central Review (BICR) AssessmentUp to 42.8 months
PFS was defined as the time from the date of randomization to the date of the first documentation of disease progression or death (whichever occurred first) according to BICR using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1). Disease progression was defined as an increase of greater than 20% in the sum of the longest diameter (LD) of target lesions and a 5 mm absolute increase, taking as a reference the smallest sum LD recorded since the baseline assessment or the appearance of new non-target lesions. PFS was estimated using Kaplan-Meier estimate.
SecondaryOverall Survival (OS)Up to 42.8 months
OS was defined as the time from the date of randomization to the date of death from any cause. OS was estimated using Kaplan-Meier estimate. Participants without documentation of death were censored on the date they were last known to be alive.
SecondaryObjective Response Rate (ORR) by BICR and Local Investigator Review (LIR) AssessmentUp to 42.8 months
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.
SecondaryDuration of Response (DOR) by BICR and LIR AssessmentUp to 42.8 months
DOR was defined as the time from the date a response of CR or PR was first documented until the date of the first documentation of disease progression or date of death (whichever occurred first). DOR was analyzed based on both BICR and LIR assessments. 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. Disease progression was defined as an increase of greater than 20% in the sum of the LD of target lesions and a 5 mm absolute increase, taking as a reference the smallest sum LD recorded since the baseline assessment or the appearance of new non-target lesions. DOR was estimated using Kaplan-Meier estimate.
SecondaryClinical Benefit Rate (CBR) by BICR and LIR AssessmentUp to 42.8 months
CBR was defined as the percentage of participants with the best overall response of CR, PR, or durable stable disease (duration of SD ≥ 6 months after randomization). CBR was analyzed based on both BICR and LIR assessments. 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. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum LD since the treatment started. PD: Disease progression was defined as an increase of greater than 20% in the sum of the LD of target lesions and a 5 mm absolute increase, taking as a reference the smallest sum LD recorded since the baseline assessment or the appearance of new non-target lesions.
SecondaryPFS by LIR AssessmentUp to 42.8 months
PFS was defined as the time from the date of randomization to the date of the first documentation of disease progression or death (whichever occurred first) according to LIR using RECIST 1.1. Disease progression was defined as an increase of greater than 20% in the sum of the LD of target lesions and a 5 mm absolute increase, taking as a reference the smallest sum LD recorded since the baseline assessment or the appearance of new non-target lesions. PFS was estimated using Kaplan-Meier estimate.
Secondary
Time to Deterioration (TTD) of Global Health Status/Quality of Life (QoL) Scale as Measured by European Organization for Research and Treatment of Cancer Quality of Life for Cancer Patients, Core Questionnaire Version 3.0 (EORTC QLQ-C30)
Up to 37.8 months
TTD was defined as the time from randomization to the first date a subject achieves 10-point deterioration from baseline in the global health status/QoL scale.The EORTC QLQ-C30 is a 30-item questionnaire to assess QoL of cancer patients. It has 5 functional scales(physical,role,emotional,cognitive, social)1 global health status scale,3 symptom scales (fatigue, nausea and vomiting, pain),and 6 single items(dyspnea, insomnia, loss of appetite, constipation, diarrhea, financial difficulties). Participant responses to global health status,'How would you rate your overall health during the past week?' (Item 29)and the QoL 'How would you rate your overall quality of life during the past week?'(Item 30)questions were scored on 7-point scale (1=very poor; 7=excellent). All scales and single-item measures range in score from 0 to 100. Summed raw scores were standardized by linear transformation so that scores ranged from 0 to 100. Higher scores for GHS show a better level of functioning.
SecondaryTTD of Pain Score as Measured by EORTC QLQ-C30Up to 37.8 months
TTD was defined as the time from randomization to the first date a subject achieves 10-point deterioration from baseline in the pain score.The EORTC QLQ-C30 is a questionnaire to assess quality of life, it is composed of 30 questions(items) resulting in 5 functional scales(physical, role, emotional, cognitive, social),1 global health status scale,3 symptom scales (fatigue, nausea and vomiting, pain),and 6 single items(dyspnea, insomnia, loss of appetite, constipation, diarrhea, financial difficulties). All of the scales and single-item measures range in score from 0 to 100. Participant responses to 2 questions about pain, 'Have you had pain' and 'Did pain interfere with your daily activities' were scored on 4-point scale (1=not at all;4=very much). Summed raw scores were standardized by linear transformation so that scores ranges from 0 to 100. Higher scores on the symptom scales indicate a higher level of symptoms (i.e. a worse state of the participant).
SecondaryTTD of Fatigue Score as Measured by EORTC QLQ-C30Up to 37.8 months
TTD was defined as the time from randomization to the first date a subject achieves 10-point deterioration from baseline in the fatigue score.The EORTC QLQ-C30 is a questionnaire to assess quality of life, it is composed of 30 questions(items) resulting in 5 functional scales(physical, role, emotional, cognitive, social),1 global health status scale,3 symptom scales (fatigue, nausea and vomiting, pain),and 6 single items(dyspnea, insomnia, loss of appetite, constipation, diarrhea, financial difficulties).All of the scales and single-item measures range in score from 0 to 100.Participant responses to 3 questions about fatigue 'Did you need to rest', 'Have you felt weak' and 'Were you tired' were scored on a 4-point scale (1=not at all;4=very much).Summed raw scores were standardized by linear transformation so that scores ranged from 0 to 100. Higher scores on the symptom scales indicate a higher level of symptoms (i.e. a worse state of the participant).
SecondaryPercentage of Participants Who Experienced Treatment Emergent Adverse Events (TEAEs)Up to 43.4 months
An AE was defined as any untoward medical occurrence in a subject administered a medicinal product that does not necessarily have a causal relationship with this treatment. TEAEs were defined as any AEs that begin or worsen on or after the start of study drug through 30 days after the last dose of the study drug. The severity was graded based on the National Cancer Institute's Common Terminology Criteria for Adverse Events Version 5.0.

Outcomes13

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression-Free Survival (PFS) by Blinded Independent Central Review (BICR) AssessmentUp to 42.8 monthsThe ITT Population included all participants who were randomized, regardless of whether they received study treatment or not.monthsMEDIAN
SECONDARYOverall Survival (OS)Up to 42.8 monthsParticipants in the ITT Population were analyzed.monthsMEDIAN
SECONDARYObjective Response Rate (ORR) by BICR and Local Investigator Review (LIR) AssessmentUp to 42.8 monthsParticipants in the ITT Population with available data were analyzed.percentage of participantsNUMBER
SECONDARYDuration of Response (DOR) by BICR and LIR AssessmentUp to 42.8 monthsParticipants in the ITT Population with confirmed objective response were analyzed.monthsMEDIAN
SECONDARYClinical Benefit Rate (CBR) by BICR and LIR AssessmentUp to 42.8 monthsParticipants in the ITT Population with available data were analyzed.percentage of participantsNUMBER
SECONDARYPFS by LIR AssessmentUp to 42.8 monthsParticipants in the ITT Population were analyzed.monthsMEDIAN
SECONDARY
Time to Deterioration (TTD) of Global Health Status/Quality of Life (QoL) Scale as Measured by European Organization for Research and Treatment of Cancer Quality of Life for Cancer Patients, Core Questionnaire Version 3.0 (EORTC QLQ-C30)
Up to 37.8 months
The HRQOL-Evaluable Population included all participants who had an evaluable assessment at baseline and at least 1 evaluable assessment at postbaseline visits. Participants with a baseline global health status/QOL score ≥ 10 were analyzed.
monthsMEDIAN
SECONDARYTTD of Pain Score as Measured by EORTC QLQ-C30Up to 37.8 monthsParticipants in the HRQOL-Evaluable Population with baseline pain score ≤ 90 were analyzed.monthsMEDIAN
SECONDARYTTD of Fatigue Score as Measured by EORTC QLQ-C30Up to 37.8 monthsParticipants in the HRQOL-Evaluable Population with baseline fatigue score ≤ 90 were analyzed.monthsMEDIAN
SECONDARYPercentage of Participants Who Experienced Treatment Emergent Adverse Events (TEAEs)Up to 43.4 monthsThe Safety Population included all participants who received at least 1 dose of study drug.percentage of participantsNUMBER

Results by group82

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) AssessmentSacituzumab Govitecan5.595% Confidence Interval 4.2 to 6.9months
Progression-Free Survival (PFS) by Blinded Independent Central Review (BICR) AssessmentTreatment of Physician's Choice (TPC)4.095% Confidence Interval 3.0 to 4.4months
Overall Survival (OS)Sacituzumab Govitecan14.595% Confidence Interval 13.0 to 16.0months
Overall Survival (OS)Treatment of Physician's Choice (TPC)11.295% Confidence Interval 10.2 to 12.6months
Objective Response Rate (ORR) by BICR and Local Investigator Review (LIR) AssessmentSacituzumab GovitecanORR by BICR Assessment21.395% Confidence Interval 16.6 to 26.7percentage of participants
Objective Response Rate (ORR) by BICR and Local Investigator Review (LIR) AssessmentTreatment of Physician's Choice (TPC)ORR by BICR Assessment14.095% Confidence Interval 10.1 to 18.7percentage of participants
Objective Response Rate (ORR) by BICR and Local Investigator Review (LIR) AssessmentSacituzumab GovitecanORR by LIR Assessment16.595% Confidence Interval 12.3 to 21.5percentage of participants
Objective Response Rate (ORR) by BICR and Local Investigator Review (LIR) AssessmentTreatment of Physician's Choice (TPC)ORR by LIR Assessment9.295% Confidence Interval 6.1 to 13.3percentage of participants
Duration of Response (DOR) by BICR and LIR AssessmentSacituzumab GovitecanDOR by BICR Assessment8.195% Confidence Interval 6.7 to 8.9months
Duration of Response (DOR) by BICR and LIR AssessmentTreatment of Physician's Choice (TPC)DOR by BICR Assessment5.695% Confidence Interval 3.8 to 7.9months

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSacituzumab Govitecan272
Overall StudySTARTEDTreatment of Physician's Choice (TPC)271
Overall StudyReceived at Least 1 Dose of Study DrugSacituzumab Govitecan268
Overall StudyReceived at Least 1 Dose of Study DrugTreatment of Physician's Choice (TPC)249
Overall StudyCOMPLETEDSacituzumab Govitecan0
Overall StudyCOMPLETEDTreatment of Physician's Choice (TPC)0
Overall StudyNOT COMPLETEDSacituzumab Govitecan272
Overall StudyNOT COMPLETEDTreatment of Physician's Choice (TPC)271

Adverse events306

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersSacituzumab Govitecan97268
otherAnaemiaBlood and lymphatic system disordersTreatment of Physician's Choice (TPC)68249
otherLeukopeniaBlood and lymphatic system disordersSacituzumab Govitecan37268
otherLeukopeniaBlood and lymphatic system disordersTreatment of Physician's Choice (TPC)25249
otherLymphopeniaBlood and lymphatic system disordersSacituzumab Govitecan32268
otherLymphopeniaBlood and lymphatic system disordersTreatment of Physician's Choice (TPC)29249
otherNeutropeniaBlood and lymphatic system disordersSacituzumab Govitecan184268
otherNeutropeniaBlood and lymphatic system disordersTreatment of Physician's Choice (TPC)134249
otherThrombocytopeniaBlood and lymphatic system disordersSacituzumab Govitecan17268
otherThrombocytopeniaBlood and lymphatic system disordersTreatment of Physician's Choice (TPC)41249

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySacituzumab Govitecan234272
Total, all-cause mortalityTreatment of Physician's Choice (TPC)238271
Total, other adverse eventsSacituzumab Govitecan264268
Total, other adverse eventsTreatment of Physician's Choice (TPC)234249
Total, serious adverse eventsSacituzumab Govitecan74268
Total, serious adverse eventsTreatment of Physician's Choice (TPC)48249

Papers9

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
32223649BACKGROUNDPubMed
32946924DERIVEDPubMed
33093337DERIVEDPubMed
36027558BACKGROUNDPubMed
37633306BACKGROUNDPubMed
38270051BACKGROUNDPubMed
38748596BACKGROUNDPubMed
39067902BACKGROUNDPubMed
40657894DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Sacituzumab Govitecan vs Treatment of Physician's Choice (TPC): deaths from any causeTrial comparisons
Sacituzumab Govitecan vs Treatment of Physician's Choice (TPC): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03901339

GET https://conductscience.org/api/trials/v1/NCT03901339/results?page=2