Evidence map›Paper›PMID 40184235›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2025

Safety and Efficacy of KN046 in Combination with KN026 in Patients with Advanced HER2-Positive Breast Cancer: A Phase II Trial.

Jieqiong Liu, Chuangui Song, Yaping Yang, Xiangcai Wang, Mingli Ni, Xujuan Wang, Lei Chen, Hongwei Yang, Rusen Zhao, Ting Xu and 1 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jieqiong LiuGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Breast Tumor Center, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0001-7859-3764
Chuangui SongDepartment of Breast Surgery, Fujian Medical University Union Hospital, Fuzhou, China.ORCID 0009-0008-0749-568X
Yaping YangGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Breast Tumor Center, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0001-7158-8807
Xiangcai WangDepartment of Oncology, The First Affiliated Hospital of Gannan Medical College, Ganzhou, China.ORCID 0000-0002-7162-0552
Mingli NiDepartment of Oncology, Luoyang Central Hospital, Luoyang, China.ORCID 0009-0009-9972-3754
Xujuan WangDepartment of Breast, Neijiang Second People's Hospital, Neijiang, China.ORCID 0009-0003-9145-7902
Lei ChenDepartment of Oncology, Cancer Hospital Affiliated to Shantou University Medical College, Shantou, China.ORCID 0009-0008-0975-1464
Hongwei YangDepartment of Breast and Thyroid Surgery, Suining Central Hospital, Suining, China.ORCID 0009-0006-8788-3230
Rusen ZhaoDepartment of Oncology, Zibo Municipal Hospital, Zibo, China.ORCID 0009-0009-2151-0863
Ting XuJiangsu Alphamab Biopharmaceuticals Co., Ltd., Suzhou, China.ORCID 0000-0002-0172-9683
Lin ShenDepartment of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing, China.ORCID 0000-0002-8798-4756

Funding

Guangdong Science and Technology Innovation Foundation 2022A1515012238National Natural Science Foundation of China (NSFC) 82072906
6 · The paper itself

Abstract

purposeIn this study, we report the results from a phase II trial assessing the safety and efficacy of KN046 in combination with KN026 in patients with HER2-positive metastatic breast cancer, who had progressed after prior anti-HER2 combination therapies. PATIENTS AND

methodsFemale patients with metastatic HER2-positive breast cancer, who were previously treated with at least one line of HER2-targeted combination therapy, were enrolled from multiple academic hospitals in China to receive KN046 (i.v. 5 mg/kg every 3 weeks) plus KN026 (i.v. 30 mg/kg every 3 weeks) until progression, unacceptable toxicities, or patient withdrawal. Efficacy was evaluated every 6 weeks per RECIST 1.1. The primary endpoint was objective response rate.

resultsA total of 36 patients with the median age of 53 years were enrolled. Of these 36 patients, 30 (83.3%) received ≥3 lines of HER2-targeted combination therapies in the metastatic setting. Thirty-three patients were evaluable for overall response and all 36 for safety. The objective response rate was 47.2% (95% confidence interval, 30.4-64.5), with two patients achieving complete response. The median progression-free survival was 5.6 months (95% confidence interval, 4.1-13.8). Of the 36 patients, 34 (94.4%) experienced treatment-related adverse events (TRAE) of any grade, and 10 of 36 (27.8%) patients had experienced ≥grade 3 TRAEs. The most common TRAEs were infusion-related reaction (36.1%), rash (16.7%), alanine aminotransferase increased (13.9%), diarrhea (13.9%), and pruritus (13.9%). No treatment-related deaths were observed.

conclusionsThe combination of KN046 and KN026, as a chemo-free regimen, demonstrated favorable clinical efficacy with comparative toxicities in pretreated patients with advanced HER2-positive breast cancer.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesAdultAgedFemaleHumansKetonesMiddle AgedOxazolesPyridinesQuinazolinesTreatment OutcomeERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesKetonesOxazolesPyridinesQuinazolinestucatinib

Identifiers

PMID40184235
PMCPMC12163597

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.