
Kelun expands its saci-T efforts again

Merck & Co and Kelun’s TROP2-targeting ADC sacituzumab tirumotecan will begin another pivotal breast cancer study this month, according to a new listing on clinicaltrials.gov. The Chinese trial is sponsored by Kelun, taking that company’s total saci-T phase 3s to eight, in around 3,200 patients. The latest effort, SKB264-III-13, will enrol ER-positive, HER2-negative patients who previously failed on endocrine therapy, but haven’t received chemo. Notably, Kelun has already filed saci-T in China for ER-positive, HER2-negative breast cancer following endocrine “and other systemic treatments”, based on OptiTROP-Breast02; that trial enrolled post-chemo patients. In China the drug is approved for third-line triple-negative breast cancer (based on OptiTROP-Breast01) and EGFR-mutant non-squamous NSCLC, following an EGFR-TKI and platinum chemo (based on the phase 2 OptiTROP-Lung03). Kelun is trying to move saci-T up to the post-TKI setting, with a Chinese filing last year backed by OptiTROP-Lung04. Other trials could expand use into the front line. Still, Kelun’s efforts pale into insignificance beside Merck’s; that group has 14 saci-T phase 3s ongoing in a target 13,000 patients, according to OncologyPipeline. The most recent, TroFuse-032, in neoadjuvant breast cancer, will enrol 2,400 subjects alone.
Kelun-sponsored sacituzumab tirumotecan phase 3 trials
Trial | Setting | Design | N | Status |
---|---|---|---|---|
SKB264-III-03/ OptiTROP-Breast01 | 3rd-line+ TNBC | Vs physician’s choice | 254 | Approved in China Nov 2024 |
SKB264-III-09/ OptiTROP-Lung04 | 2nd-line+ (post-EGFR TKI) EGFRm non-sq NSCLC | Vs pemetrexed + carboplatin | 356 | Met primary endpoint, filed in China |
SKB264-III-10/ OptiTROP-Breast02 | 2nd-line+ (post-chemo) ER+ve HER2-ve breast cancer | Vs physician’s choice | 376 | Met primary endpoint, filed in China |
SKB264-III-11 | 1st-line TNBC | Vs chemo | 524 | Completes Jul 2026 |
SKB264-III-12 | 1st-line PD-L1 ≥1% NSCLC | + Keytruda, vs Keytruda | 406 | Completes Nov 2026 |
SKB264-Ⅲ-14/ OptiTROP-Lung06 | 1st-line PD-L1-ve non-sq NSCLC | + Keytruda, vs Keytruda + chemo | 432 | Completes Dec 2026 |
SKB264-Ⅲ-15/ OptiTROP-Lung07 | 1st-line EGFRm non-sq NSCLC | + Tagrisso, vs Tagrisso | 420 | Completes May 2027 |
SKB264-III-13 | 2nd-line+ (post-endocrine therapy) ER+ve HER2-ve breast cancer | Vs physician’s choice chemo | 430 | To start Jul 2025 |
Source: OncologyPipeline & clinicaltrials.gov.
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