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Anti-metabolites

Margetuximab for Breast Cancer (SOPHIA Trial)

Phase 3
Waitlist Available
Research Sponsored by MacroGenics
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Histologically-proven metastatic or locally-advanced relapsed/refractory HER2+ breast cancer based on the most recently available tumor biopsy collected from the patient. Tumors may be estrogen receptor (ER)/progesterone receptor (PgR) positive or negative.
Resolution of all chemotherapy or radiation-related toxicities to ≤ Grade 1
Timeline
Screening 3 weeks
Treatment Varies
Follow Up tumor assessments are conducted every 6 weeks for the first 24 weeks and then every 24 weeks until progression of cancer, up to 6.5 years.
Awards & highlights

SOPHIA Trial Summary

This trial will compare two treatments for HER2-positive breast cancer to see which one extends patients' lives without the disease progressing.

Eligible Conditions
  • Cancer
  • Breast Cancer

SOPHIA Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

SOPHIA Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~tumor assessments are conducted every 6 weeks for the first 24 weeks and then every 24 weeks until progression of cancer, up to 6.5 years.
This trial's timeline: 3 weeks for screening, Varies for treatment, and tumor assessments are conducted every 6 weeks for the first 24 weeks and then every 24 weeks until progression of cancer, up to 6.5 years. for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Number of Patients With Grade 3 or Higher Infusion Related Reactions
Overall Survival (OS) Defined as the Number of Days From Randomization to the Date of Death (From Any Cause).
Progression-free Survival (PFS) as Determined by Independent Radiological Review.
Secondary outcome measures
Infusion Rate Sub-study All Safety
To Evaluate Progression-free Survival (PFS), as Assessed by Study Investigators.
To Evaluate the Objective Response Rate (ORR) as Determined by Independent Radiological Review.

Side effects data

From 2022 Phase 3 trial • 624 Patients • NCT02492711
42%
Fatigue
33%
Nausea
27%
Neutropenia
26%
Diarrhoea
21%
Vomiting
19%
Pyrexia
19%
Asthenia
19%
Constipation
19%
Headache
18%
Anaemia
18%
Alopecia
16%
Cough
14%
Decreased appetite
13%
Dyspnoea
13%
Infusion related reaction
13%
Palmar-plantar erythrodysaesthesia syndrome
12%
Neutrophil count decreased
12%
Pain in extremity
11%
Stomatitis
11%
Arthralgia
10%
Mucosal inflammation
10%
Alanine aminotransferase increased
10%
Neuropathy peripheral
10%
Dizziness
9%
Abdominal pain
9%
Urinary tract infection
9%
Back pain
8%
Oedema peripheral
8%
Thrombocytopenia
8%
Aspartate aminotransferase increased
8%
White blood cell count decreased
8%
Upper respiratory tract infection
8%
Nasopharyngitis
8%
Abdominal pain upper
7%
Epistaxis
7%
Myalgia
7%
Rash
7%
Influenza like illness
6%
Dyspepsia
6%
Dysgeusia
6%
Weight decreased
6%
Hypokalaemia
6%
Muscle spasms
6%
Peripheral sensory neuropathy
6%
Insomnia
5%
Pruritus
2%
Pneumonia
2%
Febrile neutropenia
1%
Pulmonary embolism
100%
80%
60%
40%
20%
0%
Study treatment Arm
Margetuximab Plus Chemotherapy
Trastuzumab Plus Chemotherapy
Margetuximab Infusion Substudy

SOPHIA Trial Design

3Treatment groups
Experimental Treatment
Active Control
Group I: Margetuximab plus chemotherapyExperimental Treatment2 Interventions
Margetuximab 15 mg/kg every 21 days
Group II: Margetuximab Infusion Sub-studyExperimental Treatment2 Interventions
Margetuximab 15 mg/kg every 21 days (with or without chemotherapy), studying a shorter duration of infusion beginning in Cycle 2.
Group III: Trastuzumab plus chemotherapyActive Control2 Interventions
Trastuzumab 8 mg/kg loading dose, then 6 mg/kg every 21 days
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Physician's choice of chemotherapy.
2015
Completed Phase 3
~630
Margetuximab
FDA approved

Find a Location

Who is running the clinical trial?

MacroGenicsLead Sponsor
48 Previous Clinical Trials
4,470 Total Patients Enrolled
4 Trials studying Breast Cancer
329 Patients Enrolled for Breast Cancer
Minori Rosales, M.D., Ph.D.Study DirectorMacroGenics
Stephen L Eck, M.D., Ph.D.Study DirectorMacroGenics

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
~65 spots leftby Apr 2025