Study of Sacituzumab Govitecan-hziy Versus Treatment of Physician's Choice in Patients With Previously Untreated Locally Advanced Inoperable or Metastatic Triple-Negative Breast Cancer

Prior treatment

• Received systemic anticancer treatment within the previous 6 months or radiation therapy within 2 weeks prior to enrollment
• Have not recovered from adverse events (AEs) due to a previously administered agent at the time study entry
• May not be participating in a study with an investigational agent or investigational device within 4 weeks prior to randomization. Individuals participating in observational studies are eligible
• Previously received topoisomerase 1 inhibitors or antibody drug conjugates containing a topoisomerase inhibitor

Other illness

• Active second malignancy
• Active serious infection requiring antibiotics
• Positive for HIV-1 or 2 with a history of Kaposi sarcoma and/or Multicentric Castleman Disease
• Active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Lab values

• Positive serum pregnancy test or women who are lactating

• Individuals, regardless of race and ethnic group, with previously untreated locally advanced, inoperable or metastatic triple-negative breast cancer (TNBC)
  • Individuals whose tumors are programmed cell death ligand 1 (PD-L1) negative at screening or individuals whose tumors are PD-L1 positive at screening if they have received an anti-PD-(L)1 inhibitor in the (neo) adjuvant setting or if they cannot be treated with a checkpoint inhibitor due to a comorbidity
  • Centrally confirmed TNBC and PD-L1 status on fresh or archival tissue
  • Individuals must have completed treatment for Stage I-III breast cancer, if indicated, and ≥ 6 months must have elapsed (with the exception of endocrine therapy) between completion of treatment with curative intent and first documented local or distant disease recurrence
  • Individuals presenting with de novo metastatic TNBC are eligible
• Measurable disease based on computed tomography (CT) or magnetic resonance imaging (MRI) in accordance with per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1. as evaluated locally
• Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
• Demonstrates adequate organ function
• Male individuals and female individuals of childbearing potential who engage in heterosexual intercourse must agree to use protocol-specified method(s) of contraception
• Individuals with human immunodeficiency virus (HIV) must be on antiretroviral therapy (ART) and have a well-controlled HIV infection/disease