All patients were evaluable for efficacy with the best ORR being 73.91% (17/23; 95% CI, 51.59 to 89.77) and 68.57% (24/35; 95% CI, 50.71 to 83.15), mPFS being 12.30 months (95% CI, 6.00 to not reached) and 9.40 months (95% CI, 4.00 to 10.40) in 4.8 and 6.0 mg/kg cohort, respectively. Of 23 pts treated at 4.8 mg/kg dose level, one had a confirmed and sustained complete response lasting 7+ months. The previously demonstrated preliminary clinical benefit of A166-ADC was maintained with no new safety signals, which demonstrated manageable toxicity and encouraging anti-tumor activity in heavily pretreated HER2-positive metastatic breast cancer patients.