Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT06176534

Combination Followed by Maintenance Chemotherapy Versus CDK4/6 Inhibitor Combined With Endocrine Therapy for HR Low/HER2-negative Advanced Breast Cancer: a Prospective, Randomized, Open-label Phase Ⅱ Clinical Trial

Led by Henan Cancer Hospital · Updated on 2024-08-20

240

Participants Needed

1

Research Sites

154 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

To observe the differences in the efficacy of Combination followed by maintenance chemotherapy versus CDK4/6 inhibitor combined with endocrine therapy in HR low expression /HER2 negative advanced breast cancer, and to provide new evidence for the best treatment of HR low expression /HER2 negative advanced breast cancer, and to explore the efficacy and safety of combined/maintenance chemotherapy.

CONDITIONS

Official Title

Combination Followed by Maintenance Chemotherapy Versus CDK4/6 Inhibitor Combined With Endocrine Therapy for HR Low/HER2-negative Advanced Breast Cancer: a Prospective, Randomized, Open-label Phase Ⅱ Clinical Trial

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Diagnosed invasive breast cancer with metastatic disease confirmed by biopsy or clear metastasis evidence
  • HR low expression defined as 1-50% ER by immunohistochemistry or ER <1% and PR ≥1%; includes ER 1-10% or ER-/PR-positive after careful evaluation
  • HER2 negative confirmed by immunohistochemistry 0 or 1+, or 2+ with negative FISH
  • At least one measurable tumor lesion
  • No prior salvage chemotherapy for metastatic disease; first-line endocrine therapy allowed
  • No previous CDK4/6 inhibitor use; adjuvant CDK4/6 treatment allowed if recurrence occurred more than 1 year after stopping
  • ECOG performance status 0-1 with life expectancy over 12 weeks
  • Adequate major organ function
  • All adverse events resolved to grade 1 or less before enrollment
  • No major organ dysfunction or heart disease
  • Women and men of childbearing potential agree to use contraception before and during study participation
Not Eligible

You will not qualify if you...

  • Symptomatic or uncontrolled brain or leptomeningeal metastases; stable brain metastases allowed after treatment and no symptoms
  • Radiotherapy, chemotherapy, major surgery, targeted therapy, or immunotherapy within 2 weeks before enrollment; endocrine therapy within 1 week; nitrosourea or mitomycin chemotherapy within 6 weeks
  • Participation in other new drug clinical trials within 4 weeks before enrollment
  • Uncontrolled third space effusion not manageable by drainage or pneumatic methods
  • Other malignant tumors within past 3 years except certain skin or cervical cancers
  • Serious or uncontrolled diseases including active viral infections (HIV, active HBV, hepatitis C), severe cardiovascular disease, severe infection within 4 weeks, or unexplained fever
  • History of psychotropic drug abuse, mental disorders, swallowing or absorption dysfunction
  • Other diseases that endanger patient safety or study completion per investigator judgment
  • Known allergy to study regimen components or history of immunodeficiency
  • Pregnant or breastfeeding women
  • Deemed unsuitable for study inclusion by investigators

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Henan Breast Cancer Center, The Affiliated Cancer Hospital of Zhengzhou University

Zhengzhou, Henan, China

Actively Recruiting

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Research Team

M

Min Yan, M.D.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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