Actively Recruiting
FMD and Neoadjuvant Chemo-immunotherapy in TNBC
Led by Sun Yat-sen University · Updated on 2026-04-21
80
Participants Needed
1
Research Sites
199 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
The primary objective of this study is to investigate the efficacy and safety of a fasting-mimicking diet (FMD) intervention combined with standard neoadjuvant chemoimmunotherapy in early-stage or locally advanced triple-negative breast cancer (TNBC).
CONDITIONS
Official Title
FMD and Neoadjuvant Chemo-immunotherapy in TNBC
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Provided written informed consent.
- Willing and able to follow the prescribed dietary intervention, treatment schedule, tests, and visits.
- Female, aged 18 to 70 years.
- ECOG performance status of 0 to 1 with expected survival over 12 weeks.
- Female patients of childbearing potential agree to reliable contraception before, during, and 8 weeks after the study.
- Pathologically confirmed primary breast cancer with tumor size ≥2 cm and lymph node status N0-N3; any tumor size if lymph nodes positive; no distant metastases.
- Triple-negative or near-triple-negative subtype (HR-negative or low ER/PR expression 1%-10%, HER2-negative).
- No prior anti-tumor therapy including chemotherapy, radiotherapy, or biological therapy.
- Hemoglobin ≥90 g/L (can be maintained by transfusion).
- Absolute neutrophil count ≥1.5 × 10^9/L.
- Platelet count ≥100 × 10^9/L.
- Total bilirubin ≤1.5 times upper limit of normal (ULN).
- ALT and AST ≤2.5 times ULN.
- Creatinine ≤1.5 times ULN.
- Fasting blood glucose <250 mg/dL.
- Pregnancy ruled out for women of childbearing potential (aged 15-49).
You will not qualify if you...
- Previous systemic anti-cancer therapy including chemotherapy, targeted therapy, immunotherapy, or investigational treatment.
- Prior radiotherapy for breast cancer.
- Evidence of distant metastasis before treatment.
- Another malignancy within 5 years except certain cured cancers.
- Allergy or hypersensitivity to investigational drugs or products.
- Active autoimmune disease requiring systemic treatment.
- Body Mass Index (BMI) below 19 kg/m².
- Unintentional weight loss >5% in past 3 months unless BMI >22 kg/m² and weight loss <10%, or >10% unless BMI >25 kg/m² and weight loss <15%; weight stable for at least 1 month before enrollment.
- Eating disorders such as anorexia or bulimia nervosa.
- Baseline fasting blood glucose ≤60 mg/dL.
- Severe infection within 4 weeks prior to enrollment.
- Diabetes mellitus type 1 or 2 requiring medication except metformin.
- Unstable systemic disease including uncontrolled hypertension, recent angina, heart failure, or recent myocardial infarction.
- Severe arrhythmia requiring medication or significant liver, kidney, or metabolic disease.
- Infection with HIV.
- Active uncontrolled hepatitis B or C.
- Pregnant or breastfeeding women.
- Diagnosed neurological or psychiatric disorders including epilepsy or dementia.
- Any other condition considered unsuitable by the investigator.
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, China, 510060
Actively Recruiting
Research Team
J
Jun Tang, MD
CONTACT
N
Ning Li, PhD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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