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Trial Title: PARP Inhibitor With CDK4/6 Inhibitor and Endocrine Therapy in HR+/ HER2-Advanced Breast Cancer

NCT ID: NCT05759546

Condition: Breast Cancer Metastatic

Conditions: Official terms:
Breast Neoplasms
Fulvestrant
Fluzoparib

Conditions: Keywords:
first-line therapy

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Fluzoparib
Description: Parp inhibitor
Arm group label: Cohort 1

Intervention type: Drug
Intervention name: Dalpiciclib
Description: CDK4/6 inhibitor
Arm group label: Cohort 1
Arm group label: Cohort 2

Intervention type: Drug
Intervention name: Fulvestrant/AI
Description: Endocrine therapy
Arm group label: Cohort 1
Arm group label: Cohort 2

Summary: This study is a prospective, open-label, phase II clinical study for patients with HR+/HER2- advanced breast cancer.

Detailed description: Patients with SNF3 subtype of HR+/HER2- advanced breast cancer confirmed by the Department of Pathology and Key Laboratory of Breast Cancer of Fudan University Affiliated Cancer Hospital are planned to be enrolled. The main purpose is to evaluate efficacy of PARP inhibitor in SNF3 subtype of HR+/HER2- advanced breast cancer and prepare for subsequent randomized controlled phase III clinical studies with larger sample size.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Females ≥18 years and ≤ 75 years old; - Histologically confirmed HR + / HER2- invasive breast cancer (specific definition: immunohistochemical detection of ER> 10% tumor cell positive is defined as ER positive, PR> 10% tumor cell positive is defined as PR positive, ER and / or PR Positive is defined as HR positive; HER2 0-1 + or HER2 is ++ but negative followed by FISH detection, no amplification, defined as HER2 negative); - Subtype of similarity network fusion-3 (SNF-3) confirmed by the Department of Pathology and Key Laboratory of Breast Cancer of Fudan University Affiliated Cancer Hospital • Locally advanced breast cancer (incapable of radical local treatment) or recurrent metastatic breast cancer; - Measurable disease according to Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1); or unmeasurable lytic or mixed (osteolytic + osteoblastic) bone lesions in the absence of measurable lesions; - Has adequate bone marrow function: absolute neutrophil count > 1.5x10ˆ9 /L; platelet count > 75x10ˆ9 /L, hemoglobin > 9g/dL; - Patients had received no previous chemotherapy or targeted therapy for metastatic disease - Has adequate liver function and kidney function: serum creatinine - ECOG score ≤ 2 and life expectancy ≥ 3 months; - Participants voluntarily joined the study, has signed informed consent before any trial related activities are conducted, has good compliance and has agreed to follow-up. Exclusion Criteria: - Treatment with chemotherapy, radiotherapy, immunotherapy or surgery (outpatient clinic surgery excluded) for metastatic disease - Symptomatic, untreated, or actively progressing CNS metastases(glucocorticoids or mannitol needed to control symptoms); - Significant cardiovascular disease(including congestive heart failure, angina pectoris, myocardial infarction or ventricular arrhythmia in the last 6 months); - is pregnant or breast feeding; - Malignant tumors in the past five years (except cured skin basal cell carcinoma and cervical carcinoma in situ).

Gender: Female

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Breast cancer institute of Fudan University Cancer Hospital

Address:
City: Shanghai
Zip: 200032
Country: China

Status: Recruiting

Contact:
Last name: Zhi-Ming Shao, MD

Phone: 86-21-641755901105
Email: zhimingshao@yahoo.com

Contact backup:
Last name: Lei Fan, MD

Phone: 86-21-641755901105
Email: cmchen@medmail.com.cn

Investigator:
Last name: Zhi-Ming Shao, MD
Email: Principal Investigator

Investigator:
Last name: Lei Fan, MD
Email: Sub-Investigator

Investigator:
Last name: Wenjuan Zhang, MD
Email: Sub-Investigator

Investigator:
Last name: Ying Zhou
Email: Sub-Investigator

Start date: February 1, 2023

Completion date: June 1, 2027

Lead sponsor:
Agency: Fudan University
Agency class: Other

Collaborator:
Agency: Peking University Cancer Hospital & Institute
Agency class: Other

Collaborator:
Agency: First Hospital of China Medical University
Agency class: Other

Collaborator:
Agency: Sun Yat-sen University
Agency class: Other

Collaborator:
Agency: First Affiliated Hospital Xi'an Jiaotong University
Agency class: Other

Collaborator:
Agency: Liaoning Tumor Hospital & Institute
Agency class: Other

Collaborator:
Agency: Chongqing University Cancer Hospital
Agency class: Other

Collaborator:
Agency: Northern Jiangsu People's Hospital
Agency class: Other

Collaborator:
Agency: Fujian Medical University Union Hospital
Agency class: Other

Collaborator:
Agency: Ningbo Medical Center Lihuili Hospital
Agency class: Other

Collaborator:
Agency: Shanghai First Maternity and Infant Hospital
Agency class: Other

Collaborator:
Agency: Shanghai 6th People's Hospital
Agency class: Other

Collaborator:
Agency: Affiliated Hospital of Nantong University
Agency class: Other

Source: Fudan University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05759546

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