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A Study of BPI-16350 in Combination With Fulvestrant in Patients With HR+ and HER2- Locally Advanced, Recurrent or Metastatic Breast Cancer

Phase 3
Active, not recruiting
Conditions
Breast Cancer
Interventions
Registration Number
NCT05433480
Lead Sponsor
Betta Pharmaceuticals Co., Ltd.
Brief Summary

This is a phase III clinical trial to evaluate the efficacy and safety of BPI-16350 in combination with Fulvestrant versus placebo combined with Fulvesrant in Patients who have HR positive and HER2 negative locally advanced,recurrent or metastatic breast cancer with disease progression following endocrine therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
274
Inclusion Criteria
  • Has the pathologically-confirmed diagnosis of locally advanced, recurrent or metastatic, HR positive, HER2 negative Breast Cancer
  • One previous line of chemotherapy for advanced/metastatic disease is allowed
  • Disease Progression following endocrine therapy
  • Have postmenopausal status
  • Have 1 of the following, as defined by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1: measurable disease or nonmeasurable bone-only disease
  • ECOG: 0~1
  • Adequate organ function
Exclusion Criteria
  • Previous treatment with cytotoxic drugs within 4 weeks before enrollment
  • Previous treatment with endocrine or small molecule drug tyrosine kinase inhibitor TKI within 2 weeks before enrollment
  • Patients who received prior treatment with any CDK4/6 inhibitor, everolimus or fulvestant
  • HER2 positive
  • Patients with major surgery within 4 weeks, severe or unstable systemic disease, unstable/symptomatic CNS metastasis, other malignant tumors, ILD, clinical significant cardiac disease, bleeding or embolic disease, active infectious disease, conditions affecting drug swallow and absorption, etc
  • Pregnancy or lactation
  • Other conditions considered not appropriate to participate in this trial by the investigators

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
experimental groupFulvestrantIntervention Drug: BPI-16350, Fulvestrant
experimental groupBPI-16350Intervention Drug: BPI-16350, Fulvestrant
control groupplaceboIntervention Drug: Placebo, Fulvestrant
control groupFulvestrantIntervention Drug: Placebo, Fulvestrant
Primary Outcome Measures
NameTimeMethod
Investigator-assessed PFSup to 3 years

The PFS time is measured from the date of randomization to the date of objective progression or the date of death due to any cause, whichever is earlier.

Secondary Outcome Measures
NameTimeMethod
DCRup to 3 years

The proportion of patients with CR, PR, or SD according to RECIST v1.1

AEs and SAEsup to 3 years

Number of Participants With adverse events (AEs) and serious adverse events (SAEs) Incidence, nature, and severity of adverse events graded according to the NCI CTCAE v5.0

ORRup to 3 years

The proportion of patients with CR or PR according to RECIST v1.1

OSup to 5 years

The time from the date of randomization to the date of death from any cause

EORTC QLQ-C30up to 5 years

Changes in scores from baseline using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)

DORup to 3 years

The time from the date of first evidence of a CR or PR to the date of objective progression or death from any cause, whichever is earlier

CBRup to 3 years

The proportion of patients with CR, PR, or SD ≥6 months according to RECIST v1.1

IREC-assessed PFSup to 3 years

The PFS time is measured from the date of randomization to the date of objective progression or the date of death due to any cause, whichever is earlier.

Evaluate the pharmacokinetics of BPI-16350Up to 3 cycles(each cycle is 28 days)

Based on blood plasma concentration.

Trial Locations

Locations (64)

The First Affiliated Hospital of Bengbu Medical College

🇨🇳

Bengbu, Anhui, China

Anhui Provincial Hospital

🇨🇳

Hefei, Anhui, China

The First Affiliated Hospital of Anhui Medical University

🇨🇳

Hefei, Anhui, China

The First Medical Center of the PLA General Hospital

🇨🇳

Beijing, Beijing, China

The Seventh Medical Center of the PLA General Hospital

🇨🇳

Beijing, Beijing, China

Chongqing University Three Gorges Hospital

🇨🇳

Chongqing, Chongqing, China

Fujian Medical University Union Hospital

🇨🇳

Fuzhou, Fujian, China

Fujian Cancer Hospital

🇨🇳

Fuzhou, Fujian, China

The First Affiliated Hospital of Xiamen University

🇨🇳

Ximen, Fujian, China

The First Hospital of Lanzhou University

🇨🇳

Lanzhou, Gansu, China

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The First Affiliated Hospital of Bengbu Medical College
🇨🇳Bengbu, Anhui, China

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