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Efficacy and Safety of Metronomic Oral Vinorelbine Plus Anlotinib in HER2-negative Metastatic Breast Cancer Patients

Not Applicable
Recruiting
Conditions
Breast Cancer
Interventions
Drug: metronomic oral vinorelbine plus anlotinib
Registration Number
NCT06015126
Lead Sponsor
Yan Xue
Brief Summary

vinorelbine are one of the main chemotherapy drugs used in the treatment of advanced breast cancer. It is available in oral form, making it convenient to use and an ideal choice for rhythmic chemotherapy. In advanced breast cancer,metronomic oral vinorelbine chemotherapy has been the subject of several clinical studies, with proven effectiveness and good safety, showing great prospects for application.

Considering the current lack of targeted, efficient, and convenient drugs for HER2-negative advanced breast cancer in later lines of treatment, and based on the preliminary efficacy of metronomic oral vinorelbine, anlotinib, and rhythmic chemotherapy in breast cancer, we plan to explore the efficacy and safety of combining metronomic oral vinorelbine chemotherapy with anlotinib in the treatment of HER2-negative advanced breast cancer, providing new data for the treatment of HER2-negative advanced breast cancer.

Detailed Description

Research Title A single-center, open-label, single-arm clinical study on the efficacy and safety of Changchun Ruibin rhythmic chemotherapy combined with anlotinib in HER2-negative advanced breast cancer.

Study Drugs - metronomic oral vinorelbine: 30mg/capsule, 20mg/capsule - Anlotinib: 12mg/capsule, 10mg/capsule, 8mg/capsule

Research Objective To determine the efficacy and safety of metronomic oral vinorelbine chemotherapy combined with anlotinib in the treatment of HER2-negative advanced breast cancer, and to provide new data for later-line treatment of HER2-negative advanced breast cancer.

Study Design A single-center, open-label, single-arm clinical study with a planned enrollment of 60 patients.

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
60
Inclusion Criteria

Not provided

Exclusion Criteria
  • Patients who have previously received treatment with vinorelbine and/or anlotinib;
  • Patients with active or untreated brain metastasis;
  • Patients who have had or currently have other malignancies within 5 years, except for cured cervical carcinoma in situ, non-melanoma skin cancer, and superficial bladder tumors [Ta (non-invasive tumor), Tis (carcinoma in situ), and T1 (tumor invades basement membrane)];
  • Patients who have undergone major surgery (including thoracotomy biopsy) or suffered a significant trauma (such as bone fracture) within 4 weeks before randomization, have unhealed wounds or fractures at the time of screening, or are expected to undergo major surgery during the study period;
  • Patients with a history of myocardial infarction within the past 6 months; history of congestive heart failure with New York Heart Association (NYHA) classification ≥ II, or severe arrhythmia (excluding atrial fibrillation and paroxysmal supraventricular tachycardia) that cannot be controlled by medication;
  • Patients with known allergies to the drugs and their excipients involved in this trial;
  • Patients with a known history of hypersensitivity reactions to any investigational drugs;
  • Patients who are simultaneously participating in other trials;
  • Patients who cannot evaluate the efficacy of the treatment plan with existing technology;
  • Patients judged unsuitable for participation by other investigators.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Label 1metronomic oral vinorelbine plus anlotinibmetronomic oral vinorelbine plus anlotinib
Primary Outcome Measures
NameTimeMethod
Progression-Free SurvivalFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months

It is an indicator of the long-term efficacy of the drug.

Secondary Outcome Measures
NameTimeMethod
Overall survivalFrom date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months

It is an indicator of the long-term efficacy of the drug.

Objective Response Rate4 weeks

The proportion of patients with the best response of complete response (CR) or partial response (PR) according to the Response Evaluation Criteria in Solid Tumors (RECIST).

Disease Control Rate4 weeks

The proportion of patients with tumor shrinkage or stability maintained for a certain period, including cases of CR, PR, and stable disease (SD).

Trial Locations

Locations (1)

Xi'an International Medical Center Hospital

🇨🇳

Xi'an, Shaanxi, China

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