An Open-Label, Randomized, Multicenter Phase 3 Study Investigating the Efficacy and Safety of BGB-43395 Plus Letrozole versus CDK4/6 Inhibitors (Abemaciclib, Palbociclib, Ribociclib) Plus Letrozole in Patients with Advanced or Metastatic HR+/HER2- Breast Cancer Who Have Not Received Prior Systemic Anticancer Treatment for Advanced or Metastatic Disease
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 发起方
- 入组人数
- 233
- 试验地点
- 132
- 主要终点
- PFS as determined by Blinded Independent Central Review (BICR) per RECIST v1.1 and defined as the time from the date of randomization to the date of the first documentation of disease progression or death, whichever occurs first.
研究概览
简要总结
To evaluate the progression-free survival (PFS) for treatment with BGB-43395 plus letrozole (Arm A) compared with CDK4/6i plus letrozole (Arm B) in patients with advanced or metastatic HR+/HER2- BC who have not received prior systemic treatment for advanced or metastatic disease.
入排标准
- 年龄范围
- 18 years 至 65+ years(18-64 Years, 65+ Years)
- 接受健康志愿者
- 否
入选标准
- •Participants must be at least 18 years of age or the legal age of consent in the jurisdiction in which the study is taking place at the time of signing the informed consent.
- •Participants with histologically confirmed locally advanced or metastatic HR+ HER2- breast cancer.
- •Participants must have a stable Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤
- •Adequate organ function.
排除标准
- •Participants who have received prior systemic treatment in the advanced or metastatic setting.
- •Participants who have received prior treatment with any selective cyclin-dependent kinase 4 (CDK4) or cyclin-dependent kinase 2 (CDK2) targeting agent, or any other investigational anticancer drug in any disease setting.
- •Participants with active leptomeningeal disease or uncontrolled, untreated brain metastasis.
研究组 & 干预措施
BGB-43395, BGB-43395, BGB-43395
干预措施: BGB-43395 (Drug)
LETROZOLE
干预措施: LETROZOLE (Drug)
PALBOCICLIB, PALBOCICLIB, PALBOCICLIB
干预措施: PALBOCICLIB (Drug)
ABEMACICLIB, ABEMACICLIB, ABEMACICLIB
干预措施: ABEMACICLIB (Drug)
RIBOCICLIB
干预措施: RIBOCICLIB (Drug)
结局指标
主要结局
PFS as determined by Blinded Independent Central Review (BICR) per RECIST v1.1 and defined as the time from the date of randomization to the date of the first documentation of disease progression or death, whichever occurs first.
PFS as determined by Blinded Independent Central Review (BICR) per RECIST v1.1 and defined as the time from the date of randomization to the date of the first documentation of disease progression or death, whichever occurs first.
次要结局
- OS, defined as the time from the date of randomization until the date of death due to any cause.
- Overall response rate (ORR) determined by BICR per RECIST v1.1 and defined as the proportion of patients who had complete response (CR) or partial response (PR).
- Duration of response (DOR) determined by BICR per RECIST v1.1 and defined as the time from the first occurrence of a documented objective response to the time of disease progression or death from any cause, whichever occurs first.
- Investigator-determined PFS as determined by investigator per RECIST v1.1 and defined as the time from the date of randomization to the date of the first documentation of disease progression or death, whichever occurs first.
- Clinical benefit rate (CBR) defined as the percentage of patients who have a CR, PR, or stable disease per RECIST v1.1 (without subsequent anticancer treatment) maintained for ≥ 24 weeks after randomization.
- Time to response (TTR) defined as the time from treatment initiation to the first response confirmed by BICR per RECIST v1.1.
- Progression free survival 2 (PFS2) defined as the time from randomization until progression on the next line of treatment (ie, first subsequent therapy), as assessed by the investigator, or death due to any cause, whichever occurs first.
- The incidence and severity of AEs according to National Cancer Institute Common Terminology Criteria for Adverse Events Version 5.0.
- Changes from baseline in Global Health Status/Quality of Life (GHS/QoL), physical functioning, role functioning, nausea/vomiting and diarrhea, breast symptoms, arm symptoms, and systematic therapy side effects as measured by European Organisation for Research and Treatment of Cancer (EORTC)-IL454.
研究者
BeOne Medical Officer
Scientific
BeOne Medicines I GmbH
