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This is a phase IB/II clinical trial to evaluate the efficacy and safety of SHR6390 in combination with Letrozole or Anastrozole or Fulvestrant. Patients who have HR positive and HER2 negative recurrent/metastatic breast cancer and have not received systemic anticancer therapy are eligible for study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 (Part 1) | Experimental | Participants receive SHR6390 (at protocol defined dose levels) in combination with letrozole 2.5 mg or anastrozole 1mg, orally once daily (continuously). |
|
| Cohort 2 (Part 1) | Experimental | SHR6390 (TBD), in combination with letrozole 2.5 mg or anastrozole 1mg, orally once daily (continuously). |
|
| SHR6390 + Letrozole or anastrozole (Part 2) | Experimental | SHR6390 (RP2D, recommended Phase 2 dose), in combination with letrozole 2.5 mg or anastrozole 1mg, orally once daily (continuously). |
|
| SHR6390 + Fulvestrant Cohort 3 (Part 1) | Experimental | SHR6390 (at protocol defined dose levels), in combination with Fulvestrant 500 mg intramuscular injection on day 1 and day 15 for the first cycle and then on day 1 for every cycle once daily |
|
| SHR6390 + Fulvestrant Cohort 4 (Part 1) | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SHR6390 | Drug | SHR6390 150 mg, orally once daily on Day 1 to Day 21 of every 28-day cycle followed by 7 days off treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With adverse events (AEs) and serious adverse events (SAEs) at Phase 1 | Incidence, nature, and severity of adverse events graded according to the NCI CTCAE v4.03. Up to 24 months. | Up to 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the plasma concentration versus time curve (AUC) of SHR6390 | Up to 4 weeks | |
| Peak Plasma Concentration (Cmax) of SHR6390 | Up to 4 weeks | |
| The time of SHR6390 to reach the maximum concentration (Tmax) |
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Inclusion Criteria:
Has the pathologically-confirmed diagnosis of locally recurrent or metastatic, hormone-receptor positive, HER2 negative Breast Cancer.
Age: 18 - 75 years old, postmenopausal women.prepostmenopausal women, but should receive Ovary castration.
Inclusion Criteria
Cohort 1 and Cohort 2 :No prior systemic anti-cancer therapy for advanced HR+ disease.
Cohort 3 and Cohort 4 : Patients must satisfy the following criteria for prior therapy:
a) Progressed after 2 years during treatment of adjuvant therapy with an aromatase inhibitor if postmenopausal, or tamoxifen if pre- or perimenopausal.
b)Progressed within 12 months of completion of adjuvant therapy with an aromatase inhibitor if postmenopausal, or tamoxifen if pre- or perimenopausal.
c) Progressed while 6 month after the end of prior aromatase inhibitor therapy for advanced/metastatic breast cancer if postmenopausal, or prior endocrine treatment for advanced/metastatic breast cancer if pre- or perimenopausal.
One previous line of chemotherapy for advanced/metastatic disease is allowed in addition to endocrine therapy.
4. Eastern Cooperative Oncology Group [ECOG] 0-1 Measurable disease as per Response Evaluation Criterion in Solid Tumors[RECIST] 1.1
5. Adequate organ and marrow function
Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| Binhe Xu, MD | Cancer Institute and Hospital, Chinese Academy of Medical Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ha'erbin Tumor Hospital | Harbin | Heilongjiang | China | |||
| Henan Cancer Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39229468 | Derived | Zhang Q, Zhang P, Yan M, Yan X, Wang X, Gu Y, Qu X, Li S, Xu G, Zhu X, Xu B. Dalpiciclib in combination with letrozole/anastrozole or fulvestrant in HR-positive and HER2-negative advanced breast cancer: results from a phase Ib study. Ther Adv Med Oncol. 2024 Sep 2;16:17588359241273026. doi: 10.1177/17588359241273026. eCollection 2024. |
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SHR6390 (TBD), in combination with Fulvestrant 500 mg intramuscular injection on day 1 and day 15 for the first cycle and then on day 1 for every cycle once daily
|
| Letrozole or anastrozole or Fulvestrant | Drug | Letrozole 2.5mg or anastrozole 1mg, orally once daily (continuously), or Fulvestrant 500mg intramuscular injection on day 1 and day 15 for the first cycle and then on day 1 for every cycle until progressive disease |
|
| Up to 4 weeks |
| Half-time (t1/2) of SHR6390 | Up to 4 weeks |
| Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 | ORR is defined as the percentage of participants in the analysis population who have a Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: ¡Ý30% decrease in the sum of diameters of target lesions) per RECIST 1.1. | Up to approximately 24 months. |
| Progression-free Survival (PFS) per RECIST 1.1 | PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 based on blinded independent central review or death due to any cause, whichever occurs first. | Up to approximately 24 months. |
| Disease Control Rate (DCR) per RECIST 1.1 | DCR is defined as the percentage of participants in the analysis population who have a CR, PR or SD per RECIST 1.1. | Up to approximately 24 months. |
| 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 v4.03. | Up to approximately 24 months. |
| Zhengzhou |
| Henan |
| 450008 |
| China |
| Sir Run Run Shaw Hospital of Zhejiang University | Hangzhou | Zhejiang | China |
| Cancer Hospital, Chinese Academy of Medical Sciences | Beijing | China |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| D000077289 | Letrozole |
| D000077384 | Anastrozole |
| D000077267 | Fulvestrant |
| ID | Term |
|---|---|
| D009570 | Nitriles |
| D009930 | Organic Chemicals |
| D014230 | Triazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D004958 | Estradiol |
| D004963 | Estrenes |
| D004962 | Estranes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D045166 | Estradiol Congeners |
| D012739 | Gonadal Steroid Hormones |
| D042341 | Gonadal Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
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