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This study is a multicenter, open-label, multi-cohort phase II clinical trials to evaluate the efficacy and safety of TQB3616 capsules combined with Fulvestrant injection in subjects with HR-positive and HER2-negative advanced and/or metastatic breast cancer, including Cohort 1 and Cohort 2. Each cohort will enroll 30-60 cases.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TQB3616 capsules combined with fulvestrant injection | Experimental | TQB3616 capsules 180 mg given orally, once daily in 28-day cycle. Fulvestrant injection was given at a fixed dose of 500mg on day 1, day 15 of the first cycle and day 1 of each subsequent cycle, and each cycle is 28 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TQB3616 capsules | Drug | TQB3616 capsules 180 mg given orally, once daily in 28-day cycle. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall response rate (ORR) assessed by investigator | ORR defined as percentage of participants achieving complete response (CR) and partial response (PR), recorded from the first dose until the first documented progressive disease (PD) or death from any cause, based on investigator. | Baseline up to 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Progression free survival (PFS) | PFS defined as the time from first dose until the first documented progressive disease (PD) or death from any cause. | Baseline up to 24 months |
| Overall survival (OS) |
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Inclusion Criteria:
Exclusion Criteria:
1. Concomitant disease and medical history:
Has central nervous system metastases (CNS) and/or cancerous meningitis or leptomeningeal carcinomatosis;
Had received chemotherapy within 3 weeks prior to the first dose, and had received radiotherapy , hormone therapy, or other anti-tumor therapy within 2 weeks prior to the first dose;
Has uncontrollable pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures.
3. Has known to be allergic to Fulvestrant injection , TQB3616 or any excipient.
4. Has Participated in other clinical trials within 4 weeks before first dose. 5. According to the judgement of the investigators, there are other factors that may lead to the termination of the study.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Fifth Medical Center of PLA General Hospital | Beijing | Beijing Municipality | 100039 | China | ||
| Chongqing University Cancer Hospital |
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| Fulvestrant injection | Drug | Fulvestrant injection was given at a fixed dose of 500mg on day 1, day 15 of the first cycle and day 1 of each subsequent cycle, and each cycle is 28 days. |
|
OS defined as the time from first dose to death from any cause. Participants who do not die at the end of the extended follow-up period, or were lost to follow-up during the study, were censored at the last date they were known to be alive.
| Baseline up to 24 months] |
| Clinical benefit rate (CBR) | Percentage of participants achieving complete response (CR) and partial response (PR) and stable disease (SD). | Baseline up to 24 months |
| Duration of Response (DOR) | The time when the participants first achieved complete or partial remission to disease progression. | Baseline up to 24 months |
| Chongqing |
| Chongqing Municipality |
| 400000 |
| China |
| Gansu Provincial Hostipal | Lanzhou | Gansu | 730030 | China |
| Guangdong General Hospital | Guangzhou | Guangdong | 510062 | China |
| Sun Yat-sen University Cancer Center | Guangzhou | Guangdong | 510062 | China |
| Guangxi Medical University Affiliated Tumor Hospital | Nanning | Guangxi | 530021 | China |
| The Fourth Hospital of Hebei Medical University | Shijiazhuang | Hebei | 050011 | China |
| Harbin Medical University Affiliated Cancer Hospital | Harbin | Heilongjiang | 150000 | China |
| Hunan Cancer Hospital | Changsha | Hunan | 410013 | China |
| Jiangsu Province Hospital | Nanjing | Jiangsu | 210029 | China |
| The Second Hospital of Dalian Medical University | Dalian | Liaoning | 116027 | China |
| Liaoning Cancer Hospital & Institute | Shenyang | Liaoning | 110042 | China |
| Shanghai East Hospital | Shanghai | Shanghai Municipality | 200123 | China |
| The Second Affiliated Hospital of PLA Air Force Military Medical University | Xi’an | Shanxi | 710038 | China |
| The First Affiliated Hospital of Xi'an Jiao Tong University | Xi’an | Shanxi | 710061 | China |
| Affiliated Tumor Hospital of Xinjiang Medical University | Ürümqi | Xinjiang | 830000 | China |
| The First Affiliated Hospital Zhejiang University School of Medicine | Hangzhou | Zhejiang | 310003 | China |
| ID | Term |
|---|---|
| D000077267 | Fulvestrant |
| ID | Term |
|---|---|
| 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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