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A single-center, real-world study evaluated the clinical outcomes and safety of CDK4/6 inhibitors combined with endocrine therapy in HR+/HER2- advanced breast cancer, and conducted a summary analysis of the clinical treatment options after the progression of CDK4/6 inhibitors.
This study aims to collect clinical data and case information from real-world clinical practice of patients with HR+/HER2- advanced breast cancer treated with CDK4/6 inhibitors combined with endocrine therapy.
The main research objectives include: 1. To evaluate the differences in efficacy among different CDK4/6 inhibitors combination regimens in advanced patients; 2. To investigate the subsequent treatment options chosen by patients in the real world after progression on CDK4/6 inhibitors, with the aim of constructing a predictive model for the response to subsequent treatments, thereby providing support for clinical decision-making for both doctors and patients in such situations.
The secondary objectives include: 1. To truly reflect the differences in adverse reactions of different CDK4/6 inhibitors in the Chinese population through the collection of laboratory and imaging results; 2. To collect tumor samples or peripheral blood samples from some patients for genomic and transcriptomic analyses, in preparation for translational research on the mechanism of CDK4/6 inhibitors resistance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Palbociclib cohort | Use palbociclib in combination with endocrine therapy as the treatment regimen. | ||
| Abemaciclib cohort | Use abemaciclib in combination with endocrine therapy as the treatment regimen. | ||
| Ribociclib cohort | Use ribociclib in combination with endocrine therapy as the treatment regimen. | ||
| Dalcetrapib cohort | Use dalcetrapib in combination with endocrine therapy as the treatment regimen. | ||
| Other CDK4/6 inhibitors cohort | Use other CDK4/6 inhibitors in combination with endocrine therapy (including participation in clinical trials of CDK4/6 inhibitors) as the treatment regimen. |
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| Measure | Description | Time Frame |
|---|---|---|
| rwPFS1 and rwPFS2 | Real-world progression-free survival (rwPFS1) during treatment with CDK4/6 inhibitors and real-world progression-free survival (rwPFS2) of subsequent treatment lines selected by clinicians after progression on CDK4/6 inhibitor therapy. | 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who were diagnosed as HR+/HER2- (as defined by the ASCO/CAP guidelines) advanced breast cancer between March 2022 to March 2025
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yehui Shi, MD | Contact | 022-23340123-3252 | shiyehui@tjmuch.com | |
| Yiran Si, MD | Contact | 022-23340123-3252 |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tianjin Medical University Cancer Insititute and Hospital | Recruiting | Tianjin | 300060 | China |
At the stage of result publication, we will provide the IPD data in accordance with the specific requirements from the ICMJE journal.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP_ICF | Yes | Yes | Yes | Study Protocol, Statistical Analysis Plan, and Informed Consent Form | Jan 25, 2026 | Feb 5, 2026 | Prot_SAP_ICF_000.pdf |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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We will collect the residual tumor samples or peripheral blood samples of the patients in our hospital for genomic and transcriptomic analyses, etc., to prepare for the translational research on the mechanism of CDK4/6i resistance.
| D017437 |
| Skin and Connective Tissue Diseases |