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Precision Platform Study of HR+/ HER2-advanced Breast Cancer Based on SNF Typing (A Prospective, Open-label, Multi-center, Phase II Platform Study)

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

The purpose of this study is to establish a prospective, multi-center platform research based on clinical subtypes to explore precision therapy in patients hormone-receptor-positive HER2-negative advanced breast cancer who had previously used CDK4/6 inhibitors.

Eligibility
Participation Requirements
Sex: Female
Minimum Age: 18
Healthy Volunteers: f
View:

• Female aged ≥18 years;

• HR+/HER2- invasive breast cancer confirmed by histology (specific definition: ER \>10% positive tumor cells by immunohistochemistry is defined as ER positive, PR \>10% positive tumor cells is defined as PR positive, ER and/or PR positive is defined as HR positive; HER2 0-1+ or HER2 + but negative by FISH without amplification was defined as HER2 negative);

• Locally advanced breast cancer (unable to undergo radical local treatment) or recurrent metastatic breast cancer;

• HR+/HER2- advanced breast cancer patients who had previously received CDK4/6 inhibitor therapy;

• At least one measurable lesion according to RECIST 1.1 (conventional CT scan ≥20 mm, spiral CT scan ≥10 mm, measurable lesion has not received radiotherapy);

• The functions of the main organs are basically normal and meet the following conditions:

• I. Blood routine examination criteria shall meet: HB ≥90 g/L (no blood transfusion within 14 days); The ANC acuity 1.5 x 109 / L; PLT acuity 75 x 109 / L; Ii. Biochemical tests should meet the following criteria: TBIL ≤1.5×ULN (upper limit of normal value); ALT and AST ≤3×ULN; If liver metastases were present, ALT and AST≤ 5×ULN; Serum Cr ≤1×ULN, endogenous creatinine clearance \> 50 ml/min (Cockcroft-Gault formula);

• They have not received radiotherapy, molecular targeted therapy, or surgery within 3 weeks before the start of the study, and have recovered from the acute toxicity of previous treatment (if surgery was performed, the wound has healed completely); No peripheral neuropathy or grade I peripheral neurotoxicity;

• ECOG score ≤2, and life expectancy ≥3 months;

• Fertile female subjects were required to use a medically approved contraceptive method during the study treatment period and for at least 3 months after the last use of the study drug;

⁃ Subjects volunteered to join the study, signed informed consent, had good compliance, and cooperated with follow-up.

Locations
Other Locations
China
Breast cancer institute of Fudan University Cancer Hospital
RECRUITING
Shanghai
Contact Information
Primary
Zhimin Shao, M.D
zhimingshao@yahoo.com
+86-021-64175590
Time Frame
Start Date: 2022-12-30
Estimated Completion Date: 2026-12-01
Participants
Target number of participants: 620
Treatments
Experimental: SNF1 1A: PIK3CA mutation
PIK3CA inhibitors +Aromatase inhibitors(Letrozole/Anastrozole/Exemestane, po, qd, specific dose (letrozole 2.5mg/ day; Anastrozole 1mg/ day, Exemestane 25mg/ day);Or fulvestrant, 500mg ,im, qm, followed by 500mg im 2 weeks after the first dose; Premenopausal: Goserelin 3.6mg IM every 4 weeks.
Experimental: SNF1 1B: AKT pathway mutation
AKT pathway inhibitors +Aromatase inhibitors(Letrozole/Anastrozole/Exemestane, po, qd, specific dose (letrozole 2.5mg/ day; Anastrozole 1mg/ day, Exemestane 25mg/ day);Or fulvestrant, 500mg ,im, qm, followed by 500mg im 2 weeks after the first dose; Premenopausal: Goserelin 3.6mg IM every 4 weeks.
Experimental: SNF1 1C: without above mutation
Everolimus 10mg po qd+Aromatase inhibitors(Letrozole/Anastrozole/Exemestane, po, qd, specific dose (letrozole 2.5mg/ day; Anastrozole 1mg/ day, Exemestane 25mg/ day);Or fulvestrant, 500mg ,im, qm, followed by 500mg im 2 weeks after the first dose; Premenopausal: Goserelin 3.6mg IM every 4 weeks.
Experimental: SNF2 2A
Treatment of physician' choice+Pd-1 mab (Carrelizumab 200mg Q2W)+Famitinib 15mg po qd for 4 weeks as a cycle
Experimental: SNF3 3A: Stratification of BRCA/PALB2 expression
Fluzoparib SHR3162 100mg po qd+Dalpiciclib 125mg po qd for 4 weeks as a cycle
Experimental: SNF4 4A: HER2 low
SHR-A1811
Active_comparator: The control arm
Treatment of Physicians' Choice (albumin-paclitaxel, capecitabine, vinorelbine, and irbribulin)
Experimental: SNF3 3B:
Fluzoparib SHR3162 100 mg qd+Treatment of physician' choice
Experimental: SNF4 4B:
Apatinib 250mg qd+Treatment of physician' choice
Experimental: SNF1 1D: without above mutation
Everolimus 10mg po qd+Treatment of physician' choice
Experimental: SNF1 1E: HER2 LOW
Everolimus 10mg po qd+SHR-A1811
Experimental: SNF1 1F: HER2 zero
Everolimus 10mg po qd+SHR-A1921
Experimental: SNF2 2B: HER2 zero
SHR-A1921+Pd-1 mab (Carrelizumab 200mg Q2W)+bevacizumab 7.5mg po ivgt t for 3 weeks as a cycle
Experimental: SNF2 2C:
HER3 -ADC+Pd-1 mab (Carrelizumab 200mg Q2W)+Famitinib for 3 weeks as a cycle
Experimental: SNF2 2D:
Nectin4-ADC+Pd-1 mab (Carrelizumab 200mg Q2W)+Famitinib for 3 weeks as a cycle
Experimental: SNF2 2E: HER2 low
SHR-A1811+Pd-1 mab (Carrelizumab 200mg Q2W)+Famitinib for 3 weeks as a cycle
Experimental: SNF3 3C:
CDK4i(SHR-6209 PR2D+PARP1i(SHR-1167 PR2D)
Experimental: SNF3 3D:
PARP1i(SHR-1167 PR2D)+Famitinib 5mg po qd for 4 weeks as a cycle
Experimental: SNF3 3E: HER2 low
PARP1i(SHR-1167 PR2D)+SHR-A1811 for 3 weeks as a cycle
Experimental: SNF3 3F: HER2 zero
PARP1i(SHR-1167 PR2D)+SHR-A1921 for 3 weeks as a cycle
Experimental: SNF4 4C
Famitinib 20mg po qd
Experimental: SNF4 4D
Sorafenib 0.4g bid
Experimental: SNF4 4E
Apatinib 500mg qd
Experimental: SNF4 4F: HER2 low
Famitinib+SHR-A1811 for 3 weeks as a cycle
Experimental: SNF4 4G
Famitinib+HER3-ADC for 3 weeks as a cycle
Experimental: SNF4 4H
Famitinib+Nectin4-ADC for 3 weeks as a cycle
Sponsors
Collaborators: Liaoning Cancer Hospital & Institute, Affiliated Hospital of Nantong University, First Affiliated Hospital Xi'an Jiaotong University, Ningbo Medical Center Lihuili Hospital, Peking University Cancer Hospital & Institute, Shanghai First Maternity and Infant Hospital, First Hospital of China Medical University, Shanghai 6th People's Hospital, Northern Jiangsu People's Hospital, Nanchang People's Hospital, Sun Yat-sen University, Fujian Medical University Union Hospital, The First Hospital of Jilin University, Chongqing University Cancer Hospital
Leads: Fudan University

This content was sourced from clinicaltrials.gov