RecruitingPhase 2Phase 3NCT05860465

Safety and Efficacy of SPH4336 in Combination With Endocrine Therapy in the Treatment of Locally Advanced or Metastatic Breast Cancer

A Phase II/III Study of SPH4336 in Combination With Endocrine Therapy in the Treatment of HR-positive, HER2-negative Locally Advanced or Metastatic Breast Cancer That Progressed on CDK4/6 Inhibitor Combined With Endocrine Therapy


Sponsor

Shanghai Pharmaceuticals Holding Co., Ltd

Enrollment

254 participants

Start Date

Sep 8, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This study evaluated the safety and efficacy of SPH4336 in combination with endocrine therapy in the treatment of locally advanced or metastatic breast cancer that progressed on CDK4/6 inhibitor combined with endocrine therapy.


Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 75 Years

Inclusion Criteria7

  • Patients who voluntarily participate in this study, completely understand this study, and voluntarily sign the informed consent form (ICF).
  • ECOG (Eastern Cooperative Oncology Group) performance status score of 0 or 1.
  • Life expectancy ≥ 3 months.
  • Patients with locally advanced or metastatic breast cancer who are unable to receive radical surgeries/other local therapies.
  • At least one measurable lesion.
  • Laboratory test results meet the relevant requirements for organ function.
  • Subjects who agree to take effective contraceptive measures.

Exclusion Criteria16

  • Inflammatory breast cancer.
  • Patients unsuitable for endocrine therapy at the investigator's discretion.
  • History of other malignancies prior to the start of study treatment.
  • Patients with known metastases to central nervous system.
  • Taking anti-tumor traditional Chinese patent medicines at the time of signing the ICF.
  • Patients who underwent a surgery prior to the start of study treatment, and have not yet recovered from adverse reactions of the surgery.
  • Patients who participated in a clinical trial and received other investigational drugs before the start of study treatment.
  • Pregnant or lactating women.
  • History of myocardial infarction, unstable angina pectoris, severe arrhythmia, and symptomatic congestive heart failure before the start of study treatment; ≥ NYHA (New York Heart Association) Class II; mean QTc interval ≥ 470 ms before the start of study treatment; left ventricular ejection fraction ≤ 50% before the start of study treatment.
  • History of ischemic stroke or severe thromboembolic disease before the start of study treatment.
  • Hepatitis B surface antigen positive and HBV (Hepatitis B Virus) DNA \> 2,000 IU/mL or \> 104 copies/mL; HCV (Hepatitis C Virus) antibody positive and HCV RNA positive; or known HIV infection.
  • History of severe allergic diseases, history of severe drug allergies, or known allergy to any ingredient of the investigational product.
  • Presence of diseases or conditions that may impact drug administration or gastrointestinal absorption before the start of study treatment.
  • Presence of uncontrolled infections before the start of study treatment.
  • Known history of drug abuse, excessive drinking, or illegal drug use; history of confirmed neurological or mental disorders.
  • Presence of other diseases that the risks of receiving the study treatment outweigh its benefits, as determined by the investigator, or any other reason for which patients are ineligible for the study as assessed by the investigator.

Interventions

DRUGSPH4336 Tablets

SPH4336 Tablets :Administered by oral; Letrozole tablets:Administered by oral; Fulvestrant injection:Administered by intravenous infusion

DRUGSPH4336 Tablets Placebo

SPH4336 Tablets Placebo :Administered by oral; Letrozole tablets:Administered by oral; Fulvestrant injection:Administered by intravenous infusion


Locations(22)

Affiliated Cancer Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Liuzhou people's Hospital

Liuchow, Guangxi, China

Anyang Cancer Hospital

Anyang, He'nan, China

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, He'nan, China

The Fourth Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Harbin Medical University cancer Hospital

Harbin, Heilongjiang, China

Xiangyang Cancer Hospital

Wuhan, Hubei, China

Jiangsu Cancer Hospital

Nanjing, Jiangsu, China

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Jilin Cancer Hospital

Changchun, Jilin, China

The First Hospital of China Medical University

Shenyang, Liaoning, China

General Hospital of Ningxia Medical University

Yinchuan, Ningxia, China

The First Affiliated Hospital of Xi'an Jiao Tong University

Xi’an, Shanxi, China

The second people's hospital of neijiang

Neijiang, Sichuan, China

Yunnan Cancer Hospital

Kunming, Yunnan, China

Zhejiang cancer Hospital

Hangzhou, Zhejiang, China

Peking Union Medical College Hospital

Beijing, China

The First Affiliated Hospital of Bengbu Medical College

Bengbu, China

Fujian Cancer Hospital

Fuzhou, China

First Affiliated Hospital of Kunming Medical University

Kunming, China

Shenzhen Hospital of University of Hong Kong

Shenzhen, China

Tianjin Medical University Cancer Institute & Hospital

Tianjin, China

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NCT05860465


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