RecruitingPhase 2NCT07610720

Dalpiciclib, Anti-HER2 Therapy, and Endocrine Therapy for Hormone-Receptor-Positive, HER2-Positive Metastatic Breast Cancer

Evaluating the Efficacy and Safety of Dalpiciclib Plus Anti-HER2 Therapy and Endocrine Therapy in Patients With Induction-Treated Hormone-Receptor-Positive, HER2-Positive Metastatic Breast Cancer


Sponsor

Sun Yat-sen University

Enrollment

57 participants

Start Date

Jun 1, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

Efficacy and Safety of Dalpiciclib Combined with Anti-HER2 Targeted Therapy and Endocrine Therapy as First-line Maintenance Treatment for Patients with Recurrent or Metastatic Hormone-Receptor-Positive, HER2-positive Breast Cancer.


Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 75 Years

Inclusion Criteria4

  • Females aged 18 to 75 years with pathologically confirmed metastatic or locally advanced unresectable breast cancer.
  • Hormone receptor (HR)-positive and HER2-positive.
  • Patients with no evidence of disease progression (including CR, PR, or SD)after 4-8 cycles of first-line systemic anti-tumor therapy.
  • ECOG Performance Status: 0-1.

Exclusion Criteria3

  • Symptomatic active brain metastases or extensive leptomeningeal metastases.
  • History of Grade 3 or 4 allergic reaction related to the study drugs.
  • Currently receiving other anti-tumor therapies.

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Interventions

DRUGDalpiciclib

Oral CDK4/6 inhibitor (dose modification permitted for toxicity management)

DRUGTrastuzumab (Herceptin)

Subcutaneous, 600mg Q3W; IV: 8mg/kg (loading) → 6mg/kg Q3W

DRUGPertuzumab

IV: 840mg (loading) → 420mg Q3W

DRUGPyrotinib

240mg qd Week 1 → 320mg qd from Week 2 (max dose); loperamide prophylaxis for diarrhea

DRUGEndocrine Therapy 1

Letrozole 2.5mg, Anastrozole 1mg, Exemestane 25mg, or Fulvestrant 0.5g IM on Days 1, 28 (initial: Days 1, 15, 28)


Locations(1)

Sun yat-Sen University Cancer Center, Guangzhou, Yuexiu District

Guangdong, GUANGZHOU, China

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NCT07610720


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