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TQB3616 Capsules Plus Fulvestrant Compared to Placebo Plus Fulvestrant in Previously Treated Breast Cancer in Clinical Trail

Primary Purpose

HR-positive,HER2-negative in Advanced Breast Cancer

Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
TQB3616 capsules
TQB3616-matching placebo
Fluvestrin injection
Sponsored by
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HR-positive,HER2-negative in Advanced Breast Cancer

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • 1 The subjects voluntarily joined the study and signed the informed consent, with good compliance.
  • 2 Age: 18-75 years old (upon signing the informed consent);ECOG PS score: 0~1; Expected survival ≥3 months.
  • 3 participants with estrogen receptor-positive, HER2-Negative Advanced Breast Cancer were identified by pathological testing.
  • 4 Patients at the relapse/metastatic stage were allowed to receive no more than 1 line of rescue chemotherapy or rescue endocrine therapy.
  • 5 Confirmation of at least one measurable lesion according to RECIST1.1 criteria.
  • 6 The main organs are functioning well and meet the following criteria: Routine blood examination criteria (no blood transfusion or hematopoietic stimulus drug correction within 7 days before screening) : a) hemoglobin (Hb) ≥100g/L; b) neutrophils absolute value (NEUT) ≥1.5×10^9/L; c) Platelet count (PLT) ≥90×10^9/L.

Biochemical tests should meet the following criteria: a) Total bilirubin (TBIL) ≤2.5 times the upper limit of normal (ULN); b) Alanine transferase (ALT) and aspartate transferase (AST) ≤2.5×ULN.ALT and AST≤5×ULN with liver metastasis. c) Serum creatinine (Cr) ≤1.5×ULN, or creatinine clearance rate (CCR) ≥60ml/min.

The blood coagulation function test should meet the following criteria: prothrombin time (PT), activated partial thromboplastin time (APTT), international standardized ratio (INR) ≤1.5×ULN (no anticoagulant therapy); Cardiac ultrasound evaluation: left ventricular ejection fraction (LVEF)≥50%.

Exclusion Criteria:

  • 1 Complicated diseases and medical history:

    1. Has had other malignant tumors within 3 years or currently has other malignant tumors;
    2. Have a variety of factors that affect oral medication (such as inability to swallow, chronic diarrhea, and intestinal obstruction);
    3. Unmitigated toxicity above CTCAE1 grade due to any prior treatment;
    4. Severe infections (≥CTCAE2 grade) that were active or uncontrolled before the study treatment started;
    5. Cirrhosis, active hepatitis;
    6. Have a history of immunodeficiency, including HIV positive or other acquired or congenital immunodeficiency diseases, or have a history of organ transplantation;
  • 2 Tumor-related symptoms and treatment:

    1. Clinical evidence or history of central nervous system metastases (CNS) and/or cancerous meningitis or pneumomeningeal disease;
    2. Had received chemotherapy within 3 weeks prior to the start of study treatment, and had received radiotherapy (except palliative radiotherapy for non-target lesions), hormone therapy, or other anti-tumor therapy within 2 weeks prior to the start of study treatment (washout period was calculated from the end of last treatment);
    3. Uncontrolled pleural effusion, pericardial effusion, or ascites that still require repeated drainage (as determined by the investigator).
  • 3 Known to be allergic to fluvestone, TQB3616 or any excipient.
  • 4 Participated in clinical trials of other antitumor drugs within 4 weeks prior to the initiation of study therapy.
  • 5 Has other conditions that make it inappropriate for the patient to be enrolled based on investigator's opinion.

Sites / Locations

  • The Fifth Medical Center of PLA General HospitalRecruiting
  • Beijing Cancer HosptitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

TQB3616 capsules plus fulvestrant

TQB3616-matching placebo plus fulvestrant

Arm Description

The dose of TQB3616 capsules is 180mg, taken orally on an empty stomach, once a day for 28 consecutive days as one treatment cycle. Fluvestrin injection was given at a fixed dose of 500mg on day 1, day 15 of the first treatment cycle and day 1 of each subsequent treatment cycle, and a treatment cycle of 28 days.

The dose of placebo is 180mg, taken orally on an empty stomach, once a day for 28 consecutive days as one treatment cycle. Fluvestrin injection was given at a fixed dose of 500mg on day 1, day 15 of the first treatment cycle and day 1 of each subsequent treatment cycle, and a treatment cycle of 28 days.

Outcomes

Primary Outcome Measures

Progression-free survival (PFS)
Progression-free survival (First-time progression of disease/ recurrence /death)

Secondary Outcome Measures

Progression-free survival (PFS) by Independent Review Committee
Progression-free survival(First-time progression of disease/ recurrence /death)
Overall survival (OS)
Overall survival (Baseline up to death)
Clinical benefit rate (CBR)
Percentage of subjects with complete (CR) or partial response (PR) or stable disease (SD)( Baseline up to progression of disease/ recurrence /death)
Duration of Response (DOR)
Duration of Response(Baseline up to progression of disease/ recurrence /death)

Full Information

First Posted
May 11, 2022
Last Updated
May 11, 2022
Sponsor
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05375461
Brief Title
TQB3616 Capsules Plus Fulvestrant Compared to Placebo Plus Fulvestrant in Previously Treated Breast Cancer in Clinical Trail
Official Title
A Phase III,Randomized, Double-blind, Paralle, Multi-center Study to Evaluate the Efficacy and Safety of TQB3616 Capsules Plus Fulvestrant Compared to Placebo Plus Fulvestrant in Participants With Hormone Receptor (HR)-Positive, Human Epidermal Growth Factor Receptor(EGFR) 2-Negative Advanced Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Recruiting
Study Start Date
March 18, 2022 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a Phase III, a randomized, double-blind, parallel , multi-center trail to evaluate the efficacy and safety of TQB3616 capsules plus fulvestrant compared to placebo plus fulvestrant in participants with estrogen receptor-positive, HER2-Negative Advanced Breast Cancer. Approximately 287 women will be randomized to either TQB3616 plus fulvestrant or TQB3616-matching placebo plus fulvestrant. Randomization will follow a 2:1 randomization ratio,the experimental is 191; the Placebo Comparator is 96.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HR-positive,HER2-negative in Advanced Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
287 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
TQB3616 capsules plus fulvestrant
Arm Type
Experimental
Arm Description
The dose of TQB3616 capsules is 180mg, taken orally on an empty stomach, once a day for 28 consecutive days as one treatment cycle. Fluvestrin injection was given at a fixed dose of 500mg on day 1, day 15 of the first treatment cycle and day 1 of each subsequent treatment cycle, and a treatment cycle of 28 days.
Arm Title
TQB3616-matching placebo plus fulvestrant
Arm Type
Placebo Comparator
Arm Description
The dose of placebo is 180mg, taken orally on an empty stomach, once a day for 28 consecutive days as one treatment cycle. Fluvestrin injection was given at a fixed dose of 500mg on day 1, day 15 of the first treatment cycle and day 1 of each subsequent treatment cycle, and a treatment cycle of 28 days.
Intervention Type
Drug
Intervention Name(s)
TQB3616 capsules
Intervention Description
The dose of TQB3616 capsules is 180mg, taken orally on an empty stomach, once a day for 28 consecutive days as one treatment cycle.
Intervention Type
Drug
Intervention Name(s)
TQB3616-matching placebo
Intervention Description
The dose of placebo is 180mg, taken orally on an empty stomach, once a day for 28 consecutive days as one treatment cycle.
Intervention Type
Drug
Intervention Name(s)
Fluvestrin injection
Intervention Description
Fluvestrin injection was given at a fixed dose of 500mg on day 1, day 15 of the first treatment cycle and day 1 of each subsequent treatment cycle, and a treatment cycle of 28 days.
Primary Outcome Measure Information:
Title
Progression-free survival (PFS)
Description
Progression-free survival (First-time progression of disease/ recurrence /death)
Time Frame
Baseline up to 24 months
Secondary Outcome Measure Information:
Title
Progression-free survival (PFS) by Independent Review Committee
Description
Progression-free survival(First-time progression of disease/ recurrence /death)
Time Frame
Baseline up to 24 months
Title
Overall survival (OS)
Description
Overall survival (Baseline up to death)
Time Frame
Baseline up to 24 months
Title
Clinical benefit rate (CBR)
Description
Percentage of subjects with complete (CR) or partial response (PR) or stable disease (SD)( Baseline up to progression of disease/ recurrence /death)
Time Frame
Baseline up to 24 months
Title
Duration of Response (DOR)
Description
Duration of Response(Baseline up to progression of disease/ recurrence /death)
Time Frame
Baseline up to 24 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 1 The subjects voluntarily joined the study and signed the informed consent, with good compliance. 2 Age: 18-75 years old (upon signing the informed consent);ECOG PS score: 0~1; Expected survival ≥3 months. 3 participants with estrogen receptor-positive, HER2-Negative Advanced Breast Cancer were identified by pathological testing. 4 Patients at the relapse/metastatic stage were allowed to receive no more than 1 line of rescue chemotherapy or rescue endocrine therapy. 5 Confirmation of at least one measurable lesion according to RECIST1.1 criteria. 6 The main organs are functioning well and meet the following criteria: Routine blood examination criteria (no blood transfusion or hematopoietic stimulus drug correction within 7 days before screening) : a) hemoglobin (Hb) ≥100g/L; b) neutrophils absolute value (NEUT) ≥1.5×10^9/L; c) Platelet count (PLT) ≥90×10^9/L. Biochemical tests should meet the following criteria: a) Total bilirubin (TBIL) ≤2.5 times the upper limit of normal (ULN); b) Alanine transferase (ALT) and aspartate transferase (AST) ≤2.5×ULN.ALT and AST≤5×ULN with liver metastasis. c) Serum creatinine (Cr) ≤1.5×ULN, or creatinine clearance rate (CCR) ≥60ml/min. The blood coagulation function test should meet the following criteria: prothrombin time (PT), activated partial thromboplastin time (APTT), international standardized ratio (INR) ≤1.5×ULN (no anticoagulant therapy); Cardiac ultrasound evaluation: left ventricular ejection fraction (LVEF)≥50%. Exclusion Criteria: 1 Complicated diseases and medical history: Has had other malignant tumors within 3 years or currently has other malignant tumors; Have a variety of factors that affect oral medication (such as inability to swallow, chronic diarrhea, and intestinal obstruction); Unmitigated toxicity above CTCAE1 grade due to any prior treatment; Severe infections (≥CTCAE2 grade) that were active or uncontrolled before the study treatment started; Cirrhosis, active hepatitis; Have a history of immunodeficiency, including HIV positive or other acquired or congenital immunodeficiency diseases, or have a history of organ transplantation; 2 Tumor-related symptoms and treatment: Clinical evidence or history of central nervous system metastases (CNS) and/or cancerous meningitis or pneumomeningeal disease; Had received chemotherapy within 3 weeks prior to the start of study treatment, and had received radiotherapy (except palliative radiotherapy for non-target lesions), hormone therapy, or other anti-tumor therapy within 2 weeks prior to the start of study treatment (washout period was calculated from the end of last treatment); Uncontrolled pleural effusion, pericardial effusion, or ascites that still require repeated drainage (as determined by the investigator). 3 Known to be allergic to fluvestone, TQB3616 or any excipient. 4 Participated in clinical trials of other antitumor drugs within 4 weeks prior to the initiation of study therapy. 5 Has other conditions that make it inappropriate for the patient to be enrolled based on investigator's opinion.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Zefei Jiang, Doctor
Phone
010-66947171
Email
jiangzefei@csco.org.cn
First Name & Middle Initial & Last Name or Official Title & Degree
Yongmei Yin
Phone
13951842727
Email
ym.yin@hotmail.com
Facility Information:
Facility Name
The Fifth Medical Center of PLA General Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100039
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zefei Jiang
Phone
01066947171
Email
jiangzefei@csco.org.cn
Facility Name
Beijing Cancer Hosptital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100142
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Huiping Li
Phone
13811012595
Email
huipingli2012@hotmail.com

12. IPD Sharing Statement

Learn more about this trial

TQB3616 Capsules Plus Fulvestrant Compared to Placebo Plus Fulvestrant in Previously Treated Breast Cancer in Clinical Trail

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