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Neoadjuvant Dalpiciclib Plus Aromatase Inhibitors or Chemotherapy in Luminal B/HER2-negative Breast Cancer (DAPATH)

Primary Purpose

Luminal B/HER2-negative Breast Cancer

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Dalpiciclib combined with aromatase inhibitors
anthracycline-cyclophosphamide followed by taxane
Sponsored by
Second Affiliated Hospital, School of Medicine, Zhejiang University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Luminal B/HER2-negative Breast Cancer

Eligibility Criteria

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

Inclusion Criteria: Patient is ≥ 18 years-old at the time of consent to participate this trial Famale stage I-IIIA breast cancer patients or T4bN0-2M0 HR-positive, HER2-negtive invasive breast cancer, Ki67≥20% or PgR<20% No prior anti-cancer treatment ECOG 0-1 Exclusion Criteria: Known to have other aggressive malignant tumor in the past 5 years. Bilateral breast cancer; Inflammatory breast cancer; Occult breast cancer; Distant metastasis confirmed by pathology. There are other concomitant diseases that seriously threaten the patient's safety or affect the patient's completion of the study, such as serious infection, liver disease, cardiovascular disease, kidney disease, respiratory disease or uncontrolled diabetes or dyslipidemia. Female patients during pregnancy or lactation. The investigator determines that subjects are not appropriate to participate in the study due to other factors.

Sites / Locations

  • 2nd Affiliated Hospital, School of Medicine, Zhejiang UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

neoadjuvant endocrine therapy

neoadjuvant chemotherapy

Arm Description

CDK4/6 inhibitor combined with aromatase inhibitor

anthracycline-cyclophosphamide followed by taxane

Outcomes

Primary Outcome Measures

residual cancer burden

Secondary Outcome Measures

Full Information

First Posted
November 30, 2022
Last Updated
February 22, 2023
Sponsor
Second Affiliated Hospital, School of Medicine, Zhejiang University
Collaborators
GeneCast Biotechnology Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05640778
Brief Title
Neoadjuvant Dalpiciclib Plus Aromatase Inhibitors or Chemotherapy in Luminal B/HER2-negative Breast Cancer (DAPATH)
Official Title
Comparison of Efficacy and Safety of Neoadjuvant Dalpiciclib Combined With Endocrine Therapy and Neoadjuvant Chemotherapy in Luminal B/HER2-negative Breast Cancer and Biomarker Analysis: a Prospective, Randomized, Open-label, Blinded Endpoint (PROBE) Trial.
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Recruiting
Study Start Date
October 1, 2022 (Actual)
Primary Completion Date
October 31, 2024 (Anticipated)
Study Completion Date
October 31, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Second Affiliated Hospital, School of Medicine, Zhejiang University
Collaborators
GeneCast Biotechnology 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
Compare the efficacy and safety of Dalpiciclib combined with aromatase inhibitors versus chemotherapy as a neoadjuvant therapy in Luminal B/HER2-negative breast cancer, and explore the predictive biomarkers of the response to the two neoadjuvant therapies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Luminal B/HER2-negative Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
120 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
neoadjuvant endocrine therapy
Arm Type
Experimental
Arm Description
CDK4/6 inhibitor combined with aromatase inhibitor
Arm Title
neoadjuvant chemotherapy
Arm Type
Active Comparator
Arm Description
anthracycline-cyclophosphamide followed by taxane
Intervention Type
Drug
Intervention Name(s)
Dalpiciclib combined with aromatase inhibitors
Intervention Description
Dalpiciclib combined with letrozole or anastrozole
Intervention Type
Drug
Intervention Name(s)
anthracycline-cyclophosphamide followed by taxane
Intervention Description
4 cycles of anthracycline-cyclophosphamide (EC) followed by 4 cycles of taxane
Primary Outcome Measure Information:
Title
residual cancer burden
Time Frame
3 years

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is ≥ 18 years-old at the time of consent to participate this trial Famale stage I-IIIA breast cancer patients or T4bN0-2M0 HR-positive, HER2-negtive invasive breast cancer, Ki67≥20% or PgR<20% No prior anti-cancer treatment ECOG 0-1 Exclusion Criteria: Known to have other aggressive malignant tumor in the past 5 years. Bilateral breast cancer; Inflammatory breast cancer; Occult breast cancer; Distant metastasis confirmed by pathology. There are other concomitant diseases that seriously threaten the patient's safety or affect the patient's completion of the study, such as serious infection, liver disease, cardiovascular disease, kidney disease, respiratory disease or uncontrolled diabetes or dyslipidemia. Female patients during pregnancy or lactation. The investigator determines that subjects are not appropriate to participate in the study due to other factors.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yunxiang Zhou
Phone
+8615868131018
Email
yxzhou@zju.edu.cn
Facility Information:
Facility Name
2nd Affiliated Hospital, School of Medicine, Zhejiang University
City
Hangzhou
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yiding Chen
First Name & Middle Initial & Last Name & Degree
Yiding Chen

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Neoadjuvant Dalpiciclib Plus Aromatase Inhibitors or Chemotherapy in Luminal B/HER2-negative Breast Cancer (DAPATH)

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