search
Back to results

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

Primary Purpose

Locally Advanced or Metastatic Breast Cancer

Status
Not yet recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
SPH4336 Tablets
SPH4336 Tablets Placebo
Sponsored by
Shanghai Pharmaceuticals Holding Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Locally Advanced or Metastatic Breast Cancer

Eligibility Criteria

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

Inclusion Criteria: 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 Criteria: 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.

Sites / Locations

  • Affiliated Cancer Hospital, Sun Yat-sen University
  • Liuzhou people's Hospital
  • The Fourth Hospital of Hebei Medical University
  • Harbin Medical University cancer Hospital
  • Anyang Cancer Hospital
  • The First Affiliated Hospital of Henan University of Science and Technology
  • Xiangyang Cancer Hospital
  • Jiangsu Cancer Hospital
  • Jiangsu Province Hospital
  • Jilin Cancer Hospital
  • The First Hospital of China Medical University
  • General Hospital of Ningxia Medical University
  • The First Affiliated Hospital of Xi'an Jiao Tong University
  • The second people's hospital of neijiang
  • Yunnan Cancer Hospital
  • Zhejiang cancer Hospital
  • Peking Union Medical College Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

SPH4336 Tablets

SPH4336 Tablets Placebo

Arm Description

SPH4336 Tablets; Letrozole tablets; Fulvestrant injection

SPH4336 Tablets Placebo; Letrozole tablets; Fulvestrant injection

Outcomes

Primary Outcome Measures

Objective response rate
tumor response will be evaluated according to the Response Evaluation Criteria Solid Tumors (RECIST) criteria version 1.1.
Progression-free survival (PFS)
from the start date of study treatment to the date of progression disease or death , whichever occurred first.

Secondary Outcome Measures

Cmax
PK (Pharmacokinetics) parameters
Tmax
PK (Pharmacokinetics) parameters
Disease control rate (DCR)
DCR was defined as the percentage of patients who have achieved complete response, partial response and stable disease
Duration of remission (DOR)
DOR was defined for participants who had an objective response as the time from the first occurrence of a documented unconfirmed response to the date of disease progression per RECIST v1.1 or death from any cause
Overall Survival (OS)
Determination of the overall survival times of all patients
Safety and tolerability of the combination therapy since the start of any study treatment.
Adverse event type, incidence, duration, correlation with study drug

Full Information

First Posted
May 8, 2023
Last Updated
August 23, 2023
Sponsor
Shanghai Pharmaceuticals Holding Co., Ltd
search

1. Study Identification

Unique Protocol Identification Number
NCT05860465
Brief Title
Safety and Efficacy of SPH4336 in Combination With Endocrine Therapy in the Treatment of Locally Advanced or Metastatic Breast Cancer
Official Title
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
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
October 1, 2023 (Anticipated)
Primary Completion Date
March 1, 2025 (Anticipated)
Study Completion Date
August 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Pharmaceuticals Holding Co., Ltd

4. Oversight

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

5. Study Description

Brief 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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Locally Advanced or Metastatic Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
254 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
SPH4336 Tablets
Arm Type
Experimental
Arm Description
SPH4336 Tablets; Letrozole tablets; Fulvestrant injection
Arm Title
SPH4336 Tablets Placebo
Arm Type
Placebo Comparator
Arm Description
SPH4336 Tablets Placebo; Letrozole tablets; Fulvestrant injection
Intervention Type
Drug
Intervention Name(s)
SPH4336 Tablets
Intervention Description
SPH4336 Tablets :Administered by oral; Letrozole tablets:Administered by oral; Fulvestrant injection:Administered by intravenous infusion
Intervention Type
Drug
Intervention Name(s)
SPH4336 Tablets Placebo
Intervention Description
SPH4336 Tablets Placebo :Administered by oral; Letrozole tablets:Administered by oral; Fulvestrant injection:Administered by intravenous infusion
Primary Outcome Measure Information:
Title
Objective response rate
Description
tumor response will be evaluated according to the Response Evaluation Criteria Solid Tumors (RECIST) criteria version 1.1.
Time Frame
Approximately 3years
Title
Progression-free survival (PFS)
Description
from the start date of study treatment to the date of progression disease or death , whichever occurred first.
Time Frame
Approximately 3years
Secondary Outcome Measure Information:
Title
Cmax
Description
PK (Pharmacokinetics) parameters
Time Frame
Approximately 3years
Title
Tmax
Description
PK (Pharmacokinetics) parameters
Time Frame
Approximately 3years
Title
Disease control rate (DCR)
Description
DCR was defined as the percentage of patients who have achieved complete response, partial response and stable disease
Time Frame
Approximately 3years
Title
Duration of remission (DOR)
Description
DOR was defined for participants who had an objective response as the time from the first occurrence of a documented unconfirmed response to the date of disease progression per RECIST v1.1 or death from any cause
Time Frame
Approximately 3years
Title
Overall Survival (OS)
Description
Determination of the overall survival times of all patients
Time Frame
Approximately 8years
Title
Safety and tolerability of the combination therapy since the start of any study treatment.
Description
Adverse event type, incidence, duration, correlation with study drug
Time Frame
Approximately 3years

10. Eligibility

Sex
Female
Gender Based
Yes
Gender Eligibility Description
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 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 Criteria: 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.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Shusen Wang
Phone
0086-020-87343811
Email
wangshs@sysucc.org.cn
Facility Information:
Facility Name
Affiliated Cancer Hospital, Sun Yat-sen University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510060
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shusen Wang
Phone
0086-020-87343811
Email
wangshs@sysucc.org.cn
Facility Name
Liuzhou people's Hospital
City
Liuzhou
State/Province
Guangxi
ZIP/Postal Code
545026
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Bin Yu
Facility Name
The Fourth Hospital of Hebei Medical University
City
Shijiazhuang
State/Province
Hebei
ZIP/Postal Code
050011
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cuizhi Geng
Facility Name
Harbin Medical University cancer Hospital
City
Harbin
State/Province
Heilongjiang
ZIP/Postal Code
150081
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Qingyuan Zhang
Facility Name
Anyang Cancer Hospital
City
Anyang
State/Province
Henan
ZIP/Postal Code
455001
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jing Sun
Facility Name
The First Affiliated Hospital of Henan University of Science and Technology
City
Luoyang
State/Province
Henan
ZIP/Postal Code
450052
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xinshuai Wang
Facility Name
Xiangyang Cancer Hospital
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
441021
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yuehua Wang
Facility Name
Jiangsu Cancer Hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210009
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jifeng Feng
Facility Name
Jiangsu Province Hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210029
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yongmei Yin
Facility Name
Jilin Cancer Hospital
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130012
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ying Cheng
Facility Name
The First Hospital of China Medical University
City
Shenyang
State/Province
Liaoning
ZIP/Postal Code
110002
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yue'e Teng
Facility Name
General Hospital of Ningxia Medical University
City
Yinchuan
State/Province
Ningxia
ZIP/Postal Code
750003
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xinlan Liu
Facility Name
The First Affiliated Hospital of Xi'an Jiao Tong University
City
Xi'an
State/Province
Shanxi
ZIP/Postal Code
710061
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jin Yang
Facility Name
The second people's hospital of neijiang
City
Neijiang
State/Province
Sichuan
ZIP/Postal Code
641199
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xujuan Wang
Facility Name
Yunnan Cancer Hospital
City
Kunming
State/Province
Yunnan
ZIP/Postal Code
650118
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jianyun Nie
Facility Name
Zhejiang cancer Hospital
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310005
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhanhong Chen
Facility Name
Peking Union Medical College Hospital
City
Beijing
ZIP/Postal Code
100730
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chunmei Bai

12. IPD Sharing Statement

Learn more about this trial

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

We'll reach out to this number within 24 hrs