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Efficacy and Safety of SPH4336 in Combination With Endocrine Therapy in Breast Cancer Patients With Brain Metastases.

Primary Purpose

Breast Cancer Brain Metastases

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

About this trial

This is an interventional treatment trial for Breast Cancer Brain Metastases

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. Have a History of other malignancies prior to the start of study treatment. 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; QTcF≥ 470 ms; left ventricular ejection fraction ≤ 50%. 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 > 10(4) 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

  • Anhui provincial hospital
  • The First Affiliated Hospital of Anhui Medical University
  • 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 Central Hospital
  • Jiangsu Province Hospital
  • Jilin Cancer Hospital
  • The first hospital of Jilin University
  • General Hospital of Ningxia Medical University
  • The second people's hospital of neijiang
  • Cancer Hospital of Xinjiang Medical University
  • Zhejiang cancer Hospital
  • Peking Union Medical College Hospital
  • Chongqing University Three Gorges Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

SPH4336 Tablets

Arm Description

SPH4336 Tablets; Letrozole tablets; Fulvestrant; Exemestane

Outcomes

Primary Outcome Measures

Intracranial Objective response rate(iORR)
Objective response rate according to response assessment in neuro-oncology-brain metastases (RANO-BM) criteria.

Secondary Outcome Measures

Intracranial Duration of remission (iDOR)
DoR is measured from the date of first evidence of a confirmed response (CR or PR), as defined by RANO-BM, to the date objective progression or death from any cause.
Intracranial Disease control rate (iDCR)
Percentage of participants with BOIR of CR, PR, or SD: IDCR, as defined by RANO-BM is reported.
Progression-free survival (PFS)
measured by RANO-BM and RECIST 1.1
Overall Survival (OS)
Determination of the overall survival times of all patients.
Extracranial Objective response rate(eORR)
Objective response rate according to response assessment in neuro-oncology-brain metastases (RANO-BM) criteria.
Extracranial Disease control rate (eDCR)
Percentage of participants with BOIR of CR, PR, or SD: IDCR, as defined by RANO-BM is reported.
Extracranial Duration of remission (eDOR)
DoR is measured from the date of first evidence of a confirmed response (CR or PR), as defined by RANO-BM, to the date objective progression or death from any cause.
Cmax
PK (Pharmacokinetics) parameters
Tmax
PK (Pharmacokinetics) parameters
Safety and tolerability
Adverse event type, incidence, correlation with study drug

Full Information

First Posted
May 14, 2023
Last Updated
August 23, 2023
Sponsor
Shanghai Pharmaceuticals Holding Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05872347
Brief Title
Efficacy and Safety of SPH4336 in Combination With Endocrine Therapy in Breast Cancer Patients With Brain Metastases.
Official Title
A Phase II Study of SPH4336 in Combination With Endocrine Therapy in HR-positive, HER2-negative Breast Cancer Patients With Brain Metastases.
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
October 30, 2023 (Anticipated)
Primary Completion Date
December 31, 2025 (Anticipated)
Study Completion Date
December 31, 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 breast cancer Patients with brain metastases.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer Brain Metastases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
52 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
SPH4336 Tablets
Arm Type
Experimental
Arm Description
SPH4336 Tablets; Letrozole tablets; Fulvestrant; Exemestane
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; Exemestane:Administered by oral.
Primary Outcome Measure Information:
Title
Intracranial Objective response rate(iORR)
Description
Objective response rate according to response assessment in neuro-oncology-brain metastases (RANO-BM) criteria.
Time Frame
Approximately 3 years
Secondary Outcome Measure Information:
Title
Intracranial Duration of remission (iDOR)
Description
DoR is measured from the date of first evidence of a confirmed response (CR or PR), as defined by RANO-BM, to the date objective progression or death from any cause.
Time Frame
Approximately 3 years
Title
Intracranial Disease control rate (iDCR)
Description
Percentage of participants with BOIR of CR, PR, or SD: IDCR, as defined by RANO-BM is reported.
Time Frame
Approximately 3 years
Title
Progression-free survival (PFS)
Description
measured by RANO-BM and RECIST 1.1
Time Frame
Approximately 3 years
Title
Overall Survival (OS)
Description
Determination of the overall survival times of all patients.
Time Frame
Approximately 8 years
Title
Extracranial Objective response rate(eORR)
Description
Objective response rate according to response assessment in neuro-oncology-brain metastases (RANO-BM) criteria.
Time Frame
Approximately 3 years
Title
Extracranial Disease control rate (eDCR)
Description
Percentage of participants with BOIR of CR, PR, or SD: IDCR, as defined by RANO-BM is reported.
Time Frame
Approximately 3 years
Title
Extracranial Duration of remission (eDOR)
Description
DoR is measured from the date of first evidence of a confirmed response (CR or PR), as defined by RANO-BM, to the date objective progression or death from any cause.
Time Frame
Approximately 3 years
Title
Cmax
Description
PK (Pharmacokinetics) parameters
Time Frame
Approximately 3 years
Title
Tmax
Description
PK (Pharmacokinetics) parameters
Time Frame
Approximately 3 years
Title
Safety and tolerability
Description
Adverse event type, incidence, correlation with study drug
Time Frame
Approximately 3 years

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. Have a History of other malignancies prior to the start of study treatment. 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; QTcF≥ 470 ms; left ventricular ejection fraction ≤ 50%. 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 > 10(4) 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
Anhui provincial hospital
City
Hefei
State/Province
Anhui
ZIP/Postal Code
230002
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yueyin Pan
Facility Name
The First Affiliated Hospital of Anhui Medical University
City
Hefei
State/Province
Anhui
ZIP/Postal Code
230022
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yingying Du
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 Central Hospital
City
Xiangyang
State/Province
Hubei
ZIP/Postal Code
441021
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yuehua Wang
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 Jilin University
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130061
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jiuwei Cui
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 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
Cancer Hospital of Xinjiang Medical University
City
Urumqi
State/Province
Xinjiang
ZIP/Postal Code
830054
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Bing Zhaoi
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
Facility Name
Chongqing University Three Gorges Hospital
City
Chongqing
ZIP/Postal Code
404031
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chao Deng

12. IPD Sharing Statement

Learn more about this trial

Efficacy and Safety of SPH4336 in Combination With Endocrine Therapy in Breast Cancer Patients With Brain Metastases.

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