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Clinical Trials in China / NCT05365178
Active, not recruiting Phase 3

To Evaluate the Efficacy and Safety of TQB3616 in Combination With Fulvestrant Versus Placebo in Combination With Fulvestrant in Previously Untreated Hormone-receptor (HR)-Positive, Human Epidermal Growth Factor Receptor 2 (HER2)-Negative Advanced Breast Cancer

NCT05365178 · tracked via the Priya Life Science China tracker
Sponsor
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
Phase
Phase 3
Started
2022-07-01
Last updated
2026-01-07

Condition(s) studied

HR-positive, HER2-negative Breast Neoplasms

Investigational drug(s) / intervention(s)

TQB3616 capsulePlaceboFulvestrant injection

TQB3616 capsule: TQB3616 capsule is a CDK (cyclin-dependent kinases) 2/4/6 kinase inhibitor, which can selectively inhibit THE activity of CDK2/4/6 kinase, make it form a complex with Cyclin D, reduce the phosphorylation level of retinoblastoma protein (Rb) in cancer cells, and prevent cells from entering S phase from G1 phase

Placebo: It is a placebo

Fulvestrant injection: Fulvestrant is a competitive estrogen receptor antagonist, and its mechanism is related to the down-regulation of estrogen receptor (ER) protein level

Study summary

A randomized, double-blind, parallel-controlled, multicenter trial design was used in this study. Subjects who meet the criteria will be randomly divided into 2:1 groups to receive TBQ3616 capsule combined with Fulvestrant injection (experimental group) or placebo capsule combined with fulvestrant (control group). A total of 428 subjects were required.

Eligibility

Sex
FEMALE
Min age
18 Years
Max age
75 Years
Healthy volunteers
No
Inclusion Criteria: * Subjects voluntarily participate in this study and sign informed consent with good compliance; * Age: 18-75 years (when signing the informed consent); an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1; Is expected to survive more than 3 months; * Postmenopausal or premenopausal/perimenopausal women; * Patients with HR-positive or HER2-negative breast cancer confirmed by pathological examination with evidence of local lesion recurrence or distant metastasis, not suitable for the surgery or radiotherapy for the purpose of cure, and there are no clinical indications of chemotherapy; * Have a measurable lesion (RECIST (Response Evaluation Criteria In Solid Tumors) 1.1 criteria), or have only bone metastases; * The main organs function well and meet the following standards: 1. Routine blood examination should meet the following criteria: (No blood transfusion and no hematopoietic stimulation drugs within 7 days before screening) 1. Hemoglobin (HB) ≥100 g/L; 2. Absolute value of neutrophils (NEUT) ≥ 1.5×109/L; 3. Platelet count (PLT) ≥ 90 ×109/L. 2. Biochemical blood tests shall meet the following criteria: 1. Total bilirubin (TBIL) ≤ 1.5 times normal upper limit (ULN); 2. Alanine transferase (ALT) and aspartate transferase (AST) ≤ 2.5×ULN; ALT and AST≤ 3×ULN for patients with liver metastasis; 3. Serum creatinine (Cr) ≤ 1.5×ULN, or creatinine clearance (Ccr) ≥ 60 mL /min; 3. Coagulation function tests shall meet the following criteria: (a) Prothrombin time (PT), activated partial thrombin time (APTT), international standardized 4. Color doppler echocardiography: Left ventricular ejection fraction (LVEF) ≥50%; * Female subjects within reproductive age should agree to use contraceptive methods (such as intrauterine devices, birth control pills or condoms) from participating the study to 6 months after the end of the study; Serum pregnancy test result should be negative within 7 days prior to study enrollment and must be non-lactating subjects. Exclusion Criteria: * Associated diseases and history: 1. The presence or current co-occurrence of other malignant tumors within 5 years, except ured cervical carcinoma in situ, non-melanoma skin cancer, and superficial bladder tumors \[Ta (non-invasive tumor), Tis (carcinoma in situ), and T1 (tumor infiltrating basal membrane)\]; 2. Multiple factors affecting oral and drug absorption (such as inability to swallow, post-gastrointestinal resection, ulcerative colitis, symptomatic/inflammatory bowel disease, chronic diarrhea and intestinal obstruction); 3. Patients with a history of severe pneumonia such as interstitial lung disease; 4. Unrelieved toxicity higher than GRADE 1 Common Terminology Criteria for Adverse Events (CTCAE) due to any previous anti-tumor treatment, hair loss is not included; 5. Major surgery or significant traumatic injury within 28 days prior to randomization; 6. Long-term unhealed wounds, ulcers or fractures; 7. Occurrence of arteriovenous/venous thrombosis events within 6 months, such as cerebrovascular accident (including transient ischemic attack, cerebral hemorrhage, cerebral infarction), deep vein thrombosis and pulmonary embolism, etc.; 8. History of psychotropic drug abuse and can't get rid of it or with mental disorders; 9. Subject with any severe and/or uncontrolled disease, including: 1. Arrhythmias requiring treatment with grade≥2 myocardial ischemia, myocardial infarction, and congestive heart failure (NYHA(New York Heart Association) classification) within 6 months prior to study enrollment (including qtc≥480ms during screening period); And uncontrolled high blood pressure; 2. Active or uncontrolled severe infection (≥CTCAE grade 2 infection) or unexplained fever \> 38.5℃ within 28 days prior to randomization; 3. Decompensated cirrhosis (Child-Pugh liver function score B or C), active hepatitis ; 4. Patients with renal failure requiring hemodialysis or peritoneal dialysis; 5. A history of immunodeficiency, including HIV ( Human Immunodeficiency Virus) positive or other acquired or congenital immunodeficiency diseases, or a history of organ transplantation or hematopoietic stem cell transplantation; * Tumor-related symptoms and treatment; 1. Visceral crisis exists; 2. Severe bone injury due to bone metastasis of tumor; 3. Received radiotherapy (except palliative radiotherapy for non-target lesions) and other anti-tumor therapies (the washout period was calculated from the end of the last treatment) within 2 weeks prior to randomization; 4. Prior medical treatment with fulvestrant, everolimus or CDK4/6 inhibitor; 5. The presence of clinically uncontrolled pleural, ascites and pericardial effusion requiring repeated drainage or medical intervention (14 days prior to randomization); * Known allergy to fulvestrant, Luteal Hormone Releasing Hormone (LHRH) agonists (e.g. Goserelin), TQB3616/ placebo or any supplement; * History of live attenuated vaccine vaccination within 28 days prior to randomization or planned live attenuated vaccine vaccination during the study period; * Participated in clinical trials of other antitumor drugs within 4 weeks pior to randomization; * With other serious physical or mental diseases or abnormal laboratory tests that may increase the risk of study participation or interfere with the study results, or unsuitable for the study for other reasons considered by investigators.

Primary outcome measure(s)

Trial sites (88)

FacilityCityRegionStatus
The First Affiliated Hospital of Bengbu Medical College Bengbu Anhui
The First Affiliated Hospital of Wannan Medical College Wuhu Anhui
Peking University First Hospital Beijing Beijing Municipality
Beijing Cancer Hospital Beijing Beijing Municipality
Chongqing University Cancer Hospital Chongqing Chongqing Municipality
The Southwest Hospital of AMU Chongqing Chongqing Municipality
Fujian Provincial Cancer Hospital Fuzhou Fujian
Gansu Provincial Cancer Hospital Lanzhou Gansu
Lanzhou University Second Hospital Lanzhou Gansu
Gansu Wuwei Tumour Hospital Wuwei Gansu
Sun Yat-sen Memorial Hospital, Sun Yat-sen University Guangzhou Guangdong
Nanfang Hospital Southern Medical University Guangzhou Guangdong
The Third Affiliated Hospital of Sun Yat-Sen University Guangzhou Guangdong
Jieyang People's Hospital Jieyang Guangdong
Maoming people's hospital Maoming Guangdong
Yue Bei People's Hospital Shaoguan Guangdong
ShenZhen People's Hospital Shenzhen Guangdong
PeKing University ShenZhen Hosipital Shenzhen Guangdong
Zhongshan City People's Hospital Zhongshan Guangdong
The Fifth Affiliated Hospital of Sun Yat-Sen University Zhuhai Guangdong
The Second Affiliated Hospital of Guilin Medical University Guilin Guangxi
Yulin First People's Hospital Yulin Guangxi
The Affiliated Hospital of Hebei University Baoding Hebei
Cangzhou Central Hospital Cangzhou Hebei
Hebei Cangzhou Hospital of Integrated Traditional Chinese Cangzhou Hebei
Affiliated Hospital of Chengde Medical University Chengde Hebei
Hebei Petro China Central Hospital Langfang Hebei
The Fourth Hospital of Hebei Medical University Shijiazhuang Hebei
Affiliated Cancer Hospital of Harbin Medical University Harbin Heilongjiang
The Second Affiliated Hospital of Harbin Medical University Harbin Heilongjiang
Jiamusi Cancer Hospital Jiamusi Heilongjiang
Luoyang Central Hospital Luoyang Henan
Nanyang Central Hospital Nanyang Henan
The First Affiliated Hospital of Zhengzhou University Zhengzhou Henan
Henan Cancer Hospital Zhengzhou Henan
Yichang Central People's Hospital Yichang Hubei
The First People's Hospital of Changde Changde Hunan
The Second Xiangya Hospital of Central South University Changsha Hunan
Xiangya Hospital of Central South University Changsha Hunan
Hunan Cancer Hospital Changsha Hunan

+ 48 more sites — see the full list on the official registry below.

More Chia Tai Tianqing Pharmaceutical Group Co., Ltd. trials in China

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT05365178 on ClinicalTrials.gov ↗ ← All trials in China