Immune Therapy in HR-positive/HER2-negative Metastatic Breast Cancer(ENIGMA)-BCTOP-L-M02

NCT ID: NCT05205200

Last Updated: 2024-02-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

338 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-06

Study Completion Date

2026-08-01

Brief Summary

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This study is a prospective, open-label, phase II clinical study for patients with HR+/HER2- advanced breast cancer.

Detailed Description

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Patients with SNF2 subtype of HR+/HER2- advanced breast cancer confirmed by the Department of Pathology and Key Laboratory of Breast Cancer of Fudan University Affiliated Cancer Hospital are planned to be enrolled. Five treatment arms were set up based on the whether they have exposed to CDK4/6 inhibitors before. The main purpose is to evaluate immune therapy in SNF2 subtype of HR+/HER2- advanced breast cancer and prepare for subsequent randomized controlled phase III clinical studies with larger sample size.

Conditions

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Breast Cancer Metastatic Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1A

In this cohort, a patient would receive SHR6390(CDK4/6 inhibitor) combined with SHR1316 (anti-PD-L1) and endocrine therapy.

Group Type EXPERIMENTAL

SHR-1316

Intervention Type DRUG

PD-L1 antibody

SHR6390

Intervention Type DRUG

CDK4/6 inhibitor

SERD

Intervention Type DRUG

Fulvestrant

AI

Intervention Type DRUG

aromatase inhibitor

Cohort 1B

In this cohort, a patient would receive SHR6390(CDK4/6 inhibitor) combined with endocrine therapy.

Group Type ACTIVE_COMPARATOR

SHR6390

Intervention Type DRUG

CDK4/6 inhibitor

SERD

Intervention Type DRUG

Fulvestrant

AI

Intervention Type DRUG

aromatase inhibitor

Cohort 2A

In this cohort, a patient would receive SHR1316 (anti-PD-L1) combined with nab-paclitaxel.

Group Type EXPERIMENTAL

SHR-1316

Intervention Type DRUG

PD-L1 antibody

Nab paclitaxel

Intervention Type DRUG

Albumin bound paclitaxel

Cohort 2B

In this cohort, a patient would single nab-paclitaxel.

Group Type ACTIVE_COMPARATOR

Nab paclitaxel

Intervention Type DRUG

Albumin bound paclitaxel

Cohort 2C

In this cohort, a patient would receive SHR6390(CDK4/6 inhibitor) combined with fulvestrant.

Group Type OTHER

SHR-1316

Intervention Type DRUG

PD-L1 antibody

SERD

Intervention Type DRUG

Fulvestrant

Interventions

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SHR-1316

PD-L1 antibody

Intervention Type DRUG

SHR6390

CDK4/6 inhibitor

Intervention Type DRUG

Nab paclitaxel

Albumin bound paclitaxel

Intervention Type DRUG

SERD

Fulvestrant

Intervention Type DRUG

AI

aromatase inhibitor

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Females ≥18 years and ≤ 75 years old;
* Histologically confirmed HR + / HER2- invasive breast cancer (specific definition: immunohistochemical detection of ER\> 10% tumor cell positive is defined as ER positive, PR\> 10% tumor cell positive is defined as PR positive, ER and / or PR Positive is defined as HR positive; HER2 0-1 + or HER2 is ++ but negative followed by FISH detection, no amplification, defined as HER2 negative);
* Subtype of similarity network fusion-2 (SNF-2) confirmed by the Department of Pathology and Key Laboratory of Breast Cancer of Fudan University Affiliated Cancer Hospital
* Locally advanced breast cancer (incapable of radical local treatment) or recurrent metastatic breast cancer;
* Measurable disease according to Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1); or unmeasurable lytic or mixed (osteolytic + osteoblastic) bone lesions in the absence of measurable lesions;
* Has adequate bone marrow function: absolute neutrophil count \> 1.5x10ˆ9 /L; platelet count \> 75x10ˆ9 /L, hemoglobin \> 9g/dL;
* Patients had received no previous chemotherapy or targeted therapy for metastatic disease
* Has adequate liver function and kidney function: serum creatinine
* ECOG score ≤ 2 and life expectancy ≥ 3 months;
* Participants voluntarily joined the study, has signed informed consent before any trial related activities are conducted, has good compliance and has agreed to follow-up.

Exclusion Criteria

* Treatment with chemotherapy, radiotherapy, immunotherapy or surgery (outpatient clinic surgery excluded) for metastatic disease

* Symptomatic, untreated, or actively progressing CNS metastases(glucocorticoids or mannitol needed to control symptoms);
* Significant cardiovascular disease(including congestive heart failure, angina pectoris, myocardial infarction or ventricular arrhythmia in the last 6 months);
* is pregnant or breast feeding;
* Malignant tumors in the past five years (except cured skin basal cell carcinoma and cervical carcinoma in situ).
* History of autoimmune disease
* Positive test for human immunodeficiency virus
* Active hepatitis B or hepatitis C
* Uncontrolled pleural effusion and ascites
* Thyroid dysfunction.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Peking University Cancer Hospital & Institute

OTHER

Sponsor Role collaborator

First Hospital of China Medical University

OTHER

Sponsor Role collaborator

Sun Yat-sen University

OTHER

Sponsor Role collaborator

First Affiliated Hospital Xi'an Jiaotong University

OTHER

Sponsor Role collaborator

Liaoning Cancer Hospital & Institute

OTHER

Sponsor Role collaborator

Chongqing University Cancer Hospital

OTHER

Sponsor Role collaborator

Northern Jiangsu People's Hospital

OTHER

Sponsor Role collaborator

Fujian Medical University Union Hospital

OTHER

Sponsor Role collaborator

Ningbo Medical Center Lihuili Hospital

OTHER_GOV

Sponsor Role collaborator

Shanghai First Maternity and Infant Hospital

OTHER

Sponsor Role collaborator

Shanghai 6th People's Hospital

OTHER

Sponsor Role collaborator

Affiliated Hospital of Nantong University

OTHER

Sponsor Role collaborator

Fudan University

OTHER

Sponsor Role lead

Responsible Party

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Zhimin Shao

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhi-Ming Shao

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Locations

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Fudan University Shanghai cancer center

Shanghai, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhi-Ming Shao

Role: CONTACT

86-021-64175590 ext. 8888

Zhong-Hua Wang

Role: CONTACT

Facility Contacts

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Min U He, M.D.

Role: primary

021-64175590 ext. 88603

Other Identifiers

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FUSCC

Identifier Type: -

Identifier Source: org_study_id

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