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

NCT ID: NCT05860465

Last Updated: 2026-01-14

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/PHASE3

Total Enrollment

254 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-08

Study Completion Date

2026-12-30

Brief Summary

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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.

Detailed Description

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Conditions

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Locally Advanced or Metastatic Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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SPH4336 Tablets

SPH4336 Tablets; Letrozole tablets; Fulvestrant injection

Group Type EXPERIMENTAL

SPH4336 Tablets

Intervention Type DRUG

SPH4336 Tablets :Administered by oral; Letrozole tablets:Administered by oral; Fulvestrant injection:Administered by intravenous infusion

SPH4336 Tablets Placebo

SPH4336 Tablets Placebo; Letrozole tablets; Fulvestrant injection

Group Type PLACEBO_COMPARATOR

SPH4336 Tablets Placebo

Intervention Type DRUG

SPH4336 Tablets Placebo :Administered by oral; Letrozole tablets:Administered by oral; Fulvestrant injection:Administered by intravenous infusion

Interventions

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SPH4336 Tablets

SPH4336 Tablets :Administered by oral; Letrozole tablets:Administered by oral; Fulvestrant injection:Administered by intravenous infusion

Intervention Type DRUG

SPH4336 Tablets Placebo

SPH4336 Tablets Placebo :Administered by oral; Letrozole tablets:Administered by oral; Fulvestrant injection:Administered by intravenous infusion

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients who voluntarily participate in this study, completely understand this study, and voluntarily sign the informed consent form (ICF).
2. ECOG (Eastern Cooperative Oncology Group) performance status score of 0 or 1.
3. Life expectancy ≥ 3 months.
4. Patients with locally advanced or metastatic breast cancer who are unable to receive radical surgeries/other local therapies.
5. At least one measurable lesion.
6. Laboratory test results meet the relevant requirements for organ function.
7. Subjects who agree to take effective contraceptive measures.

Exclusion Criteria

1. Inflammatory breast cancer.
2. Patients unsuitable for endocrine therapy at the investigator's discretion.
3. History of other malignancies prior to the start of study treatment.
4. Patients with known metastases to central nervous system.
5. Taking anti-tumor traditional Chinese patent medicines at the time of signing the ICF.
6. Patients who underwent a surgery prior to the start of study treatment, and have not yet recovered from adverse reactions of the surgery.
7. Patients who participated in a clinical trial and received other investigational drugs before the start of study treatment.
8. Pregnant or lactating women.
9. 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.
10. History of ischemic stroke or severe thromboembolic disease before the start of study treatment.
11. 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.
12. History of severe allergic diseases, history of severe drug allergies, or known allergy to any ingredient of the investigational product.
13. Presence of diseases or conditions that may impact drug administration or gastrointestinal absorption before the start of study treatment.
14. Presence of uncontrolled infections before the start of study treatment.
15. Known history of drug abuse, excessive drinking, or illegal drug use; history of confirmed neurological or mental disorders.
16. 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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Pharmaceuticals Holding Co., Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Affiliated Cancer Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Liuzhou people's Hospital

Liuchow, Guangxi, China

Site Status RECRUITING

Anyang Cancer Hospital

Anyang, He'nan, China

Site Status RECRUITING

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, He'nan, China

Site Status RECRUITING

The Fourth Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status RECRUITING

Harbin Medical University cancer Hospital

Harbin, Heilongjiang, China

Site Status RECRUITING

Xiangyang Cancer Hospital

Wuhan, Hubei, China

Site Status RECRUITING

Jiangsu Cancer Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Jilin Cancer Hospital

Changchun, Jilin, China

Site Status RECRUITING

The First Hospital of China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

General Hospital of Ningxia Medical University

Yinchuan, Ningxia, China

Site Status RECRUITING

The First Affiliated Hospital of Xi'an Jiao Tong University

Xi’an, Shanxi, China

Site Status RECRUITING

The second people's hospital of neijiang

Neijiang, Sichuan, China

Site Status RECRUITING

Yunnan Cancer Hospital

Kunming, Yunnan, China

Site Status RECRUITING

Zhejiang cancer Hospital

Hangzhou, Zhejiang, China

Site Status RECRUITING

Peking Union Medical College Hospital

Beijing, , China

Site Status RECRUITING

The First Affiliated Hospital of Bengbu Medical College

Bengbu, , China

Site Status RECRUITING

Fujian Cancer Hospital

Fuzhou, , China

Site Status RECRUITING

First Affiliated Hospital of Kunming Medical University

Kunming, , China

Site Status RECRUITING

Shenzhen Hospital of University of Hong Kong

Shenzhen, , China

Site Status RECRUITING

Tianjin Medical University Cancer Institute & Hospital

Tianjin, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Shusen Wang

Role: CONTACT

0086-020-87343811

Facility Contacts

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Shusen Wang

Role: primary

0086-020-87343811

Bin Yu

Role: primary

Jing Sun

Role: primary

Xinshuai Wang

Role: primary

Cuizhi Geng

Role: primary

Qingyuan Zhang

Role: primary

Yuehua Wang

Role: primary

Jifeng Feng

Role: primary

Yongmei Yin

Role: primary

Ying Cheng

Role: primary

Yue'e Teng

Role: primary

Xinlan Liu

Role: primary

Jin Yang

Role: primary

Xujuan Wang

Role: primary

Jianyun Nie

Role: primary

Zhanhong Chen

Role: primary

Chunmei Bai

Role: primary

Jun Qian

Role: primary

Weiwei Huang

Role: primary

Jinxian Qian

Role: primary

Haiman Jing

Role: primary

Yehui Shi

Role: primary

Other Identifiers

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SPH4336-302

Identifier Type: -

Identifier Source: org_study_id

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