A Pivotal Phase II Clinical Trial of Utidelone Injection Plus Capecitabine in HER2-negative Breast Cancer Patients With Brain Metastases

NCT ID: NCT06764940

Last Updated: 2025-11-28

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

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-14

Study Completion Date

2027-07-15

Brief Summary

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This study is a multicenter, two-stage clinical trial to evaluate the efficacy and safety of utidelone in combination with capecitabine in patients with HER2-negative breast cancer with brain metastases. Patients will be enrolled to receive treatment of utidelone alone or in combination with capecitabine.

The objectives both in stage I and stage II are to evaluate the intracranial and systemic efficacy and safety of utdelone plus capecitabine for the treatment of HER2-negative breast cancer patients with brain metastases.

Detailed Description

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Conditions

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HER2-negative Breast Cancer Patients With Brain Metastases

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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(stage 1) monotherapy group

Group Type EXPERIMENTAL

Utidelone

Intervention Type DRUG

Utidelone 30 mg/m2/d i.v, once a day for 5 consecutive days, every 21 days as a treatment cycle.

(stage 1) combination group A

Group Type EXPERIMENTAL

Utidelone in combination with capecitabine

Intervention Type DRUG

Utidelone 30 mg/m2/d i.v, once a day for 5 consecutive days, every 21 days as a treatment cycle plus capecitabine 1000 mg/m2 orally twice a day, for 1 to 14 days, 21 days as a treatment cycle.

(stage 1) combination group B

Group Type EXPERIMENTAL

Utidelone in combination with capecitabine

Intervention Type DRUG

UTD1 25 mg/m2/d i.v, once a day for 5 consecutive days, every 21 days as a treatment cycle plus capecitabine 1000 mg/m2 orally twice a day, for 1 to 14 days, 21 days as a treatment cycle.

(stage 2) combination group

Group Type EXPERIMENTAL

No interventions assigned to this group

Interventions

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Utidelone

Utidelone 30 mg/m2/d i.v, once a day for 5 consecutive days, every 21 days as a treatment cycle.

Intervention Type DRUG

Utidelone in combination with capecitabine

UTD1 25 mg/m2/d i.v, once a day for 5 consecutive days, every 21 days as a treatment cycle plus capecitabine 1000 mg/m2 orally twice a day, for 1 to 14 days, 21 days as a treatment cycle.

Intervention Type DRUG

Utidelone in combination with capecitabine

Utidelone 30 mg/m2/d i.v, once a day for 5 consecutive days, every 21 days as a treatment cycle plus capecitabine 1000 mg/m2 orally twice a day, for 1 to 14 days, 21 days as a treatment cycle.

Intervention Type DRUG

Utidelone in combination with capecitabine

Utidelone 25 mg/m2/d or 30 mg/m2/d i.v, once a day for 5 consecutive days, every 21 days as a treatment cycle plus capecitabine 1000 mg/m2 orally twice a day, for 1 to 14 days, 21 days as a treatment cycle.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Have histologically confirmed HER2-negative metastatic breast cancer. HER2-negative defined as immunohistochemical (IHC) score of 0 or 1+, or IHC2+ with negative HER2 expression on in situ hybridization (ISH).
2. Based on screening contrast-enhanced brain MRI, patients must have at least one measurable intracranial lesion according to RECIST 1.1 (≥1.0 cm in size) .
3. Male or female aged ≥18 years.
4. ECOG PS 0 or 1.
5. Have a life expectancy of at least 3 months.
6. Have adequate baseline hematologic parameters.
7. Have adequate hepatic and renal function.
8. ≤ 3 prior lines of chemotherapy in advanced or metastatic setting.
9. Women of childbearing potential, unless hysterectomy or oophorectomy or postmenopausal for at least 12 consecutive months, must use an effective method of avoiding pregnancy (including oral, transdermal, or implanted contraceptives \[any hormonal method in conjunction with a secondary method\], intrauterine device, female condom with spermicide, diaphragm with spermicide, absolute sexual abstinence, use of condom with spermicide by sexual partner or sterile \[at least 6 months prior to study drug administration\] sexual partner) for at least 4 weeks prior to study drug administration, during study and up to 6 months following the last dose of study drug. Cessation of birth control after this point should be discussed with a responsible physician. Investigator will discuss with patient on the above points and the patient agreement will be documented in the source document. The investigator should ensure that the patient is using an effective method of avoiding pregnancy as per protocol. In case of Male patients: Either patient partners or patients themselves must use an effective method of avoiding pregnancy for at least 4 weeks prior to study drug administration, during study and up to 6 months following the last dose.
10. Patients must be able to follow the study visit schedule, and must be able of sign and give informed consent in accordance with institutional review board.

Exclusion Criteria

1. Leptomeningeal metastasis confirmed by MRI and/or cerebrospinal fluid cytology.
2. Any intracranial lesion thought to require immediate local therapy, including (but not limited to) a lesion in an anatomic site where increase in size or possible treatment-related edema may pose risk to patient (e.g. brain stem lesions).
3. Have poorly controlled (\> 1/week) generalized or complex partial seizures, or manifest neurologic progression due to brain metastases notwithstanding CNS-directed therapy.
4. Had evidence of intracranial hemorrhage within 3 months before study treatment.
5. Had evidence of hemoptysis within 6 months before study treatment. Or bleeding or evidence of coagulopathy within 4 weeks before study treatment.
6. Undergone major surgical procedures within 4 weeks or not fully recovered from surgery before study treatment.
7. Patients who have received anti-tumor therapies less than 2 weeks before the first dose of investigational product, including endocrine therapy, chemotherapy, radiotherapy, biotherapy, targeted therapy, immunotherapy or antibody-drug conjugate therapy.
8. Persistent toxicities caused by previous antitumor therapy (excluding alopecia), not yet improved to CTCAE v5.0 grade ≤ 1 or baseline.
9. Patients with neuropathy\> grade 1.
10. Known hypersensitivity to any components of the investigational product.
11. Known deficiency of dihydropyrimidine dehydrogenase (DPD).
12. This applies only to the combination cohort and does not apply to the monotherapy cohort. For patients with previous capecitabine treatment, the prior use of capecitabine meets any of the following criteria: A) The best response during prior capecitabine combination therapy or monotherapy is Progressive Disease (PD); B) Have received capecitabine treatment within 6 months prior to the first study treatment.
13. Patients who are pregnant (positive pregnancy test) or lactating.
14. Patients with other malignancies over the past 5 years, except for inactive tumors with good prognosis, including resected basal cell and squamous cell carcinoma of the skin, in-situ carcinoma of the cervix, or papillary thyroid cancer.
15. Patients who are particpating in other interventional studies or who are receiving other study treatments (patients who have discontinued other investigational treatments and are in follow-up are eligible for enrollement in this study).
16. Known active or uncontrolled hepatitis B infection, active syphilis, or HIV infection that is not well controlled; or positive for hepatitis B virus based on the evaluation of results of tests for hepatitis B (HBsAg, anti-HBs, anti-HBc, or HBV DNA) infection at screening.
17. With a history of severe or uncontrolled diseases.
18. Autoimmune diseases requiring treatment with systemic glucocorticoids.
19. Not able to perform contrast-enhanced brain MRI or known contraindications to MRI gadolinium contrast, such as cardiac pacemaker, shrapnel, or eye foreign body.
20. Patients with a history of other systemic severe diseases or abnormal laboratory findings that would, in the Investigator's judgment, be inappropriate for this study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biostar Pharma, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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City of Hope--Duarte

Duarte, California, United States

Site Status NOT_YET_RECRUITING

Cancer & Blood Research Center, LLC

Los Alamitos, California, United States

Site Status RECRUITING

Univ. of California Los Angeles

Los Angeles, California, United States

Site Status NOT_YET_RECRUITING

FOMAT Medical Research (Network)

Oxnard, California, United States

Site Status RECRUITING

Scripps Health

San Diego, California, United States

Site Status RECRUITING

University Of Colorado Hospital - Anschutz Cancer Pavilion

Aurora, Colorado, United States

Site Status RECRUITING

Biosresearch Partner

Hialeah, Florida, United States

Site Status RECRUITING

D&H Cancer Research Center

Margate, Florida, United States

Site Status RECRUITING

Augusta University

Augusta, Georgia, United States

Site Status RECRUITING

Robert H. Lurie Comprehensive Cancer Center Northwestern University

Chicago, Illinois, United States

Site Status RECRUITING

The Johns Hopkins Sidney Kimmel Cancer Center, Johns Hopkins School of Medicine

Baltimore, Maryland, United States

Site Status NOT_YET_RECRUITING

Profound Research LLC

Farmington Hills, Michigan, United States

Site Status RECRUITING

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status RECRUITING

Stony Brook Cancer Center

Stony Brook, New York, United States

Site Status RECRUITING

MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Community Clinical Trials

Kingwood, Texas, United States

Site Status RECRUITING

Tranquil Clinical Research

Webster, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Simon Guan

Role: CONTACT

+86 10 67864938

Facility Contacts

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Dr. Hope S. Rugo

Role: primary

Dr. Sassan Farjami

Role: primary

562-340-0606

Rena Callahan

Role: primary

Dr. Nawazish Khan

Role: primary

833-489-4968

Dr. Tresa McGranahan

Role: primary

Dr. Elena Shagisultanova

Role: primary

Dr. Luis Rangel

Role: primary

833-489-4968

Dr. Emilio Araujo-Mino

Role: primary

833-489-4968

Dr. Priyanka Raval

Role: primary

Dr. Regina Stein

Role: primary

Solmaz Sahebjam

Role: primary

Dr. Savitha Balaraman

Role: primary

Dr. Liawaty Ho

Role: primary

Dr. Lea Baer

Role: primary

Dr. Nuhad Ibrahim

Role: primary

Dr. Saleha Sajid

Role: primary

Dr. John G. Knecht III

Role: primary

Other Identifiers

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BG01-2402

Identifier Type: -

Identifier Source: org_study_id

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