Dalpiciclib in Combination With Exemestane and Trastuzumab Plus Pyrotinib in Early Triple Positive Breast Cancer
Phase II Open-label, Multicentre, Exploratory Trial of Neoadjuvant Dalpiciclib in Combination With Exemestane and Trastuzumab Plus Pyrotinib in Early Triple Positive Breast Cancer
1 other identifier
interventional
30
1 country
1
Brief Summary
This is a phase II open-label, multicenter trial assessing the efficacy of combination regimen"Dalpiciclib plus Exemestane plus trastuzumab plus pyrotinib"in early triple positive breast cancer patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2 breast-cancer
Started Sep 2022
Shorter than P25 for phase_2 breast-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 27, 2021
CompletedFirst Posted
Study publicly available on registry
August 10, 2021
CompletedStudy Start
First participant enrolled
September 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2024
CompletedFebruary 21, 2023
February 1, 2023
2.3 years
July 27, 2021
February 16, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
pathological complete response (pCR)
Assess the rate of pathological complete response (pCR) defined as ypT0-ypTis ypN0 at surgery
at surgery
Secondary Outcomes (2)
Serial measures of Ki67
baseline before therapy, 2 weeks after and at surgery
Objective response
Tumour assessments will be performed by ultrasound and mammography at screening (prior to start of treatment), and before surgery, an expected average of 24 weeks
Study Arms (1)
Dalpiciclib in combination with exemestane and trastuzumab plus pyrotinib
EXPERIMENTALPatients are treated with intravenous trastuzumab (8 mg/kg loading dose followed by 6 mg/kg, Q3W) for six cycles plus oral Dalpiciclib (125 mg QD x 21,Q4W) and Exemestane (25 mg po QD )and oral pyrotinib (320 mg po QD) for 20 weeks.
Interventions
Early triple positive breast cancer patients receive combination regimen of Dalpiciclib in Combination With Exemestane and Trastuzumab plus pyrotinib
Eligibility Criteria
You may qualify if:
- Years to 75 Years
- Newly diagnosed clinical stage II or III ER+/HER2+ breast cancer, staging criteria is to be based on AJCC 7.
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Primary tumor must have positive estrogen receptor (ER) ≥10%
- Primary tumor must be HER2-positive (IHC 3+ or FISH/CISH amplification)
- Baseline LVEF ≥50% measured by Echocardiography (preferred) or MUGA scan
- Normal organ and marrow function
- Written Informed Consent (IC) must be signed and dated by the patient and the Investigator prior to randomization.
- Baseline corrected QT interval (QTcF) \< 480 ms
- All patients must be female.
You may not qualify if:
- Inflammatory breast cancer
- Evidence of bilateral invasive breast cancer or metastatic disease
- Received any prior treatment for primary invasive breast cancer
- Pregnant or lactating women
- Abnormal baseline hematological values:
- Abnormal baseline liver function, bilirubin, creatinine and/or INR (international normalized ratio)
- Subjects with known infection with HIV, HBV, HCV
- Other investigational drugs while on study
- Severe or uncontrolled hypertension, history of congestive heart failure or severe coronary arterial disease.
- Subjects assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Peifen Fu, Doctor
Zhejiang University
Central Study Contacts
Luyan Chen, Doctor
CONTACT
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 27, 2021
First Posted
August 10, 2021
Study Start
September 1, 2022
Primary Completion
December 1, 2024
Study Completion
December 1, 2024
Last Updated
February 21, 2023
Record last verified: 2023-02