NCT05433480

Brief Summary

This is a phase III clinical trial to evaluate the efficacy and safety of BPI-16350 in combination with Fulvestrant versus placebo combined with Fulvesrant in Patients who have HR positive and HER2 negative locally advanced,recurrent or metastatic breast cancer with disease progression following endocrine therapy.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
274

participants targeted

Target at P25-P50 for phase_3 breast-cancer

Timeline
Completed

Started May 2022

Shorter than P25 for phase_3 breast-cancer

Geographic Reach
1 country

64 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 25, 2022

Completed
22 days until next milestone

First Submitted

Initial submission to the registry

June 16, 2022

Completed
11 days until next milestone

First Posted

Study publicly available on registry

June 27, 2022

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2023

Completed
1.6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

July 31, 2025

Completed
Last Updated

July 27, 2023

Status Verified

May 1, 2023

Enrollment Period

1.6 years

First QC Date

June 16, 2022

Last Update Submit

July 25, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Investigator-assessed PFS

    The PFS time is measured from the date of randomization to the date of objective progression or the date of death due to any cause, whichever is earlier.

    up to 3 years

Secondary Outcomes (9)

  • IREC-assessed PFS

    up to 3 years

  • ORR

    up to 3 years

  • DCR

    up to 3 years

  • DOR

    up to 3 years

  • CBR

    up to 3 years

  • +4 more secondary outcomes

Study Arms (2)

experimental group

EXPERIMENTAL

Intervention Drug: BPI-16350, Fulvestrant

Drug: BPI-16350Drug: Fulvestrant

control group

PLACEBO COMPARATOR

Intervention Drug: Placebo, Fulvestrant

Drug: placeboDrug: Fulvestrant

Interventions

BPI-16350 400 mg, orally once daily

experimental group

Placebo 400 mg, orally once daily

control group

Fulvestrant 500 mg intramuscular injection on day 1 and day 15 for the first cycle and then on day 1 for every cycle until progressive disease

control groupexperimental group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Has the pathologically-confirmed diagnosis of locally advanced, recurrent or metastatic, HR positive, HER2 negative Breast Cancer
  • One previous line of chemotherapy for advanced/metastatic disease is allowed
  • Disease Progression following endocrine therapy
  • Have postmenopausal status
  • Have 1 of the following, as defined by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1: measurable disease or nonmeasurable bone-only disease
  • ECOG: 0\~1
  • Adequate organ function

You may not qualify if:

  • Previous treatment with cytotoxic drugs within 4 weeks before enrollment
  • Previous treatment with endocrine or small molecule drug tyrosine kinase inhibitor TKI within 2 weeks before enrollment
  • Patients who received prior treatment with any CDK4/6 inhibitor, everolimus or fulvestant
  • HER2 positive
  • Patients with major surgery within 4 weeks, severe or unstable systemic disease, unstable/symptomatic CNS metastasis, other malignant tumors, ILD, clinical significant cardiac disease, bleeding or embolic disease, active infectious disease, conditions affecting drug swallow and absorption, etc
  • Pregnancy or lactation
  • Other conditions considered not appropriate to participate in this trial by the investigators

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (64)

The First Affiliated Hospital of Bengbu Medical College

Bengbu, Anhui, 233099, China

Location

Anhui Provincial Hospital

Hefei, Anhui, 230002, China

Location

The First Affiliated Hospital of Anhui Medical University

Hefei, Anhui, 230022, China

Location

The First Medical Center of the PLA General Hospital

Beijing, Beijing Municipality, 100039, China

Location

The Seventh Medical Center of the PLA General Hospital

Beijing, Beijing Municipality, 100039, China

Location

Chongqing University Three Gorges Hospital

Chongqing, Chongqing Municipality, 400030, China

Location

Fujian Medical University Union Hospital

Fuzhou, Fujian, 350001, China

Location

Fujian Cancer Hospital

Fuzhou, Fujian, 350014, China

Location

The First Affiliated Hospital of Xiamen University

Ximen, Fujian, 361003, China

Location

The First Hospital of Lanzhou University

Lanzhou, Gansu, 730013, China

Location

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, Guangdong, 510000, China

Location

Sun Yat-Sen University Cancer Hospital

Guangzhou, Guangdong, 510060, China

Location

Cancer Hospital of Shantou University Medical College

Shantou, Guangdong, 515041, China

Location

The First Affiliated Hospital of Guangxi Medical University

Nanning, Guangxi, 530021, China

Location

Cangzhou Hospital of Integrated TCM-WM·Hebei

Cangzhou, Hebei, 061012, China

Location

Affiliated Hospital of Chengde Medical University

Chengde, Hebei, 067020, China

Location

Tangshan People's Hospital

Tangshan, Hebei, 063001, China

Location

Xingtai People's Hospital

Xingtai, Hebei, 054001, China

Location

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, 150081, China

Location

Anyang Cancer Hospital

Anyang, Henan, 455001, China

Location

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, Henan, 450052, China

Location

The first Affiliated Hospital of Nanyang Medical College

Nanyang, Henan, 473007, China

Location

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, 450052, China

Location

The Central Hospital of Wuhan

Wuhan, Hubei, 430014, China

Location

Fifth Hospital in WuHan

Wuhan, Hubei, 430050, China

Location

Renmin Hospital of Wuhan University

Wuhan, Hubei, 430060, China

Location

Hubei Cancer Hospital

Wuhan, Hubei, 430079, China

Location

Yichang Central People's Hospital

Yichang, Hubei, 443008, China

Location

The First People's Hospital Of Changde City

Changde, Hunan, 415003, China

Location

Hunan Cancer Hospital

Changsha, Hunan, 410031, China

Location

Chenzhou First People's Hospital

Chenzhou, Hunan, 423099, China

Location

The First Affiliated Hospital of Nanhua University

Hengyang, Hunan, 421001, China

Location

Loudi Central Hospital

Loudi, Hunan, 417099, China

Location

Shaoyang Central Hospital

Shaoyang, Hunan, 422000, China

Location

Yongzhou Central Hospital

Yongzhou, Hunan, 425002, China

Location

Zhuzhou Central Hospital

Zhuzhou, Hunan, 412007, China

Location

Jiangsu Cancer Hospital

Nanjing, Jiangsu, 210009, China

Location

The Second Affiliated Hospital of Soochow University

Suzhou, Jiangsu, 215004, China

Location

Xuzhou Central Hospital

Xuzhou, Jiangsu, 221009, China

Location

The First Affiliated Hospital of Gannan Medical College

Ganzhou, Jiangxi, 100044, China

Location

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, 330006, China

Location

The Third Hospital of Nanchang

Nanchang, Jiangxi, 330008, China

Location

Jilin Cancer Hospital

Changchun, Jilin, 130012, China

Location

The Second Hospital of Jilin University

Changchun, Jilin, 130041, China

Location

Jilin Hospital of Chinese Literature

Siping, Jilin, 132011, China

Location

The Second Affiliated Hospital of Dalian Medical University

Dalian, Liaoning, 116023, China

Location

The First Hospital of China Medical University

Shenyang, Liaoning, 100012, China

Location

Shengjing Hospital of China Medical University

Shenyang, Liaoning, 110004, China

Location

Liaoning Cancer Hospital & Institute

Shenyang, Liaoning, 110801, China

Location

Inner Mongolia People's Hospital

Hohhot, Neimenggu, 421001, China

Location

Shandong Cancer Hospital

Jinan, Shandong, 250117, China

Location

Affiliated Hospital of Jining Medical University

Jining, Shandong, 272007, China

Location

Linyi Cancer Hospital

Linyi, Shandong, 276002, China

Location

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, 266003, China

Location

Weihai Municipal Hospital

Weihai, Shandong, 264299, China

Location

Weifang People's Hospital

Weifang, Shangdong, 261000, China

Location

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, 200032, China

Location

Sichuan Cancer Hospital&Institute

Chengdu, Sichuan, 610042, China

Location

The Sixth People's Hospital of Chengdu

Chengdu, Sichuan, 610051, China

Location

Tianjin Cancer Hospital

Tianjin, Tianjin Municipality, 300181, China

Location

Cancer Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, 830000, China

Location

Yunnan Cancer Hospital

Kunming, Yunnan, 650118, China

Location

The Second Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, Zhejiang, 310003, China

Location

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, 310014, China

Location

Related Publications (2)

  • Tao Z, Zhang J, Zheng Q, Wang Y, Cai L, Xu H, Xu X, Kong X, Ding S, Hao C, Wang H, Zong H, Jin X, Wang X, Li Y, Yang X, Li W, Du X, Chen H, Wu P, Li P, Mao L, Ding L, Hu X, Wang S. Tibremciclib or Placebo Plus Fulvestrant in Hormone Receptor-Positive and ERBB2-Negative Advanced Breast Cancer After Endocrine Therapy: A Randomized Clinical Trial. JAMA Oncol. 2025 Sep 1;11(9):1055-1063. doi: 10.1001/jamaoncol.2025.2092.

  • Zhang J, Liu R, Gao S, Chen W, Han X, Wang Z, Zhou H, Wang Y, Chen J, Ma Y, Liu K, Shen Z, Ding L, Li P, Hu X. A phase I dose-escalation and dose-expansion study of tibremciclib, a novel CDK4/6 inhibitor, monotherapy and in combination with fulvestrant in HR-positive/HER2-negative advanced breast cancer. ESMO Open. 2025 Jun;10(6):105121. doi: 10.1016/j.esmoop.2025.105121. Epub 2025 May 21.

MeSH Terms

Conditions

Breast Neoplasms

Interventions

Fulvestrant

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

EstradiolEstrenesEstranesSteroidsFused-Ring CompoundsPolycyclic CompoundsEstradiol CongenersGonadal Steroid HormonesGonadal HormonesHormonesHormones, Hormone Substitutes, and Hormone Antagonists

Study Officials

  • Xichun Hu, Ph.D

    Fudan University

    PRINCIPAL INVESTIGATOR
  • Shuseng Wang

    Sun Yat-Sen University Cancer Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 16, 2022

First Posted

June 27, 2022

Study Start

May 25, 2022

Primary Completion

December 31, 2023

Study Completion

July 31, 2025

Last Updated

July 27, 2023

Record last verified: 2023-05

Data Sharing

IPD Sharing
Will not share

Locations