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NCT Number: NCT05872347

Efficacy and Safety of SPH4336 in Combination With Endocrine Therapy in Breast Cancer Patients With Brain Metastases.

This study evaluated the safety and efficacy of SPH4336 in combination with endocrine therapy in breast cancer Patients with brain metastases.

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Key information

Age range

18 year–75 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 2

Primary location

Anhui provincial hospital, Hefei, Anhui, China

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

  • Inflammatory breast cancer.
  • Patients unsuitable for endocrine therapy at the investigator's discretion.
  • Have a History of other malignancies prior to the start of study treatment.
  • Taking anti-tumor traditional Chinese patent medicines at the time of signing the ICF.
  • Patients who underwent a surgery prior to the start of study treatment, and have not yet recovered from adverse reactions of the surgery.
  • Patients who participated in a clinical trial and received other investigational drugs before the start of study treatment.
  • Pregnant or lactating women.
  • 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; QTcF≥ 470 ms; left ventricular ejection fraction ≤ 50%.
  • History of ischemic stroke or severe thromboembolic disease before the start of study treatment.
  • Hepatitis B surface antigen positive and HBV (Hepatitis B Virus) DNA > 2,000 IU/mL or > 10(4) copies/mL; HCV (Hepatitis C Virus) antibody positive and HCV RNA positive; or known HIV infection.
  • History of severe allergic diseases, history of severe drug allergies, or known allergy to any ingredient of the investigational product.
  • Presence of diseases or conditions that may impact drug administration or gastrointestinal absorption before the start of study treatment.
  • Presence of uncontrolled infections before the start of study treatment.
  • Known history of drug abuse, excessive drinking, or illegal drug use; history of confirmed neurological or mental disorders.
  • 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.

Treatment and study plan

SPH4336 Tablets

Drug

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

Primary outcomes

  1. Intracranial Objective response rate(iORR)

    Time frame: Approximately 3 years

    Objective response rate according to response assessment in neuro-oncology-brain metastases (RANO-BM) criteria.

Secondary outcomes

  1. Intracranial Duration of remission (iDOR)

    Time frame: Approximately 3 years

    DoR is measured from the date of first evidence of a confirmed response (CR or PR), as defined by RANO-BM, to the date objective progression or death from any cause.

  2. Intracranial Disease control rate (iDCR)

    Time frame: Approximately 3 years

    Percentage of participants with BOIR of CR, PR, or SD: IDCR, as defined by RANO-BM is reported.

  3. Progression-free survival (PFS)

    Time frame: Approximately 3 years

    measured by RANO-BM and RECIST 1.1

  4. Overall Survival (OS)

    Time frame: Approximately 8 years

    Determination of the overall survival times of all patients.

  5. Extracranial Objective response rate(eORR)

    Time frame: Approximately 3 years

    Objective response rate according to response assessment in neuro-oncology-brain metastases (RANO-BM) criteria.

  6. Extracranial Disease control rate (eDCR)

    Time frame: Approximately 3 years

    Percentage of participants with BOIR of CR, PR, or SD: IDCR, as defined by RANO-BM is reported.

  7. Extracranial Duration of remission (eDOR)

    Time frame: Approximately 3 years

    DoR is measured from the date of first evidence of a confirmed response (CR or PR), as defined by RANO-BM, to the date objective progression or death from any cause.

  8. Cmax

    Time frame: Approximately 3 years

    PK (Pharmacokinetics) parameters

  9. Tmax

    Time frame: Approximately 3 years

    PK (Pharmacokinetics) parameters

  10. Safety and tolerability

    Time frame: Approximately 3 years

    Adverse event type, incidence, correlation with study drug

Study contacts

Contact information is provided by the study sponsor or research team.

Sponsors and collaborators

Lead sponsor

Shanghai Pharmaceuticals Holding Co., Ltd

Industry

Registry information

Official study title

A Phase II Study of SPH4336 in Combination With Endocrine Therapy in HR-positive, HER2-negative Breast Cancer Patients With Brain Metastases.

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
May 24, 2023
Registry last updated
May 5, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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