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임상시험 NCT07498478은(는) 유방암에 대해 모집중 상태입니다. 모든 세부 정보를 보려면 임상시험 레이더 카드 뷰와 AI 발견 도구를 확인하거나 여기에서 무엇이든 물어보세요.
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Efficacy and Safety of Tinengotinib Tablets Combined With Fulvestrant Injection in Patients With HR Positive and HER-2 Negative Recurrent or Metastatic Breast Cancer Who Have Failed Prior Treatment 2상 94 병용 요법

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임상시험 NCT07498478은(는) 치료을(를) 알아보기 위한 연구입니다. 이 연구는 유방암에 대해 진행되며, 2상 중재연구으로 현재 상태는 모집중입니다. 연구는 2026년 3월 17일에 시작되어 94명의 참여자를 모집하고 있습니다. TransThera Sciences (Nanjing), Inc.이(가) 진행하며, 2027년 12월 31일까지 완료될 예정입니다. ClinicalTrials.gov의 가장 최근 정보는 2026년 3월 27일에 갱신되었습니다.
간단한 개요

The goal of this clinical trial is to learn if tinengotinib combined with fulvestrant works to treat patients with HR-Positive and HER-2-Negative or low-expressing advanced breast cancer. It will also learn about the safety of combination therapy. The main questions it aims to answer are:

  1. Does tinengotinib combined with fulvestrant reduce the tumor burden in participants?
  2. What medical problems do participants ...
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공식 제목

A Phase II, Open-Label, Multicenter Clinical Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of TT-00420 (Tinengotinib) Tablets Combined With Fulvestrant Injection in Patients With Hormone Receptor-Positive (HR+) and Human Epidermal Growth Factor Receptor 2 (HER-2) Negative or Low-Expressing Recurrent or Metastatic Breast Cancer Who Have Failed Prior Treatment

질환명
유방암
기타 연구 식별자
  • TT00420CN15
NCT 번호
NCT07498478
실제 연구 시작일
2026-03-17
최신 업데이트 게시
2026-03-27
예상 연구 완료일
2027-12-31
계획된 등록 인원
94
연구종류
중재연구
단계/상
2상
상태
모집중
주요 목적
치료
설계 할당
무작위배정
중재 모델
평행설계
맹검 (마스킹)
없음 (오픈 라벨)
시험군 / 개입
참가자 그룹/시험군개입/치료
실험적Part B (combination therapy)
Tinengotinib at the optimal dose combined with Fulvestrant
Participants will receive tinengotinib at the optimal dose once daily with fulvestrant in 28-day cycles per protocol defined schedule.
실험적Part B (monotherapy therapy)
Tinengotinib
Participants will receive tinengotinib once daily in 28-day cycles per protocol defined schedule.
실험적Part A (dose optimization)
tinengotinib combined with fulvestrant
Participants will take tinengotinib at the starting dose of 10 mg once daily with fulvestrant to determine the optimal dose of tinengotinib in combination with fulvestrant. If not tolerated, the dose of tinengotinib will be reduced to 8 mg or 6 mg once daily.
주요결과변수
결과변수측정값 설명시간 범위
Part A: safety evaluation parameters
Including incidence, duration, and severity of DLTs and treatment-related adverse events (TRAEs)
From signing of the informed consent until 28 days after the last dose or the end of the study (whichever occurs first), an average of 1 year.
Part B: Objective Response Rate (ORR) (RECIST v1.1)
The proportion of subjects who achieved a complete response (CR) or a partial response (PR) based on RECIST version 1.1.
From first study drug administration to the end of treatment, an average of 1 year.
참여 도우미
적격성 기준

연령대
성인, 노인
최소 연령
18 Years
참여 가능한 성별
여성
  1. Histologically or cytologically confirmed breast cancer with evidence of local recurrence or distant metastasis and no indication for surgery or radiotherapy;
  2. Breast cancer confirmed as HR+/HER2- negative or low expression by local laboratory testing based on the most recent tumor tissue sample (from either the primary or metastatic site, excluding bone lesions). HR-positive, HER2-negative or low expression as defined in this study refer to the Chinese Society of Clinical Oncology \[CSCO\] 2024 criteria;
  3. Participants must meet at least one of the following criteria: a) prior bilateral oophorectomy, or age ≥60 years; b) age <60 years, with natural amenorrhea (in the absence of medication or pathological conditions) for ≥12 months, and estradiol and FSH levels within the postmenopausal range; c) age <60 years, currently undergoing ovarian suppression therapy (e.g., LHRH agonist) and requiring continued treatment during the study, with estradiol and FSH levels maintained within the postmenopausal range;
  4. Participants who have previously failed 1-2 lines of endocrine therapy (including AI, SERD, and SERM) for recurrent or metastatic disease are eligible. Subjects with initial diagnosis showing weak ER positivity by IHC (tumor cells with nuclear staining accounting for 1%-10%) are not eligible for enrollment;
  5. Participants must have experienced disease progression after prior treatment with at least one CDK4/6 inhibitor (CDK4/6i), including in the neoadjuvant, adjuvant, or systemic treatment settings;
  6. Participants who have previously failed 0-2 lines of systemic chemotherapy (cytotoxic drugs) for recurrent or metastatic disease. Antibody-drug conjugates (ADCs) are not counted as systemic chemotherapy;
  7. ECOG ≤ 1;
  8. Participants must meet at least one of the following criteria (per RECIST v1.1): a) At least one measurable lesion as defined by RECIST v1.1 at baseline; if the only target lesion is a non-nodal lesion, its longest diameter must be ≥15 mm; b) When bone lesions are the only measurable lesions, lytic or mixed bone lesions may be selected as target lesions; subjects with only blastic bone lesions are not eligible for enrollment.
  9. Adequate organ and bone marrow function;
  10. Premenopausal participants receiving ovarian suppression therapy must agree to use adequate contraception to avoid pregnancy during the study and for at least 3 months after the end of treatment;
  11. Able to sign informed consent and comply with the protocol.

  1. Participants who are pregnant or breastfeeding;
  2. Conditions judged by the investigator as making the participant unsuitable for study drug treatment, including but not limited to: a history of severe allergy to the components or excipients of the study drug, prior treatment history with the study drug, or presence of complications that may be life-threatening in the short term (such as pleural, pericardial, or abdominopelvic effusions that cannot be controlled by drainage or other methods);
  3. Uncontrolled hypertension (systolic blood pressure >150 mmHg or diastolic blood pressure >100 mmHg), allowing for the lowest value from up to two repeat measurements;
  4. Participants with brain or central nervous system (CNS) metastases that have progressed as confirmed by imaging or clinically within 28 days before the start of treatment (e.g., evidence of new or enlarging brain metastases on imaging, new neurological symptoms attributable to brain/CNS metastases);
  5. Participants with concurrent other malignancies or hematologic malignancies that are progressing or require active treatment (excluding basal cell carcinoma of the skin, other non-invasive or indolent malignancies, or cured tumors); Hormone replacement therapy is permitted (e.g., thyroxine replacement therapy post-thyroidectomy);
  6. Participants who have received systemic treatment with corticosteroids (>10 mg/day of prednisone or equivalent dose of other corticosteroids) or other immunosuppressive medications within 14 days prior to the initiation of the study drug;
  7. Participants who have received other systemic anti-tumor therapies or treatment with investigational drugs prior to the initiation of the study drug, with a washout period of approximately 5 half-lives or 14 days, whichever is shorter;
  8. Participants who have received extensive radiotherapy or major surgery within 4 weeks prior to the initiation of the study drug, or local palliative radiotherapy within 2 weeks. (If the investigator judges that this does not pose an additional safety risk, initiation of the study drug during the washout period may be permitted with sponsor agreement.)
  9. Participants who have not yet recovered from adverse events resulting from prior anti-tumor therapy (excluding adverse events ≤ Grade 1 per CTCAE, or ≤ Grade 2 adverse events that the investigator judges do not pose a safety risk).
  10. History of severe cardiac or cerebrovascular disease;
  11. Participants who have severe gastrointestinal disease or gastrointestinal dysfunction that may lead to absorption, metabolism or excretion of the study drug, enrollment eligibility will be based on the investigator's judgment (including but not limited to total gastrotomy, short bowel syndrome).
  12. Participants who have bleeding disorders or thrombotic disorders or therapeutic anticoagulant therapy requiring INR monitoring.
  13. Participants who have received a strong CYP3A inhibitor and inducer before starting the study drug, within an interval of ≤ 2 weeks or 5 half-lives (whichever is shorter);
  14. Tested positive for the human immunodeficiency virus (HIV);
  15. Participants with active HBV infection and/or HCV infection;
  16. Participants who are unable to swallow or tolerate oral medication.
  17. The investigator determines that there are other reasons making the participant unsuitable for participation in the study.
TransThera Sciences (Nanjing), Inc. logoTransThera Sciences (Nanjing), Inc.
연구 대표 연락처
연락처: Caixia Sun, 025-58216298, [email protected]
13 1개국에 임상시험 장소

Guangdong

Guangdong Provincial People's Hospital, Guangzhou, Guangdong, China
Kun Wang, MD, 연락처
대상자모집전

Hubei

Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China
Haijun Yu, MD, 연락처
대상자모집전

Hunan

Hunan Cancer Hospital, Changsha, Hunan, China
Quchang Ouyang, MD, 연락처
대상자모집전

Jiangsu

Jiangsu Province Hospital, Nanjing, Jiangsu, China
Yongmei Yin, MD, 연락처
대상자모집전

Shandong

Shandong Cancer Hospital, Jinan, Shandong, China
Huihui Li, MD, 연락처
대상자모집전
Linyi Cancer Hospital, Linyi, Shandong, China
Guozhu Liu, MD, 연락처
모집중

Zhejiang

Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China
Hai Hu, MD, 연락처
대상자모집전
Cancer Hospital, Chinese Academy of Medical Sciences, Beijing, 100021, China
Binghe Xu, MD, 연락처
모집중
Beijing Cancer Hospital, Beijing, China
Huiping Li, MD, 연락처
대상자모집전
The First Medical Center, Chinese PLA General Hospital, Beijing, China
Weihong Zhao, MD, 연락처
대상자모집전
Southwest Hospital, Chongqing, China
Yi Zhang, MD, 연락처
대상자모집전
Fudan University Shanghai Cancer Center, Shanghai, China
Hongxia Wang, MD, 연락처
대상자모집전
Tianjin Medical University Cancer Institute & Hospital, Tianjin, China
Zhongsheng Tong, MD, 연락처
대상자모집전