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BRCA-Mutated Breast CarcinomaPhase 2NCT06516289

Neoadjuvant Treatment of gBRCA-Mutated HER2-Negative Breast Cancer With HRS-1167 and Famitinib ± Camrelizumab

A Phase 2 study testing HRS-1167, Famitinib and Camrelizumab in people with BRCA-Mutated Breast Carcinoma and HER2-negative Breast Cancer, run by Fudan University at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study is a prospective, open-label, multi-center, phase II clinical trial designed for HER2-negative breast cancer with pathogenic mutations in the germline gene (gBRCA1/2) that were indicated for neoadjuvant chemotherapy. Read more about this study

Who is it for?
Ages 18 to 70 years, women only
What is being tested?
HRS-1167, Famitinib and Camrelizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
130 participants
Where
1 siteChina
Study dates
30 Sep 2024to Jun 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18 to 70 years old, female.
  • Patients with histologically confirmed unilateral primary invasive breast cancer who meet the criteria of cT0-4, N1-3, M0 or cT≥3, N0, M0 (inflammatory breast cancer not included).
  • Patients with HER-2 negative disease. HER2-negative disease was defined as follows: disease whose HER-2 is 1+ or negative by immunohistochemical (IHC), or fluorescence in situ hybridization (FISH) is negative if IHC is 2+.
  • Patients with pathogenic germline BRCA 1/2 mutation.
  • According to the RECIST 1.1 criteria, there is at least one measurable objective lesion.
  • Eastern Cooperative Oncology Group (ECOG) performance score 0-1.
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  • Appropriate haematological, hepatic and renal function (no blood transfusion or hematopoietic stimulating factors within 14 days): 1) Absolute number of neutrophils (ANC) ≥ 1.5 x 10^9/L; 2) Platelets ≥ 100 x 10^9/L; 3) Hemoglobin ≥ 90 g/L ; 4) White blood cell (WBC) ≥ 3.0×10^9/L and ≤15×10^9/L; 5) Total bilirubin (TBIL) ≤ 1.5 times the upper limit of normal (ULN); 6) AST (SGOT) and ALT (SGPT) ≤ 2.5 x ULN; 7) serum creatinine (Cr) ≤1.5×ULN, and creatinine clearance (CrCL) ≥50 mL/min (Cockcroft-Gault equation); 8) Prothrombin time (PT) and activated partial thromboplastin time (APTT) ≤1.5 ULN with international normalized ratio (INR) ≤1.5 ULN (not receiving anticoagulation); 9) Serum albumin ≥ 2.5g/dL.
  • Left ventricular ejection fraction (LVEF) ≥ 50%.
  • 12-lead ECG: QT interval corrected by Fridericia method (QTcF) < 470 msec.
  • Urine test: urinary protein < 2+; If urinary protein ≥ 2+, 24-hour urinary protein quantification must show protein ≤1g.
  • Subject is willing and able to comply with the protocol (including contraceptive measures) for the duration of the study including undergoing treatment and scheduled visits and examinations including follow up.
  • With good compliance with the planned treatment, are able to understand the follow-up procedures of this study and sigh the informed consent form.

Who cannot join

  • Patients with any of the following were not enrolled in the study:
  • Cancer-related history and treatment history: 1) Bilateral breast cancer; 2) Previous history of ductal carcinoma in situ (DCIS) or lobular carcinoma in situ (LCIS); 3) Previous history of invasive or metastatic breast cancer; 4) Any malignant tumor was diagnosed within 3 years before signing the informed consent, excluding cured cervical carcinoma in situ, basal cell carcinoma or squamous cell carcinoma; 5) Received systemic chemotherapy, systemic targeted therapy and local radiotherapy within 3 years before signing the informed consent; 6) Previously treated with VEGFR small molecule tyrosine kinase inhibitors (such as famitinib, sorafenib, sunitinib, regorafenib, etc.) (except bevacizumab); 7) Prior treatment with PARP inhibitors for any disease;
  • Stage IV breast cancer according to the AJCC staging system, 8th edition.
  • Inflammatory breast cancer or breast rupture.
  • There are clinical symptoms or diseases of the heart that are not well controlled
  • Hypertension that is not well controlled by antihypertensive medication: systolic blood pressure ≥ 150 mmHg or diastolic blood pressure ≥ 90 mmHg has a history of hypertensive crisis or hypertensive encephalopathy.
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  • NCI-CTCAE v5.0 grade ≥2 bleeding events occurred within 4 weeks before the first medication, including but not limited to hemoptysis (single episode of hemoptysis volume ≥ 2mL), vaginal bleeding, gastrointestinal bleeding, etc.
  • Excessive arterial/venous thrombosis events occurred within 6 months before the first medication, such as cerebrovascular accident (including transient ischemic attack, cerebral hemorrhage, cerebral infarction), deep vein thrombosis and pulmonary embolism, etc. Patients with lower extremity intermuscular venous thrombosis who were evaluated as not requiring anticoagulant therapy, and those whose mural thrombus caused by catheterization had disappeared and did not require drug therapy were considered for enrollment.
  • Inability to swallow tablets normally or abnormal gastrointestinal function, which may affect drug absorption as judged by the researcher;
  • Receipt of a strong inhibitor of CYP3A4, CYP2D6, P-gp, or BCRP from the date of first dose <5 times of drug half-lives or 14 days; The interval between receiving treatment with the above enzyme strong inducers and the first dose < 28 days.
  • Evidence of any disease as judged by the investigator (e.g., severe or uncontrolled systemic disease, including severe systemic infection, uncontrolled hypertension, renal transplantation and active bleeding disease, coagulation disorders, platelet dysfunction, severe chronic gastrointestinal disease, or patients with other serious medical conditions);
  • Have undergone major surgery other than invasive diagnostic procedures, peripherally inserted central catheter (PICC) procedures, or pathological biopsy within 28 days prior to the first dose, or are expected to undergo major surgery during the study period;
  • Unhealed wounds, ulcers, or fractures;
  • Active hepatitis B (defined as hepatitis B surface antigen [HBsAg] positive and HBV-DNA ≥500IU/ml);
  • Hepatitis C infection (defined as a positive test for hepatitis C virus antibody [HCV-Ab] and an HCV-RNA test higher than the lower limit of the assay);
  • Known history of human immunodeficiency virus (HIV) infection;
  • Known history of psychotropic substance abuse, alcohol or drug abuse;
  • Active psychiatric disorders (schizophrenia, major depressive disorder, bipolar disorder, etc.) and depression being treated with antidepressants were not exclusion criteria.
  • Patients with known allergy or intolerance to the study drug or its excipents;
  • Patients of reproductive age who are pregnant or lactating, and who refuse to use appropriate contraception during the course of the trial;
  • Participated in other trial studies within 30 days before the first dose of the study drug, or not more than 5 half-lives since the last dose of the study drug;
  • Patients judged by the investigator to be ineligible for the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Breast cancer institute of Fudan University Cancer Hospital

    Shanghai, Shanghai Municipality, 200032

    Zhi-Ming Shao, MD, 86-21-641755901105, zhimingshao@yahoo.com

    Junjie Li, MD, 86-21-64175590, lijunjie_ronaldo@hotmail.com

    Recruiting

Other trials in China

About this study

Official title: Neoadjuvant Treatment of gBRCA-Mutated HER2-Negative Breast Cancer With HRS-1167 and Famitinib/ HRS-1167, Famitinib and Camrelizumab: A Prospective, Open-label, Multicenter, Phase II Trial

This study is a prospective, open-label, multi-center, phase II clinical trial designed for HER2-negative breast cancer with pathogenic mutations in the germline gene (gBRCA1/2) that were indicated for neoadjuvant chemotherapy. The characteristics of this study are a precision treatment scheme without chemotherapy, the scheme of HRS-1167 combined with famitinib neoadjuvant therapy for patients with gBRCA mutations is explored, and the efficacy of combined immunotherapy is further explored according to the efficacy of the combination of the two drugs.

Read the detailed description

This study is a prospective, open-label, multi-center, phase II clinical trial designed for HER2-negative breast cancer with pathogenic mutations in the germline gene (gBRCA1/2) that were indicated for neoadjuvant chemotherapy. The characteristics of this study are a precision treatment scheme without chemotherapy, the scheme of HRS-1167 combined with famitinib neoadjuvant therapy for patients with gBRCA mutations is explored, and the efficacy of combined immunotherapy is further explored according to the efficacy of the combination of the two drugs. The study consists of a safety run-in period to explore the safety of HRS-1167 combined with famitinib, which is used to provide a recommended dose for the combination of HRS-1167 and famitinib. The latter phase II period is used to explore the efficacy of HRS-1167 plus famitinib /HRS-1167 plus famitinib plus camrelizumab as neoadjuvant therapy for gBRCA-mutated HER2-negative breast cancer. The primary endpoints in safety run-in period: the incidence of dose-limiting toxicity (DLT), the incidence and severity of adverse events (AE) and serious adverse events (SAE) ; in phase 2: the rate of pathological complete response (pCR) after surgery for each cohort as assessed by the investigator. Secondary endpoints included residual cancer burden (RCB) score, 3-year event-free survival (EFS), objective response rate (ORR), complete cell cycle arrest (CCCA) rate for HR+/HER2 - breast cancer, safety, and translational exploration study.

Being tested
HRS-1167, Famitinib, Camrelizumab

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HRS-1167Drug

    a highly selective PARP1 inhibitor

  • FamitinibDrug

    a tyrosine kinase inhibitor targeting VEGFR2, PDGFR, and c-kit

  • CamrelizumabDrug

    a humanised anti-programmed death-1 (anti PD-1) antibody

Study groups in NCT06516289
Study groupRoleWhat they receive
Safety run-inExperimentalHRS-1167 + famitinib
Receives: Drug: HRS-1167; Drug: Famitinib
Phase 2: Cohort A (HR+/HER2-, gBRCAm)ExperimentalHRS-1167 + famitinib, RP2D
Receives: Drug: HRS-1167; Drug: Famitinib
Phase 2: Cohort B (HR-/HER2-, gBRCAm)ExperimentalHRS-1167 + famitinib, RP2D
Receives: Drug: HRS-1167; Drug: Famitinib
Phase 2: Cohort C (HR+/HER2-, gBRCAm expansion cohort)ExperimentalHRS-1167 + famitinib, (RP2D) + camrelizumab
Receives: Drug: HRS-1167; Drug: Famitinib; Drug: Camrelizumab
Phase 2: Cohort D (HR-/HER2-, gBRCAm expansion cohort)ExperimentalHRS-1167 + famitinib, (RP2D) + camrelizumab
Receives: Drug: HRS-1167; Drug: Famitinib; Drug: Camrelizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety run-in: Incidence rate of dose-limiting toxicities (DLTs)

    Incidence rate of DLT will be evaluated in participants in the Safety Run-In, who will be followed for protocol-defined DLT events up to 28±3 days after the first dose of HRS-1167 and famitinib.

    Measured: 28±3 days

  2. Safety run-in: adverse events (AEs)

    Incidence rate of AEs of any cause will be evaluated in participants in the Safety Run-In according to CTCAE v5.0.

    Measured: 28±3 days

  3. Safety run-in: Serious adverse events (SAEs)

    Incidence rate of SAEs of any cause will be evaluated in participants in the Safety Run-In according to CTCAE v5.0.

    Measured: 28±3 days

  4. Phase 2: Total Pathologic complete response (tpCR: ypT0/Tis ypN0) rate

    Defined as no residual invasive cancer cells are found in the pathological examination of breast and axillary lymph node; if only residual in situ cancer cells are present in the surgical specimens, it can also be considered as achieving a pathological complete response.

    Measured: Immediately after the surgery

Secondary outcomes (8)
  1. Phase 2: Residual Cancer Burden (RCB)

    RCB will be estimated from routine pathological sections of the primary breast tumor site and the regional lymph nodes after the completion of neoadjuvant therapy. The pathological variables include bidimensional diameters of the primary tumor bed, the proportion of primary tumor area containing invasive carcinoma, the number of positive lymph nodes, and the diameter of the largest nodal metastasis

    Measured: Immediately after the surgery

  2. Phase 2: Event-free survival (EFS)

    Defined as the time from the date of the first study dose to any of the following events: progression of disease that precludes surgery, local or distant recurrence, second primary malignancy (breast or other cancers) or death due to any cause.

    Measured: Approximately 3 years

  3. Phase 2: Objective response rate (ORR)

    Defined as the proportion of patients with complete response (CR) and partial response (PR) by magnetic resonance imaging (MRI) according to RECIST v1.1.

    Measured: Immediately after the surgery

  4. Phase 2: Rate of complete cell cycle arrest (CCCA) in HR+/HER2- breast cancer

    Rate of CCCA determined by IHC Ki67 ( Ki67 ≤ 2.7%) between pre- and post-treatment.

    Measured: After 4 weeks of therapy

  5. Phase 2: Adverse events (AEs)

    Incidence rate of AEs of any cause will be evaluated in participants enrolled in the phase 2 period according to CTCAE v5.0.

    Measured: Up to 6 months

  6. Phase 2: Serious adverse events (SAEs)

    Incidence rate of SAEs of any cause will be evaluated in participants enrolled in the phase 2 period according to CTCAE v5.0.

    Measured: Up to 6 months

  7. Biomarker analysis1

    Gene mutations in the paired tumor and peripheral blood will be tested and analysed to predict therapy response.

    Measured: At baseline, at the end of first 2 cycles (each cycle is 28 days) and immediately after the surgery

  8. Biomarker analysis 2

    Gene expression signatures in the paired tumor and peripheral blood will be tested and analysed to predict therapy response.

    Measured: At baseline, at the end of first 2 cycles (each cycle is 28 days) and immediately after the surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jul 2024
  2. Study start30 Sep 2024
  3. Primary completionJun 2026 (estimated)
  4. Study completionJun 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
130 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06516289
Sponsor's protocol ID
SCHBCC-N074
Status last verified
Dec 2024
First submitted
1 Jul 2024
Last updated
12 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing HRS-1167, Famitinib and Camrelizumab in people with BRCA-Mutated Breast Carcinoma and HER2-negative Breast Cancer, run by Fudan University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 12 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Zhi-Ming Shao, MD (86-21-641755901105, zhimingshao@yahoo.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety run-in: Incidence rate of dose-limiting toxicities (DLTs) (time frame: 28±3 days). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Dec 2024.

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