Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 and up

Continuous versus intermittent pyrotinib for HER2-positive advanced breast cancer

Official title: Continuous or Intermittent Pyrotinib for HER2-positive Advanced Breast Cancer: a Prospective, Randomized, Controlled, Multicentre Clinical Trial

Run by RenJi Hospital · NCT07180082 · Data updated 2026-11-12

This tests whether taking pyrotinib continuously or on an intermittent schedule works better and is safer for adults with HER2-positive advanced breast cancer.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment186 (estimated)
SponsorRenJi Hospital
Academic / other
Drugs / interventionspyrotinib
Locations1 site (Shanghai)
StatusRecruiting
StartedAugust 28, 2025
Main results expectedSeptember 2028
Study endsSeptember 2029
Registry record updatedNovember 18, 2025
Trial IDNCT07180082 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with pathologically confirmed HER2-positive advanced or locally advanced breast cancer not amenable to curative surgery, measurable disease or bone-only disease, ECOG 0-1, adequate organ function, and deemed appropriate for pyrotinib by their physician are ideal candidates.

Probably not a fit

Patients who are pregnant or breastfeeding, who have difficulty taking or absorbing pyrotinib, who have poor performance status (ECOG >1), or who do not have HER2-positive disease are unlikely to benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a prospective, randomized, controlled, multicenter phase 2 trial comparing continuous and intermittent dosing schedules of pyrotinib in patients with HER2-positive advanced or locally advanced breast cancer. Eligible adults have pathologically confirmed HER2-positive disease, measurable lesions or bone-only disease per RECIST v1.1, ECOG 0-1, and adequate organ function, and may have received any number of prior therapies for advanced disease. Participants are randomized to receive either continuous or intermittent pyrotinib and will be followed for measures of tumor response and safety using standard clinical criteria. Pregnancy, lactation, and difficulties with drug administration or absorption are exclusion criteria and treatment is managed per protocol and physician discretion.

Why it matters

Potential benefit: If successful, the trial could identify a dosing schedule that preserves pyrotinib's anti-cancer effects while reducing side effects and treatment burden.

How similar studies have gone: Pyrotinib has demonstrated activity in prior trials for HER2-positive advanced breast cancer, but direct comparisons of continuous versus intermittent dosing schedules have been limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age≥18 years old
* Pathologically confirmed advanced or locally advanced breast cancer not amenable to curative surgery
* Pathologically confirmed HER2+ at least once for either primary or metastatic lesion
* Previously treated with any number of lines for advanced disease and eligible for a pyrotinib-containing regimen at the discretion of physician
* At least one measurable lesion or bone-only disease (osteolytic or mixed) according to RECIST v1.1
* ECOG 0-1
* Adequate organ function

Exclusion Criteria:

* During pregnancy and lactation
* Difficulties with pyrotinib administration or absorption

Where it's running

  • Renji Hospital, School of Medicine, Shanghai Jiaotong University
    Shanghai, China
    Recruiting

Study contacts

  • Principal investigator: Wenjin Yin, M.D. — Renji Hospital,School of Medicine, Shanghai Jiaotong University
  • Study coordinator: Wenjin Yin, M.D.
  • Email: yinwenjin@renji.com
  • Phone: 86(21)68385569

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.