Iparomlimab and Tuvonralimab (QL1706) with CDK4/6 inhibitor and fulvestrant for HR-positive, HER2-negative advanced breast cancer
Official title: Iparomlimab and Tuvonralimab (QL1706) in Patients With Hormone Receptor-positive, Human Epidermal Growth Factor Receptor 2-negative Advanced Breast Cancer: a Prospective, Randomised, Controlled, Multicentre Clinical Trial
Run by RenJi Hospital · NCT07180160 · Data updated 2026-11-12
This trial will test whether adding Iparomlimab and Tuvonralimab (QL1706) to a CDK4/6 inhibitor and fulvestrant helps women with hormone receptor–positive, HER2–negative advanced breast cancer get better tumor control or live longer.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 123 (estimated) |
| Sponsor | RenJi Hospital Academic / other |
| Drugs / interventions | chemotherapy, Iparomlimab, Tuvonralimab |
| Locations | 1 site (Shanghai) |
| Status | Recruiting |
| Started | September 25, 2025 |
| Main results expected | September 2027 |
| Study ends | March 2028 |
| Registry record updated | November 18, 2025 |
| Trial ID | NCT07180160 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adult women with ER and/or PR positive, HER2 negative recurrent or metastatic breast cancer, ECOG 0–1, at least one measurable lesion or bone-only disease, previously treated with up to two lines of chemotherapy and up to two CDK4/6 inhibitors, and with adequate organ function are ideal candidates.
✕Probably not a fit
Patients who are pregnant or breastfeeding, have untreated central nervous system metastases, poor performance status, or who exceed prior treatment limits may be ineligible or less likely to benefit.
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 Phase 2 trial conducted at multiple centers that compares QL1706 combined with a CDK4/6 inhibitor and fulvestrant against standard therapy in patients with ER/PR-positive, HER2-negative recurrent or metastatic breast cancer. Eligible participants are adult women with measurable or bone-only disease, ECOG 0–1, adequate organ function, and limited prior exposure to chemotherapy and CDK4/6 inhibitors. The study will monitor tumor response, disease progression, and safety outcomes during treatment and follow-up. Treatment effects will be analyzed to determine whether the addition of QL1706 improves clinical outcomes without unacceptable toxicity.
Why it matters
Potential benefit: If successful, this combination could improve tumor control and lengthen progression-free survival for patients with HR-positive, HER2-negative advanced breast cancer.
How similar studies have gone: Immune checkpoint approaches in hormone receptor–positive breast cancer remain experimental and have shown mixed early results, so combining QL1706 with endocrine and CDK4/6 therapy is a novel and unproven strategy.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Female, age≥18 years old * Expected survival ≥12 weeks * ECOG 0-1 * Pathologically confirmed recurrent or metastatic breast cancer not amenable to curative surgery * ER and/or PR positive, HER2 negative * At least one measurable lesion or bone-only disease (osteolytic or mixed) according to RECIST v1.1 * Previously treated with ≤2 lines chemotherapy for advanced disease; previously treated with ≤2 CDK4/6 inhibitors * Adequate organ function Exclusion Criteria: * During pregnancy and lactation * Patients with central nervous system metastasis
Where it's running
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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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.