Trilaciclib plus chemotherapy for CDK4/6-dependent solid tumors

Exploration of Indications and Establishment of a Primary Prevention Prediction Model for Trilaciclib in Combination With Chemotherapy in Patients With CDK4/6-Dependent Solid Tumors, and Investigation of the Mechanisms of Related Influencing Factors

PHASE1 · Hebei Medical University Fourth Hospital · NCT07490236

This trial will try adding trilaciclib to chemotherapy to protect the bone marrow of people with CDK4/6-dependent solid tumors from severe drops in blood counts.

Quick facts

PhasePHASE1
Study typeInterventional
Enrollment100 (estimated)
SexAll
SponsorHebei Medical University Fourth Hospital (other)
Drugs / interventionschemotherapy
Locations1 site (Shijiazhuang, Hebei)
Trial IDNCT07490236 on ClinicalTrials.gov

What this trial studies

This Phase 1 program combines retrospective real‑world data collection with prospective interventional work to study trilaciclib as prophylaxis against chemotherapy‑induced myelosuppression in CDK4/6‑dependent solid tumors. The first part collects clinical outcomes from patients who have already received trilaciclib for bone marrow protection; subsequent parts will use a prediction algorithm (Model A) to guide primary versus secondary prophylactic use. The study will be conducted at a single center and focuses on hematologic safety outcomes, the incidence of grade 3–4 myelosuppression, and building a prediction model to identify patients who most need primary prophylaxis. Findings will inform whether trilaciclib can be extended beyond small‑cell lung cancer into other solid tumor settings.

Who should consider this trial

Good fit: Adults with CDK4/6‑dependent solid tumors who are receiving myelosuppressive chemotherapy and meet the study's Model A criteria for primary prophylaxis.

Not a fit: Patients whose tumors are not CDK4/6‑dependent, who are not receiving significantly myelosuppressive regimens, or who are ineligible under Model A are unlikely to benefit from trilaciclib in this protocol.

Why it matters

Potential benefit: If successful, trilaciclib could reduce severe drops in white cells, red cells, and platelets and help patients stay on their planned chemotherapy schedule.

How similar studies have performed: Trilaciclib is already approved to protect bone marrow in small‑cell lung cancer with trials showing reduced myelosuppression there, but its use in other solid tumors remains largely experimental.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* patients for whom primary prophylaxis with trilaciclib is indicated per Model A will receive primary prophylactic treatment.

Exclusion Criteria:

* patients for whom primary prophylaxis with trilaciclib is not indicated per Model A will receive secondary prophylaxis according to protocol.

Where this trial is running

Shijiazhuang, Hebei

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Trilaciclib, CDK4/6-dependent Solid Tumors

Last reviewed 2026-05-15 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.