Using SPH4336 with hormone therapy for advanced breast cancer
Official title: A Phase II/III Study of SPH4336 in Combination With Endocrine Therapy in the Treatment of HR-positive, HER2-negative Locally Advanced or Metastatic Breast Cancer That Progressed on CDK4/6 Inhibitor Combined With Endocrine Therapy
Run by Shanghai Pharmaceuticals Holding Co., Ltd · NCT05860465 · Data updated 2026-11-12
This study is testing a new treatment called SPH4336 combined with hormone therapy to see if it helps people with advanced breast cancer that hasn't responded to other treatments.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | Women only |
| Enrollment | 254 (estimated) |
| Sponsor | Shanghai Pharmaceuticals Holding Co., Ltd Industry-sponsored |
| Locations | 22 sites (Guangzhou, Guangdong and 21 other locations) |
| Status | Recruiting |
| Started | September 8, 2023 |
| Main results expected | December 1, 2026 |
| Study ends | December 30, 2026 |
| Registry record updated | January 14, 2026 |
| Trial ID | NCT05860465 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients with locally advanced or metastatic breast cancer who have not responded to previous treatments and are unable to undergo radical surgeries.
✕Probably not a fit
Patients with inflammatory breast cancer or those who are unsuitable for endocrine therapy will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the safety and efficacy of SPH4336, a new treatment, in combination with endocrine therapy for patients with locally advanced or metastatic breast cancer that has progressed after treatment with CDK4/6 inhibitors. The trial includes both Phase 2 and Phase 3 components to assess the drug's effectiveness and safety profile. Participants must have measurable lesions and meet specific health criteria to be eligible for the study.
Why it matters
Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced breast cancer who have limited treatment choices.
How similar studies have gone: Other studies have shown promise with similar approaches, but the specific combination of SPH4336 with endocrine therapy is being evaluated for the first time.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients who voluntarily participate in this study, completely understand this study, and voluntarily sign the informed consent form (ICF). 2. ECOG (Eastern Cooperative Oncology Group) performance status score of 0 or 1. 3. Life expectancy ≥ 3 months. 4. Patients with locally advanced or metastatic breast cancer who are unable to receive radical surgeries/other local therapies. 5. At least one measurable lesion. 6. Laboratory test results meet the relevant requirements for organ function. 7. Subjects who agree to take effective contraceptive measures. Exclusion Criteria: 1. Inflammatory breast cancer. 2. Patients unsuitable for endocrine therapy at the investigator's discretion. 3. History of other malignancies prior to the start of study treatment. 4. Patients with known metastases to central nervous system. 5. Taking anti-tumor traditional Chinese patent medicines at the time of signing the ICF. 6. Patients who underwent a surgery prior to the start of study treatment, and have not yet recovered from adverse reactions of the surgery. 7. Patients who participated in a clinical trial and received other investigational drugs before the start of study treatment. 8. Pregnant or lactating women. 9. History of myocardial infarction, unstable angina pectoris, severe arrhythmia, and symptomatic congestive heart failure before the start of study treatment; ≥ NYHA (New York Heart Association) Class II; mean QTc interval ≥ 470 ms before the start of study treatment; left ventricular ejection fraction ≤ 50% before the start of study treatment. 10. History of ischemic stroke or severe thromboembolic disease before the start of study treatment. 11. Hepatitis B surface antigen positive and HBV (Hepatitis B Virus) DNA \> 2,000 IU/mL or \> 104 copies/mL; HCV (Hepatitis C Virus) antibody positive and HCV RNA positive; or known HIV infection. 12. History of severe allergic diseases, history of severe drug allergies, or known allergy to any ingredient of the investigational product. 13. Presence of diseases or conditions that may impact drug administration or gastrointestinal absorption before the start of study treatment. 14. Presence of uncontrolled infections before the start of study treatment. 15. Known history of drug abuse, excessive drinking, or illegal drug use; history of confirmed neurological or mental disorders. 16. Presence of other diseases that the risks of receiving the study treatment outweigh its benefits, as determined by the investigator, or any other reason for which patients are ineligible for the study as assessed by the investigator.
Where it's running
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Affiliated Cancer Hospital, Sun Yat-sen University
Guangzhou, Guangdong, China Recruiting -
Liuzhou people's Hospital
Liuzhou, Guangxi, China Recruiting -
Anyang Cancer Hospital
Anyang, He'nan, China Recruiting -
The First Affiliated Hospital of Henan University of Science and Technology
Luoyang, He'nan, China Recruiting -
The Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, China Recruiting -
Harbin Medical University cancer Hospital
Harbin, Heilongjiang, China Recruiting
Show 16 more locations
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Xiangyang Cancer Hospital
Wuhan, Hubei, China Recruiting -
Jiangsu Cancer Hospital
Nanjing, Jiangsu, China Recruiting -
Jiangsu Province Hospital
Nanjing, Jiangsu, China Recruiting -
Jilin Cancer Hospital
Changchun, Jilin, China Recruiting -
The First Hospital of China Medical University
Shenyang, Liaoning, China Recruiting -
General Hospital of Ningxia Medical University
Yinchuan, Ningxia, China Recruiting -
The First Affiliated Hospital of Xi'an Jiao Tong University
Xi’an, Shanxi, China Recruiting -
The second people's hospital of neijiang
Neijiang, Sichuan, China Recruiting -
Yunnan Cancer Hospital
Kunming, Yunnan, China Recruiting -
Zhejiang cancer Hospital
Hangzhou, Zhejiang, China Recruiting -
Peking Union Medical College Hospital
Beijing, China Recruiting -
The First Affiliated Hospital of Bengbu Medical College
Bengbu, China Recruiting -
Fujian Cancer Hospital
Fuzhou, China Recruiting -
First Affiliated Hospital of Kunming Medical University
Kunming, China Recruiting -
Shenzhen Hospital of University of Hong Kong
Shenzhen, China Recruiting -
Tianjin Medical University Cancer Institute & Hospital
Tianjin, China Recruiting
Study contacts
- Study coordinator: Shusen Wang
- Email: wangshs@sysucc.org.cn
- Phone: 0086-020-87343811
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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.