Breast CancerPhase 3NCT05433480
A Study of BPI-16350 in Combination With Fulvestrant in Patients With HR+ and HER2- Locally Advanced, Recurrent or Metastatic Breast Cancer
A Phase 3 study testing BPI-16350 and Fulvestrant in people with Breast Cancer, run by Betta Pharmaceuticals Co., Ltd. at 64 sites in China.
Trial summary
This is a phase III clinical trial to evaluate the efficacy and safety of BPI-16350 in combination with Fulvestrant versus placebo combined with Fulvesrant in Patients who have HR positive and HER2 negative locally advanced,recurrent or metastatic breast cancer with disease progression following endocrine therapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Cancer
- What is being tested?
- BPI-16350 and Fulvestrant
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 274 participants
- Where
- 64 sitesChina
- Study dates
- 25 May 2022to 31 Jul 2025
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Has the pathologically-confirmed diagnosis of locally advanced, recurrent or metastatic, HR positive, HER2 negative Breast Cancer
- One previous line of chemotherapy for advanced/metastatic disease is allowed
- Disease Progression following endocrine therapy
- Have postmenopausal status
- Have 1 of the following, as defined by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1: measurable disease or nonmeasurable bone-only disease
- ECOG: 0~1
- Adequate organ function
Who cannot join
- Previous treatment with cytotoxic drugs within 4 weeks before enrollment
- Previous treatment with endocrine or small molecule drug tyrosine kinase inhibitor TKI within 2 weeks before enrollment
- Patients who received prior treatment with any CDK4/6 inhibitor, everolimus or fulvestant
- HER2 positive
- Patients with major surgery within 4 weeks, severe or unstable systemic disease, unstable/symptomatic CNS metastasis, other malignant tumors, ILD, clinical significant cardiac disease, bleeding or embolic disease, active infectious disease, conditions affecting drug swallow and absorption, etc
- Pregnancy or lactation
- Other conditions considered not appropriate to participate in this trial by the investigators
Trial locations and contacts
64 sites in 1 country.
64 sites in 1 country
China64 sites
Anyang Cancer Hospital
Anyang, Henan, 455001
The First Medical Center of the PLA General Hospital
Beijing, Beijing Municipality, 100039
The Seventh Medical Center of the PLA General Hospital
Beijing, Beijing Municipality, 100039
The First Affiliated Hospital of Bengbu Medical College
Bengbu, Anhui, 233099
Cangzhou Hospital of Integrated TCM-WM·Hebei
Cangzhou, Hebei, 061012
Jilin Cancer Hospital
Changchun, Jilin, 130012
The Second Hospital of Jilin University
Changchun, Jilin, 130041
The First People's Hospital Of Changde City
Changde, Hunan, 415003
Hunan Cancer Hospital
Changsha, Hunan, 410031
Affiliated Hospital of Chengde Medical University
Chengde, Hebei, 067020
Sichuan Cancer Hospital&Institute
Chengdu, Sichuan, 610042
The Sixth People's Hospital of Chengdu
Chengdu, Sichuan, 610051
Chenzhou First People's Hospital
Chenzhou, Hunan, 423099
Chongqing University Three Gorges Hospital
Chongqing, Chongqing Municipality, 400030
The Second Affiliated Hospital of Dalian Medical University
Dalian, Liaoning, 116023
Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001
Fujian Cancer Hospital
Fuzhou, Fujian, 350014
The First Affiliated Hospital of Gannan Medical College
Ganzhou, Jiangxi, 100044
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, Guangdong, 510000
Sun Yat-Sen University Cancer Hospital
Guangzhou, Guangdong, 510060
The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310003
Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang, 310014
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150081
Anhui Provincial Hospital
Hefei, Anhui, 230002
The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, 230022
The First Affiliated Hospital of Nanhua University
Hengyang, Hunan, 421001
Inner Mongolia People's Hospital
Hohhot, Neimenggu, 421001
Shandong Cancer Hospital
Jinan, Shandong, 250117
Affiliated Hospital of Jining Medical University
Jining, Shandong, 272007
Yunnan Cancer Hospital
Kunming, Yunnan, 650118
The First Hospital of Lanzhou University
Lanzhou, Gansu, 730013
Linyi Cancer Hospital
Linyi, Shandong, 276002
Loudi Central Hospital
Loudi, Hunan, 417099
The First Affiliated Hospital of Henan University of Science and Technology
Luoyang, Henan, 450052
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006
The Third Hospital of Nanchang
Nanchang, Jiangxi, 330008
Jiangsu Cancer Hospital
Nanjing, Jiangsu, 210009
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, 530021
The first Affiliated Hospital of Nanyang Medical College
Nanyang, Henan, 473007
The Affiliated Hospital of Qingdao University
Qingdao, Shandong, 266003
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200032
Cancer Hospital of Shantou University Medical College
Shantou, Guangdong, 515041
Shaoyang Central Hospital
Shaoyang, Hunan, 422000
The First Hospital of China Medical University
Shenyang, Liaoning, 100012
Shengjing Hospital of China Medical University
Shenyang, Liaoning, 110004
Liaoning Cancer Hospital & Institute
Shenyang, Liaoning, 110801
Jilin Hospital of Chinese Literature
Siping, Jilin, 132011
The Second Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215004
Tangshan People's Hospital
Tangshan, Hebei, 063001
Tianjin Cancer Hospital
Tianjin, Tianjin Municipality, 300181
Cancer Hospital of Xinjiang Medical University
Ürümqi, Xinjiang, 830000
Weifang People's Hospital
Weifang, Shangdong, 261000
Weihai Municipal Hospital
Weihai, Shandong, 264299
The Central Hospital of Wuhan
Wuhan, Hubei, 430014
Fifth Hospital in WuHan
Wuhan, Hubei, 430050
Renmin Hospital of Wuhan University
Wuhan, Hubei, 430060
Hubei Cancer Hospital
Wuhan, Hubei, 430079
The First Affiliated Hospital of Xiamen University
Ximen, Fujian, 361003
Xingtai People's Hospital
Xingtai, Hebei, 054001
Xuzhou Central Hospital
Xuzhou, Jiangsu, 221009
Yichang Central People's Hospital
Yichang, Hubei, 443008
Yongzhou Central Hospital
Yongzhou, Hunan, 425002
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052
Zhuzhou Central Hospital
Zhuzhou, Hunan, 412007
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study to Compare Fulvestrant Plus BPI-16350 or Plus Placebo in Patients With HR+, HER2- Locally Advanced, Recurrent or Metastatic Breast Cancer With Disease Progression Following Endocrine Therapy
This is a phase III clinical trial to evaluate the efficacy and safety of BPI-16350 in combination with Fulvestrant versus placebo combined with Fulvesrant in Patients who have HR positive and HER2 negative locally advanced,recurrent or metastatic breast cancer with disease progression following endocrine therapy.
- Conditions
- Breast Cancer
- Being tested
- BPI-16350, placebo, Fulvestrant
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BPI-16350Drug
BPI-16350 400 mg, orally once daily
placeboDrug
Placebo 400 mg, orally once daily
FulvestrantDrug
Fulvestrant 500 mg intramuscular injection on day 1 and day 15 for the first cycle and then on day 1 for every cycle until progressive disease
| Study group | Role | What they receive |
|---|---|---|
| experimental group | Experimental | Intervention Drug: BPI-16350, Fulvestrant Receives: Drug: BPI-16350; Drug: Fulvestrant |
| control group | Placebo comparator | Intervention Drug: Placebo, Fulvestrant Receives: Drug: placebo; Drug: Fulvestrant |
What is being measured
The primary outcome is the main question the study is designed to answer.
Investigator-assessed PFS
The PFS time is measured from the date of randomization to the date of objective progression or the date of death due to any cause, whichever is earlier.
Measured: up to 3 years
Secondary outcomes (9)
IREC-assessed PFS
The PFS time is measured from the date of randomization to the date of objective progression or the date of death due to any cause, whichever is earlier.
Measured: up to 3 years
ORR
The proportion of patients with CR or PR according to RECIST v1.1
Measured: up to 3 years
DCR
The proportion of patients with CR, PR, or SD according to RECIST v1.1
Measured: up to 3 years
DOR
The time from the date of first evidence of a CR or PR to the date of objective progression or death from any cause, whichever is earlier
Measured: up to 3 years
CBR
The proportion of patients with CR, PR, or SD ≥6 months according to RECIST v1.1
Measured: up to 3 years
OS
The time from the date of randomization to the date of death from any cause
Measured: up to 5 years
AEs and SAEs
Number of Participants With adverse events (AEs) and serious adverse events (SAEs) Incidence, nature, and severity of adverse events graded according to the NCI CTCAE v5.0
Measured: up to 3 years
EORTC QLQ-C30
Changes in scores from baseline using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)
Measured: up to 5 years
Evaluate the pharmacokinetics of BPI-16350
Based on blood plasma concentration.
Measured: Up to 3 cycles(each cycle is 28 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jun 2022
- Study start25 May 2022
- Primary completion31 Dec 2023 (estimated)
- Study completion31 Jul 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by Betta Pharmaceuticals Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 274 participants (actual)
Sponsor and investigators
- Lead sponsor
- Betta Pharmaceuticals Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Xichun Hu, Ph.D, Principal investigator, Fudan UniversityShuseng Wang, Principal investigator, Sun Yat-Sen University Cancer Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05433480
- Sponsor's protocol ID
- BTP-66732
- Status last verified
- May 2023
- First submitted
- 16 Jun 2022
- Last updated
- 27 Jul 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Tao Z, Zhang J, Zheng Q, Wang Y, Cai L, Xu H, Xu X, Kong X, Ding S, Hao C, Wang H, Zong H, Jin X, Wang X, Li Y, Yang X, Li W, Du X, Chen H, Wu P, Li P, Mao L, Ding L, Hu X, Wang S. Tibremciclib or Placebo Plus Fulvestrant in Hormone Receptor-Positive and ERBB2-Negative Advanced Breast Cancer After Endocrine Therapy: A Randomized Clinical Trial. JAMA Oncol. 2025 Sep 1;11(9):1055-1063. doi: 10.1001/jamaoncol.2025.2092.
PubMed 40742733Zhang J, Liu R, Gao S, Chen W, Han X, Wang Z, Zhou H, Wang Y, Chen J, Ma Y, Liu K, Shen Z, Ding L, Li P, Hu X. A phase I dose-escalation and dose-expansion study of tibremciclib, a novel CDK4/6 inhibitor, monotherapy and in combination with fulvestrant in HR-positive/HER2-negative advanced breast cancer. ESMO Open. 2025 Jun;10(6):105121. doi: 10.1016/j.esmoop.2025.105121. Epub 2025 May 21.
PubMed 40403388
Study at a glance
From the registry record, last updated by the sponsor on 27 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Study to Compare Fulvestrant Plus BPI-16350 or Plus Placebo in Patients With HR+, HER2- Locally Advanced, Recurrent or Metastatic Breast Cancer With Disease Progression Following Endocrine Therapy
- ClinicalTrials.gov ID
- NCT05433480
- Acronym / sponsor ID
- BTP-66732
- Conditions
- Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 274 participants (actual)
- Lead sponsor
- Betta Pharmaceuticals Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 25 May 2022 (actual)
- Primary completion
- 31 Dec 2023 (estimated)
- Study completion
- 31 Jul 2025 (estimated)
- First posted
- 27 Jun 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a phase III clinical trial to evaluate the efficacy and safety of BPI-16350 in combination with Fulvestrant versus placebo combined with Fulvesrant in Patients who have HR positive and HER2 negative locally advanced,recurrent or metastatic breast cancer with disease progression following endocrine therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| experimental group | Experimental | Drug: BPI-16350, Drug: FulvestrantIntervention Drug: BPI-16350, Fulvestrant |
| control group | Placebo comparator | Drug: placebo, Drug: FulvestrantIntervention Drug: Placebo, Fulvestrant |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Has the pathologically-confirmed diagnosis of locally advanced, recurrent or metastatic, HR positive, HER2 negative Breast Cancer
- One previous line of chemotherapy for advanced/metastatic disease is allowed
- Disease Progression following endocrine therapy
- Have postmenopausal status
- Have 1 of the following, as defined by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1: measurable disease or nonmeasurable bone-only disease
Key exclusion criteria (7 listed)
- Previous treatment with cytotoxic drugs within 4 weeks before enrollment
- Previous treatment with endocrine or small molecule drug tyrosine kinase inhibitor TKI within 2 weeks before enrollment
- Patients who received prior treatment with any CDK4/6 inhibitor, everolimus or fulvestant
- HER2 positive
- Patients with major surgery within 4 weeks, severe or unstable systemic disease, unstable/symptomatic CNS metastasis, other malignant tumors, ILD, clinical significant cardiac disease, bleeding or embolic disease, active infectious disease, conditions affecting drug swallow and absorption, etc
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BPI-16350BPI-16350 400 mg, orally once daily | Drug | experimental group |
| placeboPlacebo 400 mg, orally once daily | Drug | control group |
| FulvestrantFulvestrant 500 mg intramuscular injection on day 1 and day 15 for the first cycle and then on day 1 for every cycle until progressive disease | Drug | control group, experimental group |
Primary outcome
Investigator-assessed PFS
Time frame: up to 3 years
The PFS time is measured from the date of randomization to the date of objective progression or the date of death due to any cause, whichever is earlier.
9 secondary outcomes
IREC-assessed PFS
Time frame: up to 3 years
ORR
Time frame: up to 3 years
DCR
Time frame: up to 3 years
DOR
Time frame: up to 3 years
CBR
Time frame: up to 3 years
OS
Time frame: up to 5 years
AEs and SAEs
Time frame: up to 3 years
EORTC QLQ-C30
Time frame: up to 5 years
Evaluate the pharmacokinetics of BPI-16350
Time frame: Up to 3 cycles(each cycle is 28 days)
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jul 2023.
- Derived from this study: PubMed 40742733Tao Z, Zhang J, Zheng Q, Wang Y, Cai L, Xu H, Xu X, Kong X, Ding S, Hao C, Wang H, Zong H, Jin X, Wang X, Li Y, Yang X, Li W, Du X, Chen H, Wu P, Li P, Mao L, Ding L, Hu X, Wang S. Tibremciclib or Placebo Plus Fulvestrant in Hormone Receptor-Positive and ERBB2-Negative Advanced Breast Cancer After Endocrine Therapy: A Randomized Clinical Trial. JAMA Oncol. 2025 Sep 1;11(9):1055-1063. doi: 10.1001/jamaoncol.2025.2092.
- Derived from this study: PubMed 40403388Zhang J, Liu R, Gao S, Chen W, Han X, Wang Z, Zhou H, Wang Y, Chen J, Ma Y, Liu K, Shen Z, Ding L, Li P, Hu X. A phase I dose-escalation and dose-expansion study of tibremciclib, a novel CDK4/6 inhibitor, monotherapy and in combination with fulvestrant in HR-positive/HER2-negative advanced breast cancer. ESMO Open. 2025 Jun;10(6):105121. doi: 10.1016/j.esmoop.2025.105121. Epub 2025 May 21.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Xichun Hu, Ph.D principal investigator
Fudan University
Shuseng Wang principal investigator
Sun Yat-Sen University Cancer Hospital
64 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing BPI-16350 and Fulvestrant in people with Breast Cancer, run by Betta Pharmaceuticals Co., Ltd. at 64 sites 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 7 inclusion and 7 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: status not confirmed, as of the sponsor's last update on 27 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 64 sites 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Investigator-assessed PFS (time frame: up to 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05433480, which also lists 2 linked publications.
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 27 Jul 2023.