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Breast CancerPhase 3NCT06637150

Dalpicilib-Enhanced vs. Standard Endocrine Therapy in ER+ HER2- Early Breast Cancer

A Phase 3 study testing Dalpicilib and endocrine therapy in people with Breast Cancer, run by Fudan University at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study aims to conduct a randomized controlled clinical trial to compare the efficacy and safety of dalpicilib combined with endocrine therapy versus standard endocrine therapy in ER-positive, HER2-negative, lymph node-negative patients with risk factors, in order to further optimize the regimen for adjuvant… Read more about this study

Who is it for?
Ages 18 to 70 years, women only
Conditions the study is for
Breast Cancer
What is being tested?
Dalpicilib and endocrine therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,388 participants
Where
1 siteChina
Study dates
9 Jan 2025to 30 Sep 2030
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 to 70 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Women aged 18-70 years
  • ECOG score of 0-1
  • Histologically confirmed unilateral invasive cancer (regardless of pathology type)
  • No macroscopic or microscopic tumor residue after surgical resection
  • Early-stage breast cancer, pathologically confirmed as ER-positive and HER2-negative (ER-positive defined as immunohistochemical detection of ER \>10% of tumor cells positive; HER2 0-1+ or HER2 2+ but FISH negative, with no amplification, defined as HER2-negative)
  • Postoperative pathological staging of pT1c or above, N0M0, and meeting one of the following criteria: (1) G3; (2) G2 and meeting one of the following: i. Ki-67 ≥20%; ii. 21-gene recurrence score ≥26 or high genomic risk profile; iii. Age ≤40 years and vascular invasion positive
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  • No prior neoadjuvant treatment
  • Time from surgery or completion of chemotherapy or radiotherapy (whichever occurs later) to randomization does not exceed 8 weeks
  • Good postoperative recovery, at least 1 week after surgery
  • Normal function of major organs, meeting the following criteria: (1) Hematological criteria: HB ≥90 g/L (no blood transfusion in the last 14 days); ANC ≥1.5 × 10^9 /L; PLT ≥100 × 10^9 /L; (2) Biochemical criteria: TBIL ≤1.5 × ULN (upper limit of normal); ALT and AST ≤3 × ULN; serum Cr ≤1.5 × ULN
  • Women of childbearing age must use contraception during treatment
  • Subjects voluntarily join this study, sign informed consent, demonstrate good compliance, and cooperate with follow-up

Who cannot join

  • Bilateral breast cancer or ductal/lobular carcinoma in situ (DCIS/LCIS)
  • Received treatment for advanced disease
  • Metastasis at any site
  • Any tumor \> T4a (with skin involvement, fixation, inflammatory breast cancer)
  • Clinically or radiologically suspected malignancy in the contralateral breast not confirmed and requiring biopsy
  • Received neoadjuvant therapy, including chemotherapy, radiotherapy, and endocrine therapy
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  • History of malignant tumors within the past 5 years (excluding basal cell carcinoma of the skin and cervical carcinoma in situ), including contralateral breast cancer
  • Patient has been enrolled in other clinical trials
  • Patient has severe systemic diseases and/or uncontrolled infections that prevent participation in the study
  • Severe cardiovascular or cerebrovascular diseases within 6 months prior to randomization (e.g., unstable angina, chronic heart failure, uncontrolled hypertension \>150/90 mmHg, myocardial infarction, or stroke)
  • Known allergy to relevant medications
  • Women of childbearing age who refuse contraception during treatment and for 8 weeks after treatment completion
  • Pregnant or breastfeeding women
  • Positive pregnancy test before drug administration after joining the trial
  • Individuals with mental illness or cognitive impairment who cannot understand the trial protocol and its side effects, unable to comply with the protocol and follow-up (systematic assessment required prior to enrollment)
  • Individuals without personal freedom and independent civil capacity

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • breast cancer institute of Fudan University Cancer Hospital, shanghai, shanghai

    Shanghai

    Zhimin Shao, MD, 86-021-641755901105, zhimingshao@fudan.edu.cn

    Zhimin Shao, MD

    Recruiting

Other trials in China

About this study

Official title: A Phase III Randomized Controlled Trial Comparing Dalpicilib-Enhanced Adjuvant Endocrine Therapy With Standard Adjuvant Endocrine Therapy in ER+ HER2- Lymph Node-Negative Early Breast Cancer With Risk Factors

This study aims to conduct a randomized controlled clinical trial to compare the efficacy and safety of dalpicilib combined with endocrine therapy versus standard endocrine therapy in ER-positive, HER2-negative, lymph node-negative patients with risk factors, in order to further optimize the regimen for adjuvant endocrine therapy in breast cancer.

Conditions
Breast Cancer
Being tested
Dalpicilib, endocrine therapy
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DalpicilibDrug

    Dalpicilib 100 mg once daily from day 1 to day 21, every 4 weeks, for a total of 3 years, in combination with endocrine therapy for 5 years.

  • endocrine therapyDrug

    standard endocrine therapy

Study groups in NCT06637150
Study groupRoleWhat they receive
standard endocrine therapyActive comparatorstandard endocrine therapy
Receives: Drug: endocrine therapy
standard endocrine therapy plus dalpicilibExperimentalstandard endocrine therapy plus dalpicilib
Receives: Drug: Dalpicilib; Drug: endocrine therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Invasive Disease Free Survival

    Invasive Disease Free Survival

    Measured: From enrollment to 3 years post-treatment

Secondary outcomes (4)
  1. 3-Year Disease-Free Survival

    Measured: From enrollment to 3 years post-treatment

  2. Overall Survival

    Overall Survival

    Measured: From enrollment to 3 years post-treatment

  3. safety

    Number of participants with treatment-related adverse events as assessed by CTCAE v4.0

    Measured: From enrollment to 3 years post-treatment

  4. Patient reported outcomes

    Patient-Reported Outcomes (PROs) Assessed by the EORTC QLQ-C30 Questionnaire. Provide a brief description of what aspects of the patient's health or experience the tool will measure (e.g., quality of life, symptom burden, treatment side effects).

    Measured: From enrollment to 3 years post-treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Oct 2024
  2. Study start9 Jan 2025
  3. Primary completion30 Sep 2030 (estimated)
  4. Study completion30 Sep 2030 (estimated)

Resources

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
None (open label)
Enrolment
1,388 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06637150
Sponsor's protocol ID
SCHBCC-N081
Status last verified
Sep 2026
First submitted
28 Sep 2024
Last updated
29 Sep 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Dalpicilib and endocrine therapy in people with Breast Cancer, run by Fudan University at 1 site 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 12 inclusion and 16 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: looking for participants now, as of the sponsor's last update on 29 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Zhimin Shao (86-021-64175590, zhimingshao@fudan.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Invasive Disease Free Survival (time frame: From enrollment to 3 years post-treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 29 Sep 2026.

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