About this trial
This is a prospective, non-interventional real-world study to observe the efficacy and safety of different treatment regimens in patients with ESR1-mutated HR+/HER2-advanced breast cancer after failure of endocrine therapy.
Epidemiological data, efficacy and safety measures will be collected for each subject. Data on efficacy and safety assessment indicators will be collected every 2-3 months until disease progression, receipt of a new anti-tumour treatment modality, death, loss to follow-up, and arrival at the data collection cut-off date. The cut-off date for data collection is defined as 8 weeks after completion of 6 visits for each subject, or 4 weeks after treatment discontinuation and subject discontinuation/withdrawal. Subjects receiving a different treatment regimen remained subject to assessment of safety indicators 4 weeks after discontinuation of the original treatment regimen.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
1. must have a histologically or cytologically confirmed diagnosis of breast cancer with evidence of locally advanced disease unsuitable for excision or radical radiotherapy, or evidence of metastatic disease unsuitable for radical treatment.
2. female ≥ 18 years of age
3. female subjects must be postmenopausal (meeting any of the following criteria is sufficient) a) Has undergone oophorectomy. b) Age ≥ 60 years. c) 40 years old < age ≤ 60 years old with 1 year of menopause. d) Age <60 years and receiving ovarian suppression therapy.
4. ER-positive and HER2-negative status and ESR1-mutation positive must be confirmed.
Disqualifiers
1. women who are pregnant or breastfeeding
2. known difficulties in tolerating oral medications, or conditions that interfere with the absorption of oral medications or allergies to medications and their excitements
3. other conditions that make enrollment in the study unsuitable, at the discretion of the investigator
Trial population
Patients with HR+/HER2-advanced breast cancer with ESR1 mutation after failure of endocrine therapy
Trial design
Cohort
Prospective
Treatments tested in this trial
Endocrine therapy
DrugAll endocrine treatment regimens approved for advanced breast cancer, including tamoxifen, aromatase inhibitors, fulvestrant, etc.
Chemotherapy Prednisone
DrugAll chemotherapy treatment regimens approved for advanced breast cancer
Treatment groups
Trial outcomes
Primary outcomes
PFS
Progression-free survival
Secondary outcomes
ORR
Objective response rate
CBR
Clinical benefit rate
DoR
Duration of response
Other outcomes
Adverse event rate
Percentage of occurrences of adverse events
Serious adverse event rate
Percentage of occurrences of serious adverse events
Treatment regimen
Proportion of endocrine therapy, endocrine-targeted combination therapy or chemotherapy
Medication adherence
proportion of days covered
Sponsors and contacts
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