About this trial
This study aims to evaluate the efficacy and safety of adjuvant endocrine therapy combined with dalpiciclib at different doses and durations in patients with hormone receptor (HR)-positive, HER2-negative early-stage breast cancer.
It is a multicenter, prospective clinical study. All enrolled patients will receive either dalpiciclib 125 mg for 2 years or dalpiciclib 100 mg for 3 years, in combination with standard endocrine therapy.
The primary endpoint is 3-year invasive disease-free survival (iDFS).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female breast cancer patients aged ≥ 18 years, who are postmenopausal or premenopausal/perimenopausal;
Histologically confirmed HR-positive, HER2-negative early-stage breast cancer (immunohistochemical detection shows ER ≥ 10% and/or PR ≥ 10%, HER2 0-1+ or HER2 ++ but negative and non-amplified by FISH or CISH detection);
Histologically confirmed invasive breast cancer with postoperative pathological stage II-III;
Patients with or without prior neoadjuvant chemotherapy or adjuvant chemotherapy are eligible for enrollment;
Disqualifiers
Stage IV breast cancer, recurrent or metastatic breast cancer, or inflammatory breast cancer;
A history of any malignant tumor, or having received anti-tumor treatment or radiotherapy for any malignant tumor in the past, excluding cured malignant tumors such as carcinoma in situ of the cervix, basal cell carcinoma or squamous cell carcinoma of the skin;
Concurrent participation in other clinical trials;
Having received blood transfusion or treatment with colony-stimulating factors, etc. within 2 weeks before enrollment;
Trial design
Parallel
Treatments tested in this trial
Dalpiciclib
DrugDalpiciclib 100 mg orally, daily on days 1-21 of a 28-day cycle, for 3 years.
Endocrine Therapy (Tamoxifen, Anastrozol, Letrozole, Exemestane)
DrugStandard adjuvant endocrine therapy (e.g., tamoxifen or aromatase inhibitor), as per physician's choice.
Dalpiciclib
DrugDalpiciclib 125 mg orally, daily on days 1-21 of a 28-day cycle, for 2 years.
Treatment groups
Trial outcomes
Primary outcomes
3-years Invasive Disease-Free Survival (iDFS)
Secondary outcomes
Distant Disease-Free Survival (DDFS)
Overall Survival (OS)
Incidence and Severity of Adverse Events
According to Common Terminology Criteria for Adverse Events 5.0 (CTCAE 5.0)
Patient-Reported Outcomes (PROs)
EORTC QLQ-C30 (version 3.0) Quality of Life Questionnaire. The scores of each domain in the scale need to be converted into a 0 - 100 scale through standardized calculation: Functional domains: Higher scores indicate better functional status. Symptom domains: Higher scores indicate more severe symptoms. Global quality of life: Higher scores indicate a better quality of life.
Locations
Sponsors and contacts
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