drugset / Trial / NCT05861830

Dalpiciclib With Endocrine Therapy for Advanced Breast Cancer After CDK4/6 Inhibitor Failure (DAWNA-FES)

NCT05861830

RandomizedParallel-groupOpen-labelTreatment

Summary

CDK4/6 inhibitors are currently the standard treatment for female breast cancer patients with HR+ tumors. However, there is no established standard treatment for patients who experience treatment failure with CDK4/6 inhibitors. The MAINTAIN study has shown clinical benefits by switching to Ribociclib and changing endocrine therapy after progression on CDK4/6 inhibitors. We hypothesize that combining Dalpiciclib with physician-selected endocrine therapy, following treatment failure with CDK4/6 inhibitors, would similarly lead to improved patient survival. In this study, 18F-FES PET/CT will be employed as a non-invasive alternative to biopsy techniques for evaluating the expression of ER in various systemic lesions of the patients.

Timeline

Start
2023-05-15
Primary completion
2025-12-31
Completion
2026-06-30

Drugs

EvaluationDrugModalityDoseRoute
Comparator Capecitabine Small molecule
Comparator Carboplatin Small molecule
Subject Dalpiciclib Small molecule 150 mg Oral
Comparator Gemcitabine Small molecule
Comparator Paclitaxel Small molecule
Background Anastrozole Other / unclassified 1 mg Oral
Background Exemestane Small molecule 25 mg Oral
Background Fulvestrant Small molecule 500 mg Intramuscular
Background Letrozole Other / unclassified 2.5 mg Oral
Background Tamoxifen Small molecule 10 mg Oral
Background Tamoxifen Small molecule 20 mg Oral