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Gonadorelin

GnRH, Luteinizing Hormone-Releasing Hormone, LHRH, Factrel

Quick Stats
Studies 192
Trials 100
Recruiting PHASE2 INTERVENTIONAL NCT05594095

SNF Platform Study of HR+/ HER2-advanced Breast Cancer

View on ClinicalTrials.gov Updated Dec 15, 2025

Brief Summary

The purpose of this study is to establish a prospective, multi-center platform research based on clinical subtypes to explore precision therapy in patients hormone-receptor-positive HER2-negative advanced breast cancer who had previously used CDK4/6 inhibitors.

Detailed Description

Participants in this study were hormone-receptor-positive HER2-negative patients with advanced breast cancer who had previously used CDK4/6 inhibitors. Hormone receptor positive HER2 negative was defined as ER positive (IHC ER positive percentage \> 10% or PR positive (IHC PR positive percentage \> 10%) and HER2 negative (IHC-/+; Or IHC++ but FISH/CISH-). The Department of Pathology and the Key Laboratory of Breast Cancer of Fudan University Shanghai Cancer Center conducted digital pathological typing of the biopsy pathology of metastatic lesions of all participants . If the pathology of metastatic lesions could not be obtained, the digital pathological typing was performed according to the pathology of primary lesions. According to the digital pathological types of biopsy tissue and peripheral blood ctDNA, the patients were divided into four precise subtypes: SNF1, SNF2, SNF3, and SNF4. At the same time, the negative control group was randomly set by subtype stratification at 2:1. In different SNF types, patients were divided into 7 subcohorts according to the genetic PANEL results.

Interventions

Name: PIK3CA inhibitor
Type: DRUG
Description: PIK3CA inhibitor
Name: AKT inhibitor
Type: DRUG
Description: AKT inhibitor
Name: Carrelizumab
Type: DRUG
Description: Pd-1 mab
Name: Famitinib
Type: DRUG
Description: VEGFR inhibitor
Name: Fluzoparib
Type: DRUG
Description: PARP inhibitor
Name: Dalpiciclib
Type: DRUG
Description: CDK4/6 inhibitor
Name: SHR-A1811
Type: DRUG
Description: HER2 ADC
Name: Everolimus
Type: DRUG
Description: mTOR inhibior
Name: Aromatase Inhibitors or Fulvestrant
Type: DRUG
Description: Letrozole/Anastrozole/Exemestane or Fulvestrant
Name: Goserelin
Type: DRUG
Description: For premenopause
Name: TPC
Type: DRUG
Description: Treatment of Physicians' Choice (albumin-paclitaxel, capecitabine, vinorelbine, and irbribulin)
Name: Sorafenib
Type: DRUG
Description: RTK Inhibitor
Name: Apatinib
Type: DRUG
Description: Apatinib 250mg po qd
Name: SHR-A1921
Type: DRUG
Description: TROP2 ADC
Name: SHR-A2102
Type: DRUG
Description: NECTIN4 ADC
Name: SHR-A2009
Type: DRUG
Description: HER3 ADC
Name: SHR-1167
Type: DRUG
Description: PARP1i
Name: SHR-6209
Type: DRUG
Description: CDK4i
Name: bevacizumab
Type: DRUG
Description: bevacizumab

Primary Outcomes

Measure: Overall response rate (ORR)
TimeFrame: Randomization until the first occurrence of disease progression or death from any cause, which ever occurs first, through the end of study (approximately 3 years)
Description: The proportion of participants whose best outcome is complete remission or partial remission (according to RECIST1.1)

Trial Information

NCT ID

NCT05594095

Status

Recruiting

Study Type

INTERVENTIONAL

Phases

PHASE2

Sponsor

Fudan University

Last Updated

December 15, 2025