New drug cocktail aims to shrink Hard-to-Treat breast cancer

NCT ID NCT06756932

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This early-phase trial is testing a new drug called BGB-21447, which blocks a protein that helps cancer cells survive. It is given together with standard hormone therapy (fulvestrant) and sometimes another targeted drug (BGB-43395). The study involves 120 adults with HR+/HER2- metastatic breast cancer whose disease has progressed after prior treatments. The main goals are to check safety and find the best dose, while also seeing if the tumors shrink.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
BGB-21447 (a Bcl-2 inhibitor) combined with fulvestrant and/or BGB-43395 (a CDK4 inhibitor)
What this could lead to
If successful, this could lead to a new treatment option for people with HR+/HER2- metastatic breast cancer that has stopped responding to standard therapies.
What could go wrong
This is an early Phase 1 trial with only 120 participants, focused on safety and dosing. It is too small and early to know if the combination will work or be safe long-term.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Email: •••••@•••••

Locations

  • Calvary Mater Newcastle

    RECRUITING

    Waratah, New South Wales, NSW 2298, Australia

  • Fred Hutchinson Cancer Research Center

    RECRUITING

    Seattle, Washington, 98109-4433, United States

  • Fudan University Shanghai Cancer Centerpudong

    RECRUITING

    Shanghai, Shanghai Municipality, 201321, China

  • Linear Clinical Research

    RECRUITING

    Nedlands, Western Australia, WA 6009, Australia

  • Md Anderson Cancer Center

    RECRUITING

    Houston, Texas, 77030-3907, United States

  • Peter Maccallum Cancer Centre

    RECRUITING

    Melbourne, Victoria, VIC 3000, Australia

  • Saint Vincents Hospital Sydney

    RECRUITING

    Darlinghurst, New South Wales, NSW 2010, Australia

  • Sir Run Run Shaw Hospital, Zhejiang University School of Medicine

    RECRUITING

    Hangzhou, Zhejiang, 310016, China

  • Sun Yat Sen Memorial Hospital, Sun Yat Sen University (South)

    RECRUITING

    Guangzhou, Guangdong, 510245, China

  • Sunshine Coast University Private Hospital

    RECRUITING

    Birtinya, Queensland, QLD 4575, Australia

  • The First Affiliated Hospital of Zhengzhou University

    RECRUITING

    Zhengzhou, Henan, 450052, China

  • Tianjin Medical University Cancer Institute and Hospital

    RECRUITING

    Tianjin, Tianjin Municipality, 300060, China

  • University of Iowa Hospitals and Clinics

    RECRUITING

    Iowa City, Iowa, 52242-1009, United States

  • Western Health Sunshine Hospital

    RECRUITING

    St Albans, Victoria, VIC 3021, Australia

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