New hope for advanced breast cancer: drug combo targets resistant tumors
NCT ID NCT05860465
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a new oral drug called SPH4336 combined with hormone therapy (letrozole or fulvestrant) in people with a common type of advanced breast cancer (HR-positive, HER2-negative) that has worsened after prior treatment. About 254 participants will receive either the drug or a placebo alongside hormone therapy. The goal is to see if the combination can shrink tumors or delay cancer growth.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- SPH4336 tablets (a targeted cancer drug) combined with letrozole or fulvestrant (hormone therapies)
- What this could lead to
- If successful, this could offer a new treatment option for people with advanced breast cancer whose current therapy has stopped working.
- What could go wrong
- This is an early-to-mid-stage trial, so the drug may not prove effective or safe enough for approval. Side effects from the combination are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 254 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2023
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patients who voluntarily participate in this study, completely understand this study, and voluntarily sign the informed consent form (ICF). 2. ECOG (Eastern Cooperative Oncology Group) performance status score of 0 or 1. 3. Life expectancy ≥ 3 months. 4. Patients with locally advanced or metastatic breast cancer who are unable to receive radical surgeries/other local therapies. 5. At least one measurable lesion. 6. Laboratory test results meet the relevant requirements for organ function. 7. Subjects who agree to take effective contraceptive measures. Exclusion Criteria: 1. Inflammatory breast cancer. 2. Patients unsuitable for endocrine therapy at the investigator's discretion. 3. History of other malignancies prior to the start of study treatment. 4. Patients with known metastases to central nervous system. 5. Taking anti-tumor traditional Chinese patent medicines at the time of signing the ICF. 6. Patients who underwent a surgery prior to the start of study treatment, and have not yet recovered from adverse reactions of the surgery. 7. Patients who participated in a clinical trial and received other investigational drugs before the start of study treatment. 8. Pregnant or lactating women. 9. History of myocardial infarction, unstable angina pectoris, severe arrhythmia, and symptomatic congestive heart failure before the start of study treatment; ≥ NYHA (New York Heart Association) Class II; mean QTc interval ≥ 470 ms before the start of study treatment; left ventricular ejection fraction ≤ 50% before the start of study treatment. 10. History of ischemic stroke or severe thromboembolic disease before the start of study treatment. 11. Hepatitis B surface antigen positive and HBV (Hepatitis B Virus) DNA \> 2,000 IU/mL or \> 104 copies/mL; HCV (Hepatitis C Virus) antibody positive and HCV RNA positive; or known HIV infection. 12. History of severe allergic diseases, history of severe drug allergies, or known allergy to any ingredient of the investigational product. 13. Presence of diseases or conditions that may impact drug administration or gastrointestinal absorption before the start of study treatment. 14. Presence of uncontrolled infections before the start of study treatment. 15. Known history of drug abuse, excessive drinking, or illegal drug use; history of confirmed neurological or mental disorders. 16. Presence of other diseases that the risks of receiving the study treatment outweigh its benefits, as determined by the investigator, or any other reason for which patients are ineligible for the study as assessed by the investigator.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for HR-positive, HER2-negative locally advanced or metastatic breast cancer are added.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
22 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Affiliated Cancer Hospital, Sun Yat-sen University
RECRUITINGGuangzhou, Guangdong, 510060, China
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Anyang Cancer Hospital
RECRUITINGAnyang, He'nan, 455001, China
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First Affiliated Hospital of Kunming Medical University
RECRUITINGKunming, China
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Fujian Cancer Hospital
RECRUITINGFuzhou, China
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General Hospital of Ningxia Medical University
RECRUITINGYinchuan, Ningxia, 750003, China
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Harbin Medical University cancer Hospital
RECRUITINGHarbin, Heilongjiang, 150081, China
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Jiangsu Cancer Hospital
RECRUITINGNanjing, Jiangsu, 210009, China
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Jiangsu Province Hospital
RECRUITINGNanjing, Jiangsu, 210029, China
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Jilin Cancer Hospital
RECRUITINGChangchun, Jilin, 130012, China
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Liuzhou people's Hospital
RECRUITINGLiuzhou, Guangxi, 545026, China
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Peking Union Medical College Hospital
RECRUITINGBeijing, 100730, China
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Shenzhen Hospital of University of Hong Kong
RECRUITINGShenzhen, China
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The First Affiliated Hospital of Bengbu Medical College
RECRUITINGBengbu, China
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The First Affiliated Hospital of Henan University of Science and Technology
RECRUITINGLuoyang, He'nan, 450052, China
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The First Affiliated Hospital of Xi'an Jiao Tong University
RECRUITINGXi’an, Shanxi, 710061, China
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The First Hospital of China Medical University
RECRUITINGShenyang, Liaoning, 110002, China
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The Fourth Hospital of Hebei Medical University
RECRUITINGShijiazhuang, Hebei, 050011, China
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The second people's hospital of neijiang
RECRUITINGNeijiang, Sichuan, 641199, China
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Tianjin Medical University Cancer Institute & Hospital
RECRUITINGTianjin, China
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Xiangyang Cancer Hospital
RECRUITINGWuhan, Hubei, 441021, China
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Yunnan Cancer Hospital
RECRUITINGKunming, Yunnan, 650118, China
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Zhejiang cancer Hospital
RECRUITINGHangzhou, Zhejiang, 310005, China
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- New hope for Drug-Resistant breast cancer: phase 3 trial launches