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OncoMatch/Clinical Trials/NCT05601440

Liquid-biopsy Informed Platform Trial to Evaluate CDK4/6-inhibitor Resistant ER+/HER2- Metastatic Breast Cancer

Is NCT05601440 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments for breast cancer.

Phase 2RecruitingCanadian Cancer Trials GroupNCT05601440Data as of May 2026

Treatment: RP-6306 · Gemcitabine · Niraparib · Fulvestrant · RP-3500 · CFI-402257 · CFI-400945 · Sacituzumab govitecanThis study is being done to answer the following question: Can testing breast cancer for DNA abnormalities or "biomarkers" help predict which patients are most likely to be helped by certain treatments? The pre-study screening is being done to test a sample of blood (or tumour tissue) for biomarkers to see if patients can participate in the study

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Required: ESR1 overexpression (ER >10%)

ER >10%

Required: HER2 (ERBB2) wild-type (not HER2 overexpressing/amplified as per ASCO/CAP criteria)

not HER2 overexpressing/amplified as per ASCO/CAP criteria

Disease stage

Required: Stage IV

Metastatic disease required

advanced / metastatic breast cancer, ER >10% and not HER2 overexpressing/amplified as per ASCO/CAP criteria. Patients with locally advanced or inflammatory disease without distant metastases that is potentially resectable or treatable with curative intent are not eligible

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: CDK4/6 inhibitor — first line for advanced/metastatic disease, in combination with endocrine therapy

objective disease progression demonstrated on (defined as while taking or within 8 weeks of the last dose) first line CDK4/6i + ET for MBC. Patients must have received at least 24 weeks of first line CDK4/6i + ET therapy

Cannot have received: cytotoxic chemotherapy

Exception: adjuvant/neoadjuvant setting allowed; not permitted in palliative setting

cytotoxic chemotherapy or antibody drug conjugates (ADC) in the palliative setting are not permissible

Cannot have received: antibody-drug conjugate

Exception: adjuvant/neoadjuvant setting allowed; not permitted in palliative setting

cytotoxic chemotherapy or antibody drug conjugates (ADC) in the palliative setting are not permissible

Lab requirements

Blood counts

Hemoglobin ≥90 g/L; Absolute neutrophils ≥ 1.5 x 10^9/L (1500/µL); Platelets ≥ 100 x 10^9/L (100 x 10^3/µL)

Kidney function

Serum creatinine ≤ 1.5 x ULN, Creatinine clearance ≥50 mL/min

Liver function

Bilirubin ≤ 1.5 x ULN; AST & ALT ≤ 2.5 x ULN (≤ 5.0 x ULN if liver metastases)

Cardiac function

LVEF ≥ 50%

Hemoglobin ≥90 g/L; Absolute neutrophils ≥ 1.5 x 10^9/L (1500/µL); Platelets ≥ 100 x 10^9/L (100 x 10^3/µL); Bilirubin ≤ 1.5 x ULN; AST & ALT ≤ 2.5 x ULN (≤ 5.0 x ULN if patient has liver metastases); Serum creatinine ≤ 1.5 x ULN, Creatinine clearance ≥50 mL/min; LVEF ≥ 50%

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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