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OncoMatch/Clinical Trials/NCT05949541

Efficacy of Everolimus Combined With First-line Endocrine Therapy for HR+/HER2- SNF1-subtype Advanced Breast Cancer

Is NCT05949541 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Everolimus 10 mg and CDK4/6 Inhibitor SHR6390 for breast cancer.

Phase 2RecruitingFudan UniversityNCT05949541Data as of May 2026

Treatment: Everolimus 10 mg · CDK4/6 Inhibitor SHR6390 · Aromatase inhibitor and Fulvestrant combined with CDK4/6 inhibitorsThis is a randomized, controlled, open-label, phase II study to explore the efficacy and safety of Everolimus in combination with standard first-line endocrine therapy for the HR+/ HER2-SNF1 subtype of advanced breast cancer. The study was used to explore the efficacy of Everolimus in combination with standard endocrine therapy.

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Required: ESR1 overexpression (IHC ER >10%)

IHC ER >10%

Required: PR (PGR) overexpression (IHC PR >10%)

PR>10%

Required: HER2 (ERBB2) wild-type (HER2 0 or +, if HER2++, FISH negative)

HER 0 OR +, if HER2++, FISH negative

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: CDK4/6 inhibitor

Exception: allowed if adjuvant CDK4/6 inhibitor therapy ended more than one year ago

without using adjuvant CDK4/6 inhibitors in the past, or one year after adjuvant CDK4/6 inhibitor therapy has ended

Cannot have received: chemotherapy

No prior therapy (chemotherapy, targeted therapy, etc.) for advanced or metastatic breast cancer

Cannot have received: targeted therapy

No prior therapy (chemotherapy, targeted therapy, etc.) for advanced or metastatic breast cancer

Cannot have received: radiotherapy

Radiotherapy, chemotherapy, surgery, other targeted therapy and immunotherapy for advanced HR+/HER2- breast cancer within 4 weeks prior to first administration of drugs used in this study.

Cannot have received: surgery

Radiotherapy, chemotherapy, surgery, other targeted therapy and immunotherapy for advanced HR+/HER2- breast cancer within 4 weeks prior to first administration of drugs used in this study.

Cannot have received: immunotherapy

Radiotherapy, chemotherapy, surgery, other targeted therapy and immunotherapy for advanced HR+/HER2- breast cancer within 4 weeks prior to first administration of drugs used in this study.

Lab requirements

Blood counts

HB≥90g/L (no blood transfusion within 14 days); ANC≥1.5×10^9/L; PLT≥75×10^9/L

Kidney function

Serum Cr ≤1.5×ULN, endogenous creatinine clearance > 50ml/min (Cockcroft-Gault formula)

Liver function

TBIL≤1.5×ULN; ALT and AST≤3 x ULN; In case of liver metastasis, ALT and AST≤5×ULN

The functions of the main organs are basically normal, and the following conditions are met: Blood routine examination standards should meet: HB≥90g/L (no blood transfusion within 14 days); ANC≥1.5×10^9/L; PLT≥75×10^9/L; Biochemical examination shall meet the following standards: TBIL≤1.5×ULN (upper limit of normal value); ALT and AST≤3 x ULN; In case of liver metastasis, ALT and AST≤5×ULN; Serum Cr ≤1.5×ULN, endogenous creatinine clearance > 50ml/min (Cockcroft-Gault formula);

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

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