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OncoMatch/Clinical Trials/NCT06107673

Dalpiciclib Plus AI (Neoadjuvant Endocrine Therapy) Compared With Neoadjuvant Chemotherapy in Early Breast Cancer (EBC)

Is NCT06107673 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments for breast cancer.

Phase 2RecruitingHebei Medical University Fourth HospitalNCT06107673Data as of May 2026

Treatment: Dalpiciclib · Aromatase inhibitor · Docetaxel · Epirubicin Hydrochloride · CyclophosphamideThis study is a multi-center, randomized, prospective phase II clinical trial aimed at exploring and evaluating the efficacy of dalpiciclib combined with AI in neoadjuvant treatment for ER strong positive(ER≥50%),HER2-negative, Ki-67≤20%,T1-3N1M0 postmenopausal breast cancer. The primary objectives are to demonstrate non-inferiority in efficacy compared to chemotherapy and to assess its superior safety profile.

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Required: ESR1 strong positive for ER (≥50% tumor cells positive by IHC) (≥50% tumor cells positive by IHC)

Strong positive for ER: ER immunohistochemistry test shows 50% or more tumor cells positive.

Required: HER2 (ERBB2) negative (IHC (-, +) or (++) and ISH negative)

negative for HER2. HER2 negative: Immunohistochemistry (IHC) suggests HER2 (-, +) or (++) but in situ hybridization (ISH) indicates negative.

Disease stage

Excluded: Stage IV

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: chemotherapy

Exception: excluding diagnostic biopsy for primary breast cancer

Patients with a history of prior treatment with chemotherapy, endocrine therapy, or anti-HER2 biologic therapy for breast cancer (excluding diagnostic biopsy for primary breast cancer)

Cannot have received: endocrine therapy

Exception: excluding diagnostic biopsy for primary breast cancer

Patients with a history of prior treatment with chemotherapy, endocrine therapy, or anti-HER2 biologic therapy for breast cancer (excluding diagnostic biopsy for primary breast cancer)

Cannot have received: anti-HER2 biologic therapy

Exception: excluding diagnostic biopsy for primary breast cancer

Patients with a history of prior treatment with chemotherapy, endocrine therapy, or anti-HER2 biologic therapy for breast cancer (excluding diagnostic biopsy for primary breast cancer)

Lab requirements

Blood counts

NEUT# ≥ 1.5×10^9 /L; WBC ≥ 3.0×10^9 /L; Platelets ≥ 90×10^9 /L; Hemoglobin ≥ 90 g/L

Kidney function

Serum creatinine ≤ 1.5× ULN or creatinine clearance rate (Ccr) ≥ 60 ml/min

Liver function

Total bilirubin ≤ 1.5× ULN; ALT/AST ≤ 2× ULN

Cardiac function

baseline LVEF ≥ 50%, no significant cardiac diseases (≤ NYHA class I)

routine blood tests are essentially normal: Absolute neutrophil count (NEUT#) ≥ 1.5×10^9 /L; White blood cell count (WBC) ≥ 3.0×10^9 /L; Platelets ≥ 90×10^9 /L; Hemoglobin ≥ 90 g/L. liver and kidney function tests are essentially normal: Total bilirubin (TBIL) ≤ 1.5× ULN; ALT/AST ≤ 2× ULN; Serum creatinine ≤ 1.5× ULN or creatinine clearance rate (Ccr) ≥ 60 ml/min. baseline left ventricular ejection fraction (LVEF) ≥ 50%, no significant cardiac diseases (≤ NYHA class I).

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

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