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OncoMatch/Clinical Trials/NCT06254690

The Dosing Regimen of Pyrotinib in HER2-positive Advanced First-line Breast Cancer: a Phase II Clinical Study

Is NCT06254690 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies multiple treatments including Pyrotinib dose escalation and Pyrotinib dose normal for breast cancer.

Phase 2RecruitingThe First Affiliated Hospital with Nanjing Medical UniversityNCT06254690Data as of Jun 2026Location: China

Treatment: Pyrotinib dose escalation · Pyrotinib dose normalEvaluate the safety and efficacy of Pyrotinib in the transition from low-dose to normal-dose regimen for HER2-positive advanced first-line breast cancer

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Extracted eligibility criteria

Treatments studied

Other

Pyrotinib dose escalationPyrotinib dose normal

Cancer type

Breast Carcinoma

Biomarker criteria

Required: HER2 (ERBB2) overexpression (IHC 3+ or IHC 2+ with FISH+)

HER2-positive expression refers to those with at least one tumor cell immunohistochemical staining intensity of 3+ or 2+ positive by fluorescence in situ hybridization [FISH]

Disease stage

Required: Stage IV

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Ages ≤ 70
Female only

Prior therapy

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

Cannot have received: HER2 tyrosine kinase inhibitor

Any previous tyrosine kinase inhibitor therapy against HER2 target

Cannot have received: antitumor therapy

Any antitumor therapy within 4 weeks prior to enrollment

Lab requirements

Blood counts

ANC ≥1.5×10^9/L; Platelet ≥100×10^9/L; Hemoglobin ≥9g/dL; Serum albumin ≥3g/dL

Kidney function

Serum creatinine ≤1.5x ULN or creatinine clearance ≥60mL/min

Liver function

Bilirubin ≤1.5 ULN; ALT and AST ≤2.5x ULN; AKP ≤2.5x ULN

Vital organ function meets the following requirements ... Absolute neutrophil (ANC) count ≥1.5×109/L; Platelet (PLT) ≥100×109/L; Hemoglobin (HB) ≥9g/dL; Serum albumin ≥3g/dL; Thyroid stimulating hormone (TSH) ≤ULN (if abnormal, T3 and T4 levels should be investigated at the same time, if T3 and T4 levels are normal, they can be included in the group); Bilirubin ≤1.5 ULN; Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5 times ULN; Alkaline phosphatase (AKP) ≤ 2.5 times ULN; Serum creatinine (Cr) ≤1.5 times ULN or creatinine clearance ≥60mL/min.

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

Frequently asked questions

Is NCT06254690 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Does this trial require ERBB2?

Yes, ERBB2 overexpression is a required biomarker for enrollment.

What disease stage is eligible?

Stage IV is required (metastatic disease required).

Is there an age limit?

Yes. Patients must be 70 years or younger.

Is this trial open to male patients?

No. This trial enrolls female patients only.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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