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OncoMatch/Clinical Trials/NCT06374459

Zunsemetinib in Combination With Capecitabine in Patients With Hormone Receptor-Positive and HER2-Negative Metastatic Breast Cancer With Bone Metastasis

Is NCT06374459 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including Zumsemetinib and Capecitabine for hormone receptor positive her-2 negative metastatic breast cancer.

Phase 1/2RecruitingWashington University School of MedicineNCT06374459Data as of May 2026

Treatment: Zumsemetinib · Capecitabine · Zoledronic acid · DenosumabThis is a phase Ib/II study evaluating the safety and efficacy of zunsemetinib (ATI-450) with capecitabine in patients with hormone receptor-positive and HER2-negative (HR+/HER2-) metastatic breast cancer (MBC).

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Required: ESR1 hormone receptor-positive

Hormone receptor-positive

Required: HER2 (ERBB2) HER2-negative

HER2-negative

Disease stage

Metastatic disease required

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Max 1 prior line

Must have received: endocrine therapy

Patient must have received prior endocrine therapy

Must have received: CDK4/6 inhibitor

Patient must have received prior endocrine therapy with CDK4/6 inhibitor

Cannot have received: capecitabine (capecitabine)

Exception: Phase Ib: capecitabine is not counted as a prior chemotherapy regimen in these patients; Phase II: prior capecitabine in the metastatic setting excluded

Prior capecitabine in the metastatic setting [Phase II exclusion]; capecitabine is not counted as a prior chemotherapy regimen in these patients [Phase Ib]

Lab requirements

Blood counts

Leukocytes ≥ 3 K/cumm; ANC ≥ 1.5 K/cumm; Platelets ≥ 100 K/cumm

Kidney function

Creatinine clearance > 60 mL/min by Cockcroft-Gault

Liver function

Total bilirubin ≤ 1.5 x IULN (or ≤ 3 mg/dL if Gilbert Syndrome); AST(SGOT)/ALT(SGPT) ≤ 3.0 x IULN

Adequate bone marrow and organ function as defined below: Leukocytes ≥ 3 K/cumm; ANC ≥ 1.5 K/cumm; Platelets ≥ 100 K/cumm; Total bilirubin ≤ 1.5 x IULN (or ≤ 3 mg/dL if Gilbert Syndrome); AST(SGOT)/ALT(SGPT) ≤ 3.0 x IULN; Creatinine clearance > 60 mL/min by Cockcroft-Gault; Calcium within normal limits

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

US trial sites

  • The University of Kansas Cancer Center · Westwood, Kansas
  • Mayo Clinic · Rochester, Minnesota
  • Washington University School of Medicine · St Louis, Missouri

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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