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OncoMatch/Clinical Trials/NCT06753747

A Trial of the Combination of Afatinib and Palbociclib in Previously Treated Advanced Esophageal Squamous Cell Carcinoma

Is NCT06753747 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including Palbociclib and Afatinib(30mg) for esophagus cancer.

Phase 1/2RecruitingWest China HospitalNCT06753747Data as of May 2026

Treatment: Palbociclib · Afatinib(30mg) · Afatinib(40mg) · Afatinib(RP2D)The goal of this clinical trial is to learn if Afatinib plus Palbociclib works in previously treated recurrent or metastatic esophageal squamous cell carcinoma. It will also learn about the safety of the combination of Afatinib and Palbociclib. The main questions it aims to answer are: What is the safe and tolerable dose of Afatinib when combined with 100 mg of Palbociclib (administered orally, three weeks on and one week off)? Does the combination therapy of Afatinib and Palbociclib induce a tumor response in patients with recurrent or metastatic esophageal squamous cell carcinoma who have received prior treatments?

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Extracted eligibility criteria

Cancer type

Esophageal Carcinoma

Biomarker criteria

Required: EGFR overexpression (IHC 3+)

Immunohistochemistry confirmed EGFR(3+)...only patients with EGFR overexpression will be included in Phase 2

Required: EGFR amplification

EGFR-FISH-amplification or next generation sequencing confirmed EGFR-amplification

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: anti-tumor therapy — first-line or subsequent lines

Disease progression after first-line or subsequent lines of therapy.

Cannot have received: EGFR inhibitor

Prior use of EGFR inhibitors

Cannot have received: CDK4/6 inhibitor

Prior use of...CDK4/6 inhibitors

Lab requirements

Blood counts

Hemoglobin ≥ 90 g/L; ANC ≥ 1.5 × 10⁹/L; Platelet count ≥ 75 × 10⁹/L

Kidney function

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

Liver function

Total bilirubin ≤ 1.5 × ULN; ALT and AST ≤ 2.5 × ULN (≤ 5 × ULN with liver metastases)

Cardiac function

Left ventricular ejection fraction (LVEF) ≥ 50% by Doppler ultrasound

Adequate organ function within 7 days prior to treatment initiation, meeting the following criteria: Hematology (without transfusion, blood products, or administration of G-CSF or other hematopoietic stimulants within the past 14 days): Hemoglobin (Hb) ≥ 90 g/L; Absolute neutrophil count (ANC) ≥ 1.5 × 10⁹/L; Platelet count (PLT) ≥ 75 × 10⁹/L. Serum biochemistry: Total bilirubin (TBIL) ≤ 1.5 × ULN; Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 × ULN; for patients with liver metastases, ALT and AST ≤ 5 × ULN; Serum creatinine (Cr) ≤ 1.5 × ULN or creatinine clearance (CCr) ≥ 60 mL/min. Cardiac function: Left ventricular ejection fraction (LVEF) ≥ 50%, as assessed by Doppler ultrasound. Coagulation: International normalized ratio (INR) or prothrombin time (PT) ≤ 1.5 × ULN.

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

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