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OncoMatch/Clinical Trials/NCT06998108

Study of BEBT-209 in Combination With Fulvestrant Versus Placebo in Combination With Fulvestrant in Patients With HR+/HER2- Locally Advanced or Metastatic Breast Cancer Who Have Progressed After Prior Endocrine Therapy

Is NCT06998108 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including BEBT-209 capsules and Fulvestrant for hr+/her2- locally advanced, metastatic breast cancer.

Phase 3RecruitingBeBetter Med IncNCT06998108Data as of May 2026

Treatment: BEBT-209 capsules · FulvestrantThis study is a randomized, double-blind, multicenter, placebo-controlled Phase III clinical trial designed to evaluate the efficacy and safety of BEBT-209 in combination with fulvestrant in patients with HR+/HER2- locally advanced or metastatic breast cancer.

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Required: ESR1 overexpression (≥10% of tumor cells showing positive staining for ER)

ER+ is defined as ≥10% of tumor cells showing positive staining for ER

Required: PR (PGR) overexpression (≥10% of tumor cells showing positive staining for PR)

PR+ is defined as ≥10% of tumor cells showing positive staining for PR

Required: HER2 (ERBB2) negative (IHC score of 0 or 1+, or FISH ratio of HER2/CEP17 < 2.0, or HER2 gene copy number < 4)

HER2- is defined as an immunohistochemistry(IHC) score of 0 or 1+, or a fluorescence in situ hybridization(FISH) ratio of HER2/CEP17 less than 2.0, or HER2 gene copy number less than 4

Disease stage

Metastatic disease required

Evidence of focal recurrence or metastasis, not suitable for curative surgery or radiotherapy, and without clinical indications necessitating chemotherapy.

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: endocrine therapy (aromatase inhibitor, selective estrogen receptor modulator, tamoxifen, toremifene) — adjuvant or metastatic

progression during or within 12 months after discontinuation of adjuvant endocrine therapy (with an aromatase inhibitor [aromatase inhibitor or selective estrogen receptor modulator such as tamoxifen, toremifene, etc.]); progression during or within 1 month after discontinuation of endocrine therapy for first recurrence or metastasis

Cannot have received: fulvestrant (fulvestrant)

Previous treatment with fulvestrant

Cannot have received: mTOR inhibitor (everolimus)

Previous treatment with everolimus

Cannot have received: CDK4/6 inhibitor

Previous treatment with...CDK4/6 inhibitors

Lab requirements

Blood counts

ANC ≥1.5×10⁹/L (without use of growth factors within 14 days); platelets ≥100×10⁹/L (without corrective treatment within 7 days); hemoglobin ≥90 g/L (without corrective treatment within 7 days)

Kidney function

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

Liver function

AST and ALT ≤2.5x ULN (≤5x ULN for patients with liver metastases); total serum bilirubin (TBIL) ≤2.5x ULN

Cardiac function

12-lead ECG: Fridericia-corrected QT interval (QTcF) < 470 msec (for females)

Adequate organ and marrow function, defined as follows: absolute neutrophil count (ANC) ≥1.5×10⁹/L (without use of growth factors within 14 days); platelets ≥100×10⁹/L (without corrective treatment within 7 days); hemoglobin ≥90 g/L (without corrective treatment within 7 days); serum creatinine ≤1.5 times the upper limit of normal (ULN) or estimated creatinine clearance ≥60 mL/min; aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5 times the ULN (≤5 times the ULN for patients with liver metastases); total serum bilirubin (TBIL) ≤2.5 times the ULN; 12-lead electrocardiogram: Fridericia-corrected QT interval (QTcF) < 470 msec (for females).

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

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