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OncoMatch/Clinical Trials/NCT07467330

Dalpiciclib Combined With Endocrine Therapy and Metronomic Capecitabine vs Dalpiciclib Combined With Endocrine Therapy for First-line Treatment

Is NCT07467330 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including dalpiciclib + capecitabine + endocrine therapy and dalpiciclib + endocrine therapy for breast cancer.

Phase 3RecruitingFujian Cancer HospitalNCT07467330Data as of May 2026

Treatment: dalpiciclib + capecitabine + endocrine therapy · dalpiciclib + endocrine therapyThis study is an open-label, multicenter, randomized controlled study. It is planned to include 258 patients with HR +/HER2- advanced breast cancer with visceral metastases. Eligible subjects will be randomized 1:1 to receive dalpiciclib in combination with endocrine therapy and metronomic capecitabine chemotherapy in the experimental arm and dalpiciclib in combination with endocrine therapy in the control arm. Randomization was stratified by the number of lines of therapy for recurrent metastases (0 versus 1) and endocrine therapy (AI versus fulvestrant).

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Required: ESR1 overexpression (ER-positive (≥ 1% of tumor cells))

ER-positive and/or PR-positive are defined as having positively stained tumor cells representing ≥ 1% of all tumor cells

Required: PR (PGR) overexpression (PR-positive (≥ 1% of tumor cells))

ER-positive and/or PR-positive are defined as having positively stained tumor cells representing ≥ 1% of all tumor cells

Required: HER2 (ERBB2) negative (0/1+ by IHC; HER2/CEP17 ratio < 2.0 by ISH or HER2 gene copy number < 4)

HER2-negative are defined as having 0/1 + by standard immunohistochemistry (IHC); HER2/CEP17 ratio of less than 2.0 by ISH or HER2 gene copy number of less than 4

Disease stage

Required: Stage IV

Metastatic disease required

Performance status

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

Prior therapy

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

Cannot have received: CDK4/6 inhibitor

patients who have previously been treated with CDK4/6 inhibitors

Cannot have received: antimetabolite (capecitabine)

patients who have previously been treated with ... capecitabine

Cannot have received: endocrine therapy

Exception: relapse within 2 years of adjuvant endocrine therapy

patients who relapse within 2 years of adjuvant endocrine therapy

Lab requirements

Blood counts

neutrophil count (ANC) ≥ 1,500/mm3 (1.5 x 10^9 L) (no growth factors used within 14 days); platelet count (PLT) ≥ 100,000/mm3 (100 x 10^9 L) (no corrective treatment used within 7 days); hemoglobin (Hb) ≥ 8 g/dL (80 g/L) (no corrective treatment used within 14 days)

adequate bone marrow function, defined as follows: a) neutrophil count (ANC) ≥ 1,500/mm3 (1.5 x 10^9 L) (no growth factors used within 14 days); b) platelet count (PLT) ≥ 100,000/mm3 (100 x 10^9 L) (no corrective treatment used within 7 days); c) hemoglobin (Hb) ≥ 8 g/dL (80 g/L) (no corrective treatment used within 14 days)

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

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