This is a multicenter, randomized, open-label, 3-arm Phase 3 study to evaluate the efficacy and safety of Fluzoparib alone or with Apatinib versus Physicians Choice Chemotherapy, as treatment, in patients with a Germline BRCA Mutation and HER2-negative Metastatic Breast Cancer. The study contains a Safety Lead-in Phase in which the safety and tolerability of Fluzoparib+Apatinib will be assessed prior to the Phase 3 portion of the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
474
Fluzoparib Orally twice daily; Apatinib Orally once daily
Fluzoparib Orally twice daily
Investigators will declare one of the following regimens: Capecitabine Vinorelbine
Jiangsu HengRui Medicine Co., Ltd.
Shanghai, China
RECRUITING(Safety Lead-in) dose limited toxicity (DLT)
dose limited toxicity (DLT) of Fluzoparib+Apatinib in the first cycle
Time frame: up to 21 days
(Safety Lead-in) Recommended Phase II Dose (RP2D)
Recommended Phase II Dose (RP2D) of Fluzoparib+Apatinib
Time frame: up to 21 days
(Phase 3) Progression free survival(PFS) in HER2-negative Metastatic Breast Cancer patients
Defined as progression free survival per RECIST 1.1 criteria according to BIRC criteria
Time frame: Radiological scans performed at baseline then every ~6 weeks up to 30 weeks, then every ~ 9 weeks thereafter until objective radiological disease progression. Assessed up to a maximum of 30 months
AEs+SAEs
Adverse Events and Serious Adverse Events
Time frame: from the first drug administration to within 30 days for the last treatment dose
PFS by investigator's assessment
Progression-Free-Survival
Time frame: up to 30 months
OS
OS is the time interval from the start of treatment to death due to any reason or lost of follow-up
Time frame: up to 30 months
Patient Reported Outcomes (PROs) assessed by EORTC QLQ C30 questionnaire
Comparison of the Quality of Life in study arms assessed by EORTC QLQ C30 questionnaire
Time frame: up to 30 months
Time to progression on the next anticancer therapy (PFS2)
From date of start of next anticancer therapy to date of first documented progression of date of death from any cause, whichever comes first
Time frame: up to 30 months
Objective Response Rate (ORR)
Number of responders Assessed by Modified Response Evaluation Criteria In Solid Tumours (RECIST v1.1) for target lesions assessed by CT or MRI
Time frame: up to 30 months
Disease control rate (DCR)
Complete response + Partial response + Stable disease (CR+PR+SD) based on RECIST 1.1
Time frame: up to 30 months
Duration of response (DoR)
Time from documentation of tumor response to disease progression assessed among patients who had an objective response
Time frame: up to 30 months
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