ClinicalTrials.gg
Not yet recruitingNCT07826052ELDERUpdated Sep 17, 2026

Chemotherapy Exemption in Elderly Women With Node-Positive ER+/HER2- Breast Cancer

A Phase 2 interventional study of CDK4/6 inhibitor and Endocrine Therapy (Optional) in Breast Cancer and Adjuvant Therapy, sponsored by Fudan University. Not yet recruiting. Open to female participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2026-09-17.

Sponsored by Fudan University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
494
Allocation
Not applicable
Ages
65 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 260 studies in Breast Neoplasms by Fudan University — 123 open to participants now, 143 under way, 31 of them phase 3. Breast Neoplasms · Fudan University.

Planned enrollment
49th of 199
494 · median 170
Started
2026
with 35 others
Phase 2
97 of 260
48 open now
Primary completion
2031-09
later than 132 of 141 live
Registered
253rd of 260
by date

Among the 260 studies in Breast Neoplasms by Fudan University, this one is the 49th largest by planned enrollment of the 199 interventional ones, is one of 36 that started in 2026, is one of 97 in phase 2, reaches primary completion later than 132 of the 141 other live ones, and was the 253rd registered.

By phase

260 studies; the count open now beside each. This study's row is marked.

Phase 2this study97 · 48 open
Observational60 · 18 open
Phase 347 · 26 open
No phase35 · 19 open
Phase 1/29 · 5 open
Phase 45 · 4 open
Phase 2/34 · 1 open
Phase 12 · 1 open
Other kind1 · 1 open

By the year they started

First in 2003; this study’s year is marked. 36 started in 2026.

Size and results

Median enrollment 170 across the 199 interventional studies, 179 across the 60 observational. Of the 64 that completed or were terminated, 0 (0%) have results posted.

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02

Study summary

This study is a prospective, open-label, multicenter, single-arm Phase II clinical trial. Based on the use of CDK4/6 inhibitors in endocrine-sensitive luminal-type (ER+/HER2-) breast cancer, it aims to explore the possibility of chemotherapy exemption in elderly patients (aged >65 years) with lymph node-positive, HR+/HER2- breast cancer.

03

Conditions studied

  • Breast Cancer
  • Adjuvant Therapy

Browse trials for

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

- 1. Age: Female patients aged ≥65 years. 2. Disease Status: confirmed early-stage breast cancer after surgery with ER expression ≥50% AND one of the following:

  1. ≥4 positive lymph nodes
  2. 1-3 positive lymph nodes plus at least one of the following high-risk features: i. High-risk multigene assay result ii. Primary tumor size >2 cm iii. Histologic grade 3 iv. Lymphovascular invasion (LVI) positive v. Ki-67 >20% 3. Treatment Acceptance: Willing to receive CDK4/6 inhibitor therapy. 4. Performance Status: score 0-2. 5. Adequate Organ Function:

a) Hematology (within 14 days, no transfusion): i. (Hb) ≥90 g/L ii. (ANC) ≥1.5×10⁹/L iii. (PLT) ≥100×10⁹/L b) Biochemistry: i. Total (TBIL) ≤1.5× ii. /AST ≤3×ULN iii. Serum creatinine (Cr) ≤1×ULN iv. Estimated (CrCl) >50 mL/min (Cockcroft-Gault formula) 6. Consent \& Compliance: Willing to participate, sign , and comply with follow-up.

Exclusion criteria

Exclusion Criteria:

  • Patients who have received therapy (including chemotherapy, targeted therapy, radiotherapy, or endocrine therapy).

    2. Bilateral breast cancer. 3. History of other , except: Cured basal cell carcinoma of the skin; Carcinoma in situ of the cervix 4. Distant (any site). 5. Any T4 lesion (UICC 1987 TNM staging), including: Skin invasion; Fixed mass adherence; Inflammatory breast cancer 6. Concurrent participation in other clinical trials. 7. Severe organ dysfunction (cardiac, pulmonary, hepatic, or renal), including:

    a) \<50% (by echocardiography) b) Major cardiovascular/cerebrovascular events within 6 months before randomization: i. Unstable angina ii. Chronic heart failure iii. Uncontrolled hypertension (>150/90 mmHg) iv. Myocardial infarction or stroke c) Poorly controlled diabetes mellitus d) Severe hypertension 8. Known allergy to taxane-based drugs or their . 9. Severe or uncontrolled infections. 10. History of psychoactive drug abuse (unable to abstain) or psychiatric disorders.

    11. Patients deemed ineligible by investigator assessment. 12. Refusal to receive adjuvant CDK4/6 inhibitor therapy.

Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
494 participants (estimated)

Study arms

  • Experimental
    Chemo-free

    A chemotherapy-sparing approach using CDK4/6 inhibitor combined with aromatase inhibitor (minimum 5-year duration).

    Drug: CDK4/6 inhibitor · Drug: Endocrine Therapy (Optional)

Interventions

  • DrugCDK4/6 inhibitor

    (abemaciclib/ribociclib/dalpiciclib/palbociclib)

  • DrugEndocrine Therapy (Optional)

    Endocrine therapy (letrozole/anastrozole/exemestane)

This study also gives Palbociclib, Ribociclib, Abemaciclib, Anastrozole, Exemestane. No intervention listed here names it: that was found by reading the record.

06

What researchers measure

Primary outcomes

  1. 5-years Invasive disease free survival

    5-year invasive disease-free survival (iDFS), defined as the time from randomization to the first occurrence of: local recurrence, distant metastasis, contralateral invasive breast cancer, death from any cause.

    Time frame: 5 years

Secondary outcomes

  1. Overall Survival (OS)

    OS is defined as the time from randomisation until the date of death due to any cause.

    Time frame: Approximately 5 years

  2. Safety including adverse events (AEs), severe adverse events (SAEs) and adverse events of special interest (AESI).

    ncidence of AEs, SAE, AESIs (interstitial lung disease, LVEF decrease), AEs resulting in study intervention interruption and discontinuation, etc.

    Time frame: Up to approximately 3 years

  3. Geriatric assessment (G-8)

    Modified Geriatric-8 (G-8) screening tool

    Time frame: Up to approximately 3 years

  4. Clinical Frailty Scale

    Clinical Frailty Scale (CFS, version 2.0)

    Time frame: Up to approximately 3 years

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Sep 2031, 60 months later.

Of 1,070 non-industry phase 2 interventional studies under Breast Neoplasms, half reached primary completion within 56 months of starting (the median), counting those still running; a quarter within 34 and three quarters within 87. This study's planned 60 months is close to that.

Counting every sponsor, half of 1,302 studies reached it within 51 months; a quarter within 30 and three quarters within 82.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 12, 2026
First posted
Sep 17, 2026
StartEst.
Sep 15, 2026
Primary completionEst.
Sep 30, 2031
CompletionEst.
Oct 1, 2035
Last update
Sep 17, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07826052
Lead sponsor
Fudan University
Responsible party
Zhimin Shao (Director of General Surgery of Fudan Shanghai Cancer Center, Fudan University) — Principal investigator
First posted
Sep 17, 2026
Start date
Sep 15, 2026 (estimated)
Primary completion
Sep 30, 2031 (estimated)
Completion
Oct 1, 2035 (estimated)
Last update
Sep 17, 2026

Study contacts

Zhimin shao, MD, PhD
Contact
zhi_ming_shao@163.com
+86-021-64175590
jianjing hou
Contact
zhi_ming_shao@163.com
zhiming shao
principal investigator · Fudan University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drugs tested here: Palbociclib · Ribociclib · Anastrozole · Exemestane

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