Evidence map›Paper›PMID 41413016›Full record

Trial reportSignal transduction and targeted therapy2025

Novel CDK2/4/6 inhibitor culmerciclib (TQB3616) plus fulvestrant in previously treated, HR-positive, HER2-negative advanced breast cancer: a randomized, double-blind, phase 3 trial.

Yongmei Yin, Qingyuan Zhang, Tao Sun, Chunfang Hao, Zhihong Wang, Jin Yang, Yongsheng Wang, Yanxia Shi, Jing Sun, Quchang Ouyang and 47 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Signal transduction and targeted therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05375461 (A Phase III,Randomized, Double-blind, Paralle, Multi-center Study to Evaluate the Efficacy and Safety of TQB3616 Capsules Plus Fulvestrant Compared to Placebo Plus Fulvestrant in Participants With Hormone Receptor), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05375461 phase3completednot on this map

A Phase III,Randomized, Double-blind, Paralle, Multi-center Study to Evaluate the Efficacy and Safety of TQB3616 Capsules Plus Fulvestrant Compared to Placebo Plus Fulvestrant in Participants With Hormone Receptor (HR)-Positive, Human Epidermal Growth Factor Receptor(EGFR) 2-Negative Advanced Breast Cancer

TypeinterventionalSponsorChia Tai Tianqing Pharmaceutical Group Co., Ltd.Ran2022 to 2025Enrolled293ConditionsHR-positive,HER2-negative in Advanced Breast CancerArmsTQB3616 capsules, TQB3616-matching placebo, Fluvestrin injection
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. CK8/18 and Claudin Profile of Female Breast Cancers from Botswana.Breast cancer : basic and clinical research · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

57 authors.

Yongmei Yin *Department of Oncology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu, China. ym.yin@hotmail.com.
Qingyuan Zhang *Breast Internal Medicine Ward 1, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China.
Tao SunDepartment of Breast Internal Medicine, Liaoning Cancer Hospital & Institute, Shenyang, Liaoning, China.
Chunfang HaoDepartment of Breast Oncology, Tianjin Medical University Cancer Institute & Hospital/Tianjin Cancer Hospital Airport Hospital, Tianjin, China.
Zhihong WangDepartment of Breast and Thyroid Surgery, the Affiliated Cancer Hospital of Guizhou Medical University, Guiyang, Guizhou, China.
Jin YangDepartment of Oncology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Yongsheng WangBreast Surgery Ward One, Shandong Cancer Hospital, Jinan, Shandong, China.
Yanxia ShiDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China.
Jing SunDepartment of Oncology, Anyang Tumor Hospital, Anyang, Henan, China.
Quchang OuyangDepartment of Breast Internal Medicine, Hunan Cancer Hospital, Changsha, Hunan, China.
Haichuan SuDepartment of Oncology, the Second Affiliated Hospital of Chinese PLA Air Force Medical University, Xi'an, Shaanxi, China.
Jinsheng WuDepartment of Radiation Oncology, the First Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.
Lu GanDepartment of Medical Oncology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Meng HanDepartment of Breast Surgery, the First hospital of Qinhuangdao, Qinhuangdao, Hebei, China.
Liming GaoDepartment of Oncology, the First hospital of Qinhuangdao, Qinhuangdao, Hebei, China.
Xiaojia WangDepartment of Breast Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Bing ZhaoDepartment of Breast Internal Medicine, Cancer Hospital of Xinjiang medical University, Urumqi, Xinjiang, China.
Hui LiDepartment of Breast Surgery, Sichuan Cancer Hospital, Chengdu, Sichuan, China.
Jiuda ZhaoBreast Disease Diagnosis and Treatment Center, Qinghai University Affiliated Hospital, Xining, Qinghai, China.ORCID 0000-0002-1266-8943
Hongwei YangDepartment of Breast and Thyroid Surgery, Suining Central Hospital, Suining, Sichuan, China.
Fangling NingDepartment of Oncology, Binzhou Medical College Affiliated Hospital, Binzhou, Shandong, China.
Fuguo TianDepartment of Breast surgery, Shanxi Cancer Hospital, Taiyuan, Shanxi, China.
Juliang ZhangDepartment of Thyroid and breast vascular surgery, The First Affiliated Hospital of Chinese PLA Air Force Medical University, Xi'an, Shaanxi, China.
Hongmei SunDepartment of Oncology, Jiamusi Cancer Hospital, Jiamusi, Heilongjiang, China.
Zhaofeng NiuDepartment of Breast, Yuncheng Central Hospital, Yuncheng, Shanxi, China.
Hong ZongDepartment of Oncology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Aimin ZangDepartment of Oncology, Affiliated Hospital of Hebei University, Baoding, Hebei, China.
Xinshuai WangDepartment of Breast Oncology, the First Affiliated Hospital of Henan University of Science & Technology, Luoyang, Henan, China.
Xinyu QianDepartment of Oncology, Hangzhou Cancer Hospital, Hangzhou, Zhejiang, China.
Shikai WuDepartment of Medical Oncology, Peking University First Hospital, Beijing, China.
Jianyun NieDepartment of Breast Surgery III, Yunnan Cancer Hospital, Kunming, Yunnan, China.
Lijia HeDepartment of Oncology, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Ying ChengDepartment of Oncology, Jilin Cancer Hospital, Jilin, Changchun, China.ORCID 0000-0001-9908-597X
Yanrong HaoDepartment of Oncology, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China.
Yi ZhaiDepartment of Oncology, Zibo Central Hospital, Zibo, Shandong, China.
Huiping LiDepartment of Breast Oncology, Peking University Cancer Hospital & Institute, Beijing, China.
Jingfen WangMammary gland, Linyi Cancer Hospital, Linyi, Shandong, China.
Shihong WeiDepartment of Radiation Oncology II, Gansu Provincial Cancer Hospital, Lanzhou, Gansu, China.
Man LiDepartment of Breast Oncology, the Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Yunjiang LiuBreast Center, the Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Hongqiang GuoDepartment of Breast lymphatic, Henan Cancer Hospital, Zhengzhou, Henan, China.
Qun HuDepartment of Oncology, the Affiliated Hospital of Mongolia Medical University, Hohhot, Inner Mongolia, China.
Lina LiuDepartment of Breast Oncology, Nanyang Second General Hospital, Nanyang, Henan, China.
Xinghua HanDepartment of Oncology, Anhui Provincial Hospital, Hefei, Anhui, China.
Ruizhen LuoDepartment of Breast Oncology, Cangzhou Hospital of Integrated TCM-WM Hebei, Cangzhou, Hebei, China.
Mingli NiDepartment of Oncology, Luoyang Central Hospital, Luoyang, Henan, China.
Xianjun TangBreast Tumor Center, Chongqing Cancer Hospital, Chongqing, China.
Zhenhua ZhaiDepartment of Breast Internal Medicine, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning, China.
Meiqian DingDepartment of Radiotherapy Oncology, Lu'an Hospital of Traditional Chinese Medicine, Lu'an, Anhui, China.
Haibo WangBreast Disease Treatment Center, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
Peng ShenDepartment of Oncology, the First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Xian WangDepartment of Internal Medicine-Oncology, Shao Yifu Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Lian LiuDepartment of Oncology, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Wenyan ChenDepartment of Breast Oncology, the Third Hospital of Nanchang, Nanchang, Jiangxi, China.
Gang LiuDepartment of Oncology III, Mudanjiang Cancer Hospital, Mudanjiang, Heilongjiang, China.
Zhengwen CaiDepartment of Oncology, the Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Zefei JiangDepartment of Oncology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, China. jiangzefei@csco.org.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CDK2 is a principal mediator of CDK4/6 resistance. Concurrent CDK2/4/6 blockade may be effective in treating HR-positive, HER2-negative advanced breast cancer (ABC). This randomized, double-blind, parallel-controlled, phase 3 trial (ClinicalTrials.gov, NCT05375461) assessed the efficacy of culmerciclib, a CDK2/4/6 inhibitor, plus fulvestrant in ABC. Patients with HR-positive, HER2-negative, locally recurrent or metastatic breast cancer were randomized (2:1) to receive culmerciclib plus fulvestrant or matching placebo plus fulvestrant. Between March 18, 2022 and March 3, 2023, 293 pretreated patients (median age 53.0 years; pre- or perimenopausal 42.3%; bone metastasis 65.2%) were randomized to assigned treatments. At this prespecified interim analysis, culmerciclib plus fulvestrant extended the median investigator-assessed progression-free survival (PFS) significantly, the primary endpoint, as compared with placebo plus fulvestrant (16.6 months, 95% CI 13.8 to not evaluable versus 7.5 months, 95% CI 5.3 to 11.0; hazard ratio 0.36, 95% CI 0.26-0.51; stratified log rank test P < 0.001). Consistent effects were observed across diverse subgroups of patients. At a median follow-up duration of 13.8 months, overall survival was immature. The investigators-assessed objective response rate was 40.2% (95% CI, 33.3-47.5) for culmerciclib compared to 12.1% (95% CI 6.4-20.2) for placebo (stratified Mantel-Haenszel χ

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCyclin-Dependent Kinase 2Cyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6FulvestrantPyrimidinesAdultAgedDouble-Blind MethodErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedCDK4 protein, humanCDK6 protein, humanCyclin-Dependent Kinase 2Cyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6ERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesFulvestrantPyrimidines

Identifiers

PMID41413016
PMCPMC12714862

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.