Core Viewpoint - Xuan Bamboo Biotech has presented interim analysis results of the BRIGHT-3 clinical trial at the 2025 ESMO, demonstrating the efficacy and safety of Pyrotinib combined with letrozole or anastrozole in treating HR+/HER2- advanced breast cancer [1][2] Group 1: Clinical Trial Overview - The BRIGHT-3 study is a randomized, double-blind Phase III clinical trial conducted at 58 centers in China, involving 397 HR+/HER2- advanced breast cancer patients [1] - The trial aims to evaluate the effectiveness and safety of Pyrotinib in combination with letrozole or anastrozole as a first-line treatment [1] Group 2: Efficacy Results - As of January 10, 2025, with a median follow-up of 20.7 months, the mPFS for the Pyrotinib group has not yet been reached, while the control group reported mPFS of 18.43 months and 19.55 months [2] - The Pyrotinib regimen reduces the risk of disease progression or death by 47% compared to the placebo combined with endocrine therapy, with a notable 64% reduction in patients with liver metastases [2] - The overall response rate (ORR) in the intention-to-treat population for the Pyrotinib group is 63.5%, significantly higher than the control group's 42.5% [2] Group 3: Safety Profile - Common adverse events associated with the Pyrotinib combination therapy are mostly grade 1-2, including diarrhea and neutropenia, which can be effectively managed through supportive care or dose adjustments [2] Group 4: Regulatory Status - Based on the interim data from the BRIGHT-3 study, the National Medical Products Administration of China accepted the new drug application for Pyrotinib combined with aromatase inhibitors for HR+/HER2- advanced breast cancer on May 14, 2025 [2] Group 5: Product Information - Pyrotinib (brand name: XuanYueNing) is a novel CDK2/4/6 inhibitor with a unique multi-target synergistic mechanism, significantly reducing the hematological toxicity commonly associated with traditional CDK4/6 inhibitors [3] - It received approval from the National Medical Products Administration of China on May 13, 2025, for use in patients who have progressed after prior endocrine therapy, making it the first and only CDK4/6 inhibitor approved for monotherapy indications in China [3]
轩竹生物-B：吡洛西利一线治疗HR+/HER2-晚期乳腺癌临床III期研究数据于2025年ESMO公布