Evidence map›Paper›PMID 40204778›Full record

Trial reportNature communications2025

Bireociclib plus fulvestrant for HR+/HER2- advanced female breast cancer progressed on or after endocrine therapy: phase 3 BRIGHT-2 study interim analysis.

Jiayu Wang, Qingyuan Zhang, Huiping Li, Zhongsheng Tong, Quchang Ouyang, Huihui Li, Yuee Teng, Biyun Wang, Tao Sun, Jingfen Wang and 15 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05077449 (A Phase III Study to Evaluate the Efficacy and Safety of XZP-3287 in Combination With Fulvestrant Versus Placebo Combined With Fulvestrant in Patients With HR Positive and HER2 Negative Recurrent/Metastatic Breast Cancer), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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.

NCT05077449 phase3active not recruitingnot on this map

A Phase III Study to Evaluate the Efficacy and Safety of XZP-3287 in Combination With Fulvestrant Versus Placebo Combined With Fulvestrant in Patients With HR Positive and HER2 Negative Recurrent/Metastatic Breast Cancer

TypeinterventionalSponsorXuanzhu Biopharmaceutical Co., Ltd.Ran2021 to 2029Enrolled300ConditionsAdvanced Breast CancerArmsXZP-3287+Fulvestrant, Placebo + Fulvestrant
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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

25 authors.

Jiayu Wang *Department of Medical Oncology and State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Qingyuan Zhang *Department of Breast & Lymphoma, Harbin Medical University Cancer Hospital, Harbin, China.ORCID http://orcid.org/0000-0001-8116-5293
Huiping Li *Department of Breast Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital and Institute, Beijing, China.
Zhongsheng TongDepartment of Breast Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Quchang OuyangDepartment of Medical Oncology, Hunan Cancer Hospital, Changsha, China.
Huihui LiDepartment of Breast Medical Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
Yuee TengDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, China.
Biyun WangDepartment of Breast Cancer and Urological Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Tao SunDepartment of Breast Medicine, Institute of Oncology, Cancer Hospital of Dalian University of Technology, Liaoning Cancer Hospital, Shenyang, China.
Jingfen WangDepartment of Breast Medical Oncology, Linyi Cancer Hospital, Linyi, China.
Wei LiCancer Center, The First Affiliated Hospital of Jilin University, Changchun, China.
Zhaofeng NiuBreast Center, Yuncheng Central Hospital, Yuncheng, China.
Hongsheng LiDepartment of Breast Oncology Surgery, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, China.
Chang GongBreast Tumor Center, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Shu WangDepartment of Breast Surgery, Peking University People's Hospital, Beijing, China.ORCID http://orcid.org/0000-0002-8651-4795
Xinshuai WangDepartment of Medical Oncology, Henan Key Laboratory of Cancer Epigenetics, Cancer Hospital, The First Affiliated Hospital, College of Clinical Medicine, Medical College of Henan University of Science and Technology, Luoyang, China.
Xinhong WuDepartment of Breast Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei Provincial Clinical Research Center for Breast Cancer, and Wuhan Clinical Research Center for Breast Cancer, Wuhan, China.
Ning LiuDepartment of Oncology, Jining No. 1 People's Hospital, Jining, China.
Guohua YuDepartment of Oncology, Weifang People's Hospital, Weifang, China.
Fei LiuClinical Science Department, Xuanzhu Biopharmaceutical Co.Ltd., Beijing, China.
Xianghui DuanClinical Science Department, Xuanzhu Biopharmaceutical Co.Ltd., Beijing, China.
Shuya WangClinical Science Department, Xuanzhu Biopharmaceutical Co.Ltd., Beijing, China.
Yaping MengClinical Science Department, Xuanzhu Biopharmaceutical Co.Ltd., Beijing, China.
Li WangClinical Science Department, Xuanzhu Biopharmaceutical Co.Ltd., Beijing, China.
Binghe XuDepartment of Medical Oncology and State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. xubh@cicams.ac.cn.ORCID http://orcid.org/0000-0003-4195-337X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The BRIGHT-2 study (NCT05077449) is a randomized, double-blind, placebo-controlled, phase 3 trial evaluating the efficacy and safety of bireociclib plus fulvestrant (BF) vs. placebo plus fulvestrant (F) in Chinese female patients with hormone receptor-positive (HR+)/HER2-negative (HER2-) advanced breast cancer (ABC) who had progressed on or after prior endocrine therapy (ET). Interim results were analyzed after 70% of progression-free survival (PFS) events across 64 centers in China between December 8, 2021, and March 28, 2023. Patients were randomized (2:1) to receive BF or F, with stratification based on visceral involvement (yes/no) and resistance to prior primary or secondary ET. As the primary outcome, PFS was significantly prolonged in the BF group (n = 204) (12.94 months; 95% CI: 11.07-not reached) compared to 7.29 months (95% CI: 5.45-11.04) in the F group (n = 101) (hazard ratio, 0.56; 95% CI: 0.39-0.80; p = 0.001). The objective response rate in the BF group was 39.7% in the intention-to-treat population. Grade ≥3 adverse events were more frequent in the BF group (64.7%) than in the F group (18.8%), with neutropenia, leukopenia, and anemia being the most common. These findings suggest that BF is a promising therapeutic option for patients with HR+/HER2- ABC following ET failure.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsFulvestrantAdultAgedAntineoplastic Agents, HormonalDouble-Blind MethodErb-b2 Receptor Tyrosine KinasesFemaleHumansMiddle AgedProgression-Free SurvivalReceptors, EstrogenReceptors, ProgesteroneTreatment OutcomeAntineoplastic Agents, HormonalERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesFulvestrantReceptors, EstrogenReceptors, Progesterone

Identifiers

PMID40204778
PMCPMC11982359

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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 OpenQuestion graph.