Description:
This is a phase 1 open label multicentre study of AZD9496 administered orally in patients
with advanced ER+ HER2 negative breast cancer. The study design allows an escalation of dose
with intensive safety monitoring to ensure the safety of patients. The study will determine
the maximum tolerated dose. In addition, expansion cohort(s) at potential therapeutic dose(s)
in patients with or without ESR1 mutations will be enrolled to further determine the safety,
tolerability, pharmacokinetics and biological activity of AZD9496
Title
- Brief Title: AZD9496 First Time in Patients Ascending Dose Study
- Official Title: Phase I, Open-Label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Anti-tumour Activity of Ascending Doses of AZD9496 in Women With Estrogen Receptor Positive HER-2 Negative Advanced Breast Cancer
Clinical Trial IDs
- ORG STUDY ID:
D6090C00001
- NCT ID:
NCT02248090
Conditions
- ER+ HER2- Advanced Breast Cancer
Interventions
Drug | Synonyms | Arms |
---|
AZD9496 | | AZD9496 |
AZD9496 | | AZD9496 |
Purpose
This is a phase 1 open label multicentre study of AZD9496 administered orally in patients
with advanced ER+ HER2 negative breast cancer. The study design allows an escalation of dose
with intensive safety monitoring to ensure the safety of patients. The study will determine
the maximum tolerated dose. In addition, expansion cohort(s) at potential therapeutic dose(s)
in patients with or without ESR1 mutations will be enrolled to further determine the safety,
tolerability, pharmacokinetics and biological activity of AZD9496
Detailed Description
A Phase I, Open-Label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics
and Preliminary Anti-tumour Activity of Ascending Doses of AZD9496 in Women with Estrogen
Receptor Positive HER-2 Negative Advanced Breast Cancer
Trial Arms
Name | Type | Description | Interventions |
---|
AZD9496 | Experimental | AZD9496 dose escalation and expansion(s) | |
Eligibility Criteria
Inclusion Criteria: Provision of signed and dated, written informed consent prior to any
mandatory study specific procedures, sampling and analyses. Aged at least 18 years. Any
menopausal status. Pre- or peri-menopausal women must have commenced treatment with an LHRH
agonist at least 4 weeks prior to starting study treatment and must be willing to continue
to receive LHRH agonist therapy for the duration of the trial. Histological or cytological
confirmation of adenocarcinoma of the breast. ER-positive according to local laboratory;
HER-2 negative. Metastatic disease or locoregionally recurrent disease which is not
amenable to treatment with curative intent. Disease progression after at least 6 months of
endocrine therapy for ER+ breast cancer. Radiological or objective evidence of progression
on or after the last systemic therapy prior to starting study treatment. Receipt of ≤2
lines of prior chemotherapy for advanced disease. Females of child-bearing potential must
agree to use adequate contraceptive measures, must not be breast feeding and must have a
negative pregnancy test prior to start of dosing. Eastern Cooperative Oncology Group (ECOG)
performance status 0-1 with no deterioration over the previous 2 weeks and minimum life
expectancy of 12 weeks.
Exclusion Criteria: Any cytotoxic chemotherapy, investigational agents or other anti-cancer
drugs for the treatment of advanced breast cancer from a previous treatment regimen or
clinical study within 14 days of the first dose of study treatment. Any unresolved
toxicities from prior therapy greater than Common Terminology Criteria for Adverse Events
(CTCAE) grade 1 at the time of starting study treatment with the exception of alopecia.
Presence of life-threatening metastatic visceral disease, uncontrolled central nervous
system metastatic disease or symptomatic pulmonary lymphangitic spread. Any evidence of
severe or uncontrolled systemic diseases, including uncontrolled hypertension, active
bleeding diatheses, or active infection. Unexplained symptomatic endometrial disorders.
Uncontrolled symptomatic thyroid dysfunction. Inadequate bone marrow reserve or organ
function
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Female |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Safety and tolerability |
Time Frame: | Routine safety assessments, throughout the period that patients receive AZD9496 up to 28 days following discontinuation of last dose of study treatment. |
Safety Issue: | |
Description: | Safety and tolerability in terms of adverse events, serious adverse events (including death) and safety measures: ECG, physical examination, vital signs and laboratory variables. Definition of maximum tolerated dose (MTD) or maximum feasible dose (MFD) by measuring the number of evaluable patients with dose-limiting toxicities.Time frame DLT period 28 days |
Secondary Outcome Measures
Measure: | Single and multiple dose pharmacokinetics of AZD9496 |
Time Frame: | 12 weeks |
Safety Issue: | |
Description: | measurement of plasma levels of AZD9496 at pre-defined intervals in order to establish pharmacokinetic parameters |
Measure: | 4β-hydroxycholesterol concentration in blood |
Time Frame: | 12 weeks |
Safety Issue: | |
Description: | Understanding of the CYP3A4 induction potential of AZD9496 by measuring 4β-hydroxycholesterol concentration in blood samples at pre-defined intervals |
Measure: | Antitumour activity |
Time Frame: | every 8 weeks for 24 weeks and then every 12 weeks thereafter until disease progression |
Safety Issue: | |
Description: | Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in Solid Tumours (RECIST 1.1) |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | AstraZeneca |
Trial Keywords
- Phase 1
- Safety
- Tolerability
- Pharmacokinetics
- Ascending Doses
- Estrogen Receptor Positive
- Her2 Negative
- Advanced Breast Cancer
Last Updated
June 24, 2019