Description:
This is a multicenter, open label, Phase 1b study in patients with mBC. This study will have
a dose escalation to identify the maximum tolerated dose (MTD) of the combination of
gedatolisib plus palbociclib/fulvestrant and gedatolisib plus palbociclib/letrozole and
expansion to estimate the objective response rate (OR) of the combination of gedatolisib plus
palbociclib/letrozole or palbociclib/fulvestrant.
Title
- Brief Title: A Study To Assess The Tolerability And Clinical Activity Of Gedatolisib In Combination With Palbociclib/Letrozole Or Palbociclib/Fulvestrant In Women With Metastatic Breast Cancer
- Official Title: PHASE 1B STUDY TO ASSESS THE SAFETY, TOLERABILITY, AND CLINICAL ACTIVITY OF GEDATOLISIB IN COMBINATION WITH PALBOCICLIB AND EITHER LETROZOLE OR FULVESTRANT IN WOMEN WITH METASTATIC OR LOCALLY ADVANCED/RECURRENT BREAST CANCER (MBC)
Clinical Trial IDs
- ORG STUDY ID:
B2151009
- NCT ID:
NCT02684032
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Gedatolisib | | ARM A |
Palbociclib | | ARM A |
Letrozole | | ARM A |
Fulvestrant | | ARM B |
Purpose
This is a multicenter, open label, Phase 1b study in patients with mBC. This study will have
a dose escalation to identify the maximum tolerated dose (MTD) of the combination of
gedatolisib plus palbociclib/fulvestrant and gedatolisib plus palbociclib/letrozole and
expansion to estimate the objective response rate (OR) of the combination of gedatolisib plus
palbociclib/letrozole or palbociclib/fulvestrant.
Detailed Description
This is a multicenter, open label, continuous Phase 1b study in patients with MBC. This study
will have a dose escalation and expansion. The dose escalation will identify the maximum
tolerated dose (MTD) of the combination of gedatolisib plus palbociclib/fulvestrant and
gedatolisib plus palbociclib/letrozole. The expansion will estimate the objective response
rate (OR) of the combination of gedatolisib plus palbociclib/letrozole and the combination of
gedatolisib plus palbociclib/fulvestrant.
Trial Arms
Name | Type | Description | Interventions |
---|
Letrozole Cohort | Experimental | Letrozole combination cohort in dose escalation | - Gedatolisib
- Palbociclib
- Letrozole
|
Fulvestrant cohort | Experimental | Fulvestrant combination cohort in dose escalation | - Gedatolisib
- Palbociclib
- Fulvestrant
|
ARM A | Experimental | Gedatolisib + palbociclib + letrozole in dose expansion | - Gedatolisib
- Palbociclib
- Letrozole
|
ARM B | Experimental | Gedatolisib + palbociclib + fulvestrant in dose expansion | - Gedatolisib
- Palbociclib
- Fulvestrant
|
ARM C | Experimental | Gedatolisib + palbociclib + fulvestrant in dose expansion | - Gedatolisib
- Palbociclib
- Fulvestrant
|
Arm D | Experimental | Gedatolisib (3:1) + palbociclib + fulvestrant in dose expansion | |
Eligibility Criteria
Inclusion Criteria:
- Women 18 years of age or older, who are either: Postmenopausal or Pre/perimenopausal
women with medically-induced menopause by treatment with agents to induce chemical
menopause.
- Histologically or cytologically proven diagnosis of breast cancer with evidence of
metastasis.
- Documentation of estrogen receptor positive ((ER+), human epidermal growth factor
receptor 2 (HER2 negative (HER2-)) tumor.
- Dose Escalation Portion: Patients must satisfy one of the following criteria:
- Letrozole combination cohort (L): metastatic breast cancer (MBC) with progression
who are candidates for a letrozole-containing regimen, with palbociclib.
- Fulvestrant combination cohort (F): MBC with progression who are candidates for a
fulvestrant containing regimen, with palbociclib.
- Dose Expansion Portion: Patients must satisfy one of the following criteria:
- Arm A: MBC with progression and no prior endocrine based systemic therapy in the
metastatic setting;
- Arm B: MBC with progression during or following one prior endocrine based
systemic therapy in the metastatic setting, with no prior therapy with any
cyclin-dependent kinase (CDK) inhibitor;
- Arm C/Arm D: MBC with progression during or following one or two prior endocrine
based systemic therapies in the metastatic setting, and following prior therapy
with a CDK inhibitor.
- Measurable disease as defined by Response Evaluation Criteria In Solid Tumors (RECIST)
version 1.1.
- Bone only patients during dose escalation portion.
- Availability of archival tumor biopsy sample or willing to provide fresh biopsy if not
available.
- Eastern Cooperative Oncology Group [ECOG] performance must be 0 or 1.
- Adequate bone marrow, renal and liver function.
Exclusion Criteria:
- Prior treatment with a mechanistic target of rapamycin (mTOR) inhibitor or
phosphoinositide 3-kinase (PI3K) inhibitor.
- More than 1 line of prior chemotherapy in the treatment of metastatic or locally
advanced/recurrent disease.
- Bone only patients during expansion/efficacy portion.
- Patients with advanced/metastatic disease who have symptomatic visceral spread, and
who have life threatening complications needing immediate therapy, such as massive
uncontrolled effusions [pleural, pericardial, peritoneal], pulmonary lymphangitis, and
over 50% liver replacement with tumor.
- Known active uncontrolled or symptomatic Central Nervous System (CNS) metastases.
- Active bacterial, fungal or viral infection.
- Uncontrolled or significant cardiovascular disease.
- Radiation therapy within 4 weeks of investigational product.
- Cytotoxic chemotherapy within 4 weeks of investigational product (6 weeks for
mitomycin C or nitrosoureas) if immediate prior regimen was administered on an every 3
4 week schedule or 2 weeks of investigational product if immediate prior regimen
consisted of weekly therapy.
- Any other anti cancer agents (eg, hormonal, biological, investigational) within 5
times the half life prior to investigational product.
- Impairment of gastro intestinal (GI) function or GI disease.
- Pregnant female patients; breastfeeding female patients; and female patients of
childbearing potential who are unwilling or unable to use 2 highly effective methods
of contraception as outlined in this protocol for the duration of the study and for 90
days.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Female |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of participants with dose limiting toxicities |
Time Frame: | up to 28 days |
Safety Issue: | |
Description: | Number of patients for each response category, objective response rate (number of patients with a complete response (CR)) relative to the number of response evaluable patients |
Secondary Outcome Measures
Measure: | Tumor response observed in patients in the dose escalation portion |
Time Frame: | 16 weeks |
Safety Issue: | |
Description: | |
Measure: | Duration of response |
Time Frame: | 16 weeks |
Safety Issue: | |
Description: | |
Measure: | QTc interval (corrected QT interval) |
Time Frame: | Screening up to 6 months |
Safety Issue: | |
Description: | The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the heart's electrical cycle. |
Measure: | Maximum observed plasma concentration |
Time Frame: | Day 1: 0, 0.5 hours, 1 hour, 2 hours, 4 hours, 6 hours, 24, 72 and 168 hours. Cycle 2 Day 1: 0, 0.5 hours, 1 hour, 2 hours, 4 hours, 6 hours, 24, 72 and 168 hours |
Safety Issue: | |
Description: | |
Measure: | Progression free survival |
Time Frame: | 16 weeks |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Pfizer |
Trial Keywords
- PI3K (phosphoinositide 3-kinase)
- mTOR (mechanistic target of rapamycin)
- PI3K/mTOR
- metastatic breast cancer (MBC)
- ER+ (estrogen receptor positive)
- HER2- (human epidermal growth factor receptor 2 negative)
Last Updated
May 28, 2021