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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

NCT02684032

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.

Related Conditions:
  • Breast Carcinoma
Recruiting Status:

Active, not recruiting

Phase:

Phase 1

Trial Eligibility

Document

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

  • Breast Cancer

Interventions

DrugSynonymsArms
GedatolisibARM A
PalbociclibARM A
LetrozoleARM A
FulvestrantARM 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

NameTypeDescriptionInterventions
Letrozole CohortExperimentalLetrozole combination cohort in dose escalation
  • Gedatolisib
  • Palbociclib
  • Letrozole
Fulvestrant cohortExperimentalFulvestrant combination cohort in dose escalation
  • Gedatolisib
  • Palbociclib
  • Fulvestrant
ARM AExperimentalGedatolisib + palbociclib + letrozole in dose expansion
  • Gedatolisib
  • Palbociclib
  • Letrozole
ARM BExperimentalGedatolisib + palbociclib + fulvestrant in dose expansion
  • Gedatolisib
  • Palbociclib
  • Fulvestrant
ARM CExperimentalGedatolisib + palbociclib + fulvestrant in dose expansion
  • Gedatolisib
  • Palbociclib
  • Fulvestrant
Arm DExperimentalGedatolisib (3:1) + palbociclib + fulvestrant in dose expansion
  • Fulvestrant

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