Clinical Trials /

Trial of H3B-6545, in Women With Locally Advanced or Metastatic Estrogen Receptor-positive, HER2 Negative Breast Cancer

NCT03250676

Description:

The purpose of phase 1 is to determine safety, tolerability and pharmacokinetics (PK) of H3B-6545 in women with locally advanced or metastatic estrogen receptor (ER)-positive, human epidermal growth factor 2 (HER2)-negative breast cancer. The purpose of phase 2 is to estimate the efficacy of H3B-6545 in terms of best overall response rate, duration of response (DoR), clinical benefit rate (CBR), disease control rate (DCR), progression-free survival (PFS), and overall survival (OS) in all participants with ER-positive, HER2-negative breast cancer and in those with and without ER alpha mutation [including a clonal estrogen receptor 1 gene (ESR1) Y537S mutation].

Related Conditions:
  • Breast Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Trial of H3B-6545, in Women With Locally Advanced or Metastatic Estrogen Receptor-positive, HER2 Negative Breast Cancer
  • Official Title: A Phase I-II Multicenter, Open Label Trial of H3B-6545, a Covalent Antagonist of Estrogen Receptor Alpha, in Women With Locally Advanced or Metastatic Estrogen Receptor-positive, HER2 Negative Breast Cancer

Clinical Trial IDs

  • ORG STUDY ID: H3B-6545-A001-101
  • SECONDARY ID: 2018-000570-29
  • NCT ID: NCT03250676

Conditions

  • Breast Neoplasms
  • Breast Cancer
  • Estrogen-receptor Positive Breast Cancer
  • Cancer, Breast
  • Breast Cancer Female
  • Breast Adenocarcinoma
  • Estrogen Receptor Positive Tumor
  • ER Positive

Interventions

DrugSynonymsArms
H3B-6545H3B-6545 Arm 1: Dose escalation

Purpose

The purpose of phase 1 is to determine safety, tolerability and pharmacokinetics (PK) of H3B-6545 in women with locally advanced or metastatic estrogen receptor (ER)-positive, human epidermal growth factor 2 (HER2)-negative breast cancer. The purpose of phase 2 is to estimate the efficacy of H3B-6545 in terms of best overall response rate, duration of response (DoR), clinical benefit rate (CBR), disease control rate (DCR), progression-free survival (PFS), and overall survival (OS) in all participants with ER-positive, HER2-negative breast cancer and in those with and without ER alpha mutation [including a clonal estrogen receptor 1 gene (ESR1) Y537S mutation].

Trial Arms

NameTypeDescriptionInterventions
H3B-6545 Arm 1: Dose escalationExperimental
  • H3B-6545
H3B-6545 Arm 2: Phase 2Experimental
  • H3B-6545

Eligibility Criteria

        Inclusion Criteria:

          1. Pre- or post-menopausal women.

          2. ER-positive, HER2-negative breast cancer that is advanced or metastatic.

          3. Progressed on prior therapy. Multiple prior lines of therapy allowed in Phase 1 and 2.
             Participants under amendment 6 must have received prior cyclin-dependent kinase
             (CDK4/6) inhibitor therapy.

          4. A recent archival tumor tissue obtained within 6 months prior to enrollment or a fresh
             tumor biopsy must be provided. A second biopsy after initiating trial therapy is not
             required.

          5. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1.

          6. Adequate bone marrow and organ function.

          7. Participants under amendment 6 must have measurable disease at baseline as per
             Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria.

          8. Participants under amendment 6 must have ESR1 Y537S mutation in absence of ESR1 D538G
             mutation as per the results of a central laboratory.

        Exclusion Criteria:

          1. Participants must have at least one measurable lesion.

          2. Participant with inflammatory breast cancer.

          3. Participant has received more than one prior chemotherapy regimen for metastatic
             disease (Phase 2 only).

          4. Females of childbearing potential who are unable or unwilling to follow adequate
             contraceptive measures.
      
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 (DLTs)
Time Frame:Phase 1 Cycle 1 (28 days)
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Area under the Plasma Concentration-time Curve from Time 0 Through the Last Measurable Point (AUC0-t) of H3B-6545
Time Frame:Phase 1, Cycle 1 (28-day cycles): Days 1 and 15 pre-dose and at multiple time points (up to 24 hours) post-dose; or Phase 2 Cycle 1 (28-day cycles): Days 15 or 22 pre-dose and at multiple time points (up to 24 hours) post-dose
Safety Issue:
Description:
Measure:Mean Maximum Observed Plasma Concentration (Cmax) of H3B-6545
Time Frame:Phase 1, Cycle 1 (28-day cycles): Days 1 and 15 (pre-dose and at multiple time points (up to 24 hours) post-dose; or Phase 2 Cycle 1 (28-day cycles): Days 15 or 22 pre-dose and at multiple time points (up to 24 hours) post-dose
Safety Issue:
Description:
Measure:Time of Maximum Observed Plasma Concentration (tmax) of H3B-6545
Time Frame:Phase 1, Cycle 1 (28-day cycles): Days 1 and 15 pre-dose and at multiple time points (up to 24 hours) post-dose; or Phase 2 Cycle 1 (28-day cycles): Days 15 or 22 pre-dose and at multiple time points (up to 24 hours) post-dose
Safety Issue:
Description:
Measure:Objective Response Rate (ORR)
Time Frame:Phase 1 and 2 up to approximately 36 months
Safety Issue:
Description:
Measure:Duration of Response (DoR)
Time Frame:Phase 1 and 2 up to approximately 36 months
Safety Issue:
Description:
Measure:Disease Control Rate (DCR)
Time Frame:Phase 1 and 2 up to approximately 36 months
Safety Issue:
Description:
Measure:Clinical Benefit Rate (CBR)
Time Frame:Phase 1 and 2 up to approximately 36 months
Safety Issue:
Description:
Measure:Progression-free survival (PFS)
Time Frame:Phase 1 and 2 up to approximately 36 months
Safety Issue:
Description:
Measure:Overall Survival (OS)
Time Frame:Phase 1 and 2 up to approximately 36 months
Safety Issue:
Description:

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:H3 Biomedicine Inc.

Trial Keywords

  • estrogen receptor
  • H3B-6545
  • breast cancer
  • Endocrine Therapy

Last Updated

June 28, 2021