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].
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
Drug | Synonyms | Arms |
---|
H3B-6545 | | H3B-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
Name | Type | Description | Interventions |
---|
H3B-6545 Arm 1: Dose escalation | Experimental | | |
H3B-6545 Arm 2: Phase 2 | Experimental | | |
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