Description:
This is a study to investigate the potential clinical benefit of G1T48 as an oral selective
estrogen receptor degrader (SERD) alone and in combination with palbociclib, a cyclin
dependent kinase 4/6 (CDK 4/6) inhibitor, in patients with estrogen receptor-positive,
HER2-negative metastatic breast cancer.
The study is an open-label design, consisting of 3 parts: dose-finding portion including food
effect (Part 1), G1T48 monotherapy expansion portion (Part 2), and G1T48 in combination with
palbociclib expansion portion (Part 3). All parts include 3 study phases: Screening Phase,
Treatment Phase, and Survival Follow-up Phase. The Treatment Phase begins on the day of first
dose with study treatment and completes at the Post-Treatment Visit. Approximately, 184
patients may be enrolled in the study.
Title
- Brief Title: G1T48, an Oral SERD, Alone and in Combination With Palbociclib in ER-Positive, HER2-Negative Advanced Breast Cancer
- Official Title: A Phase 1, Open-Label, Multicenter Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of Ascending Doses of G1T48 Alone and in Combination With Palbociclib in Women With Estrogen Receptor-Positive, HER2-Negative Advanced Breast Cancer
Clinical Trial IDs
- ORG STUDY ID:
G1T48-01
- SECONDARY ID:
2017-004502-17
- NCT ID:
NCT03455270
Conditions
- Carcinoma, Ductal, Breast
- Breast Cancer Female
- Breast Neoplasm
- Breast Cancer
- Metastatic Breast Cancer
- Advanced Breast Cancer
- Stage IV Breast Cancer
Interventions
Drug | Synonyms | Arms |
---|
G1T48 | Rintodestrant | Part 1: Dose Escalation (G1T48) |
Palbociclib | Ibrance | Part 3: Combination Dose Expansion (G1T48+palbociclib) |
Purpose
This is a study to investigate the potential clinical benefit of G1T48 as an oral selective
estrogen receptor degrader (SERD) alone and in combination with palbociclib, a cyclin
dependent kinase 4/6 (CDK 4/6) inhibitor, in patients with estrogen receptor-positive,
HER2-negative metastatic breast cancer.
The study is an open-label design, consisting of 3 parts: dose-finding portion including food
effect (Part 1), G1T48 monotherapy expansion portion (Part 2), and G1T48 in combination with
palbociclib expansion portion (Part 3). All parts include 3 study phases: Screening Phase,
Treatment Phase, and Survival Follow-up Phase. The Treatment Phase begins on the day of first
dose with study treatment and completes at the Post-Treatment Visit. Approximately, 184
patients may be enrolled in the study.
Trial Arms
Name | Type | Description | Interventions |
---|
Part 1: Dose Escalation (G1T48) | Experimental | Patients in Part 1 will receive a single oral dose of G1T48 on Cycle 1 Day -3 and will begin once-daily dosing on Cycle 1 Day 1.
The initial dose cohort shall receive an identified starting dose and subsequent cohorts shall receive higher doses based on the safety and PK data obtained from the previous dose levels. | |
Part 1: Food Effect Cohort (G1T48) | Experimental | In Part 1, additional G1T48 cohort(s) of 8 patients may be enrolled to assess the effect of different fat content meals (eg, high fat, moderate fat, or low-fat) on the rate and extent of the absorption of G1T48.
Patients will receive a single oral dose of G1T48 on Cycle 1 Day -10 and on Cycle 1 Day -3. Patients will begin G1T48 once-daily dosing on Cycle 1 Day 1. | |
Part 2: Monotherapy Dose Expansion (G1T48) | Experimental | Patients in Part 2 will receive G1T48 once-daily at the dose determined in Part 1. | |
Part 3: Combination Dose Expansion (G1T48+palbociclib) | Experimental | Patients in Part 3 will receive G1T48 once-daily at the dose determined in Part 2 in combination with palbociclib once-daily on Days 1 to 21 of each 28-day cycle. | |
Eligibility Criteria
Inclusion Criteria:
- For Part 1, postmenopausal women only
- For Parts 2 and 3, any menopausal status
- Confirmed diagnosis of ER-positive, HER2-negative advanced breast cancer, not amenable
to curative therapy
- For Part 1, prior treatment with less than 4 prior lines of chemotherapy
- For Part 2, prior treatment with less than 2 prior line of chemotherapy
- For Part 3, prior treatment with no more than 1 prior line of chemotherapy
- For Parts 1 and 2, prior treatment with less than 4 prior endocrine therapies for
metastatic breast cancer
- For Part 3, prior treatment with no more than 1 prior line of endocrine therapies for
metastatic breast cancer
- For Parts 1 and 2, patients must satisfy 1 of the following criteria for prior
therapy:
- Progressed during treatment or within 12 months of completion of adjuvant therapy
with an aromatase inhibitor
- Progressed after the end of prior aromatase inhibitor therapy for
advanced/metastatic breast cancer
- For Part 3, patients must satisfy 1 of the following criteria for prior therapy:
- Received ≥ 24 months of endocrine therapy in the adjuvant setting prior to
recurrence or progression
- Received ≥ 6 months of endocrine therapy in the advanced/metastatic setting prior
to progression
- For Part 1, evaluable or measurable disease
- For Parts 2 and 3, evaluable (approximately 25%) or measurable disease (approximately
75%) as defined by RECIST, Version 1.1 including bone-only disease
- ECOG performance status 0 to 1
- Adequate organ function
Exclusion Criteria:
- For Part 3, prior treatment with CDK4/6 inhibitor, investigational oral SERDs or
SERCAs in any setting
- Active uncontrolled/symptomatic CNS metastases, carcinomatous meningitis, or
leptomeningeal disease
- Anticancer therapy within 14 days of first G1T48 dose or within 28 days for
antibody-based therapy
- Concurrent radiotherapy, radiotherapy within 14 days of first G1T48 dose, previous
radiotherapy to the target lesion sites, or prior radiotherapy to > 25% of bone marrow
- Prior hematopoietic stem cell or bone marrow transplantation
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Female |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Dose Limiting Toxicity |
Time Frame: | Cycle 1 Day -3 to Cycle 1 Day 28 |
Safety Issue: | |
Description: | G1T48 alone and in combination with palbociclib; progression-free survival (PFS) |
Secondary Outcome Measures
Measure: | Tumor response based on RECIST, Version 1.1 |
Time Frame: | 21 months |
Safety Issue: | |
Description: | G1T48 alone and in combination with palbociclib; |
Measure: | Effect of food on bioavailability of G1T48 |
Time Frame: | Part 1, Cycle 1 Day -10 to Cycle 1 Day 1. |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetics of G1T48 and metabolites: Maximum Plasma Concentration (Cmax) |
Time Frame: | Part 1, Cycle 1 Day -3 to Cycle 2 Day 1. Part 2, Cycle 2 Day 1 to Cycle 3 Day 1. Part 3, Cycle 2 Day 1 to Cycle 3 Day 1. |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetics of G1T48 and metabolites: Area under Curve - plasma concentration (AUC) |
Time Frame: | Part 1, Cycle 1 Day -3 to Cycle 2 Day 1. Part 2, Cycle 2 Day 1 to Cycle 3 Day 1. Part 3, Cycle 2 Day 1 to Cycle 3 Day 1. |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetics of G1T48 and metabolites: Plasma: terminal half life (T1/2) |
Time Frame: | Part 1, Cycle 1 Day -3 to Cycle 2 Day 1. Part 2, Cycle 2 Day 1 to Cycle 3 Day 1. Part 3, Cycle 2 Day 1 to Cycle 3 Day 1. |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetics of G1T48 and metabolites: Plasma - Volume of distribution |
Time Frame: | Part 1, Cycle 1 Day -3 to Cycle 2 Day 1. Part 2, Cycle 2 Day 1 to Cycle 3 Day 1. Part 3, Cycle 2 Day 1 to Cycle 3 Day 1. |
Safety Issue: | |
Description: | |
Measure: | Pharmacokinetics of palbociclib: Plasma - Trough concentration |
Time Frame: | Part 3, Cycle 2 Day 1 to Cycle 3 Day 1. |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | G1 Therapeutics, Inc. |
Trial Keywords
- Breast Cancer
- Oral SERD
- SERD
- HER2-Negative
- ER-Positive
- ER+
- HER2-
- HER2 -ve
- ER +ve
- CDK 4/6 Inhibitor
- Rintodestrant
- G1T48
Last Updated
January 11, 2021