Clinical Trials /

G1T48, an Oral SERD, Alone and in Combination With Palbociclib in ER-Positive, HER2-Negative Advanced Breast Cancer

NCT03455270

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.

Related Conditions:
  • Breast Carcinoma
Recruiting Status:

Active, not recruiting

Phase:

Phase 1

Trial Eligibility

Document

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

DrugSynonymsArms
G1T48RintodestrantPart 1: Dose Escalation (G1T48)
PalbociclibIbrancePart 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

NameTypeDescriptionInterventions
Part 1: Dose Escalation (G1T48)ExperimentalPatients 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.
  • G1T48
Part 1: Food Effect Cohort (G1T48)ExperimentalIn 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.
  • G1T48
Part 2: Monotherapy Dose Expansion (G1T48)ExperimentalPatients in Part 2 will receive G1T48 once-daily at the dose determined in Part 1.
  • G1T48
Part 3: Combination Dose Expansion (G1T48+palbociclib)ExperimentalPatients 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.
  • G1T48
  • Palbociclib

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