Description:
This is a phase IB/II clinical trial to evaluate the efficacy and safety of SHR6390 in
combination with Letrozole or Anastrozole or Fulvestrant. Patients who have HR positive and
HER2 negative recurrent/metastatic breast cancer and have not received systemic anticancer
therapy are eligible for study.
Title
- Brief Title: A Study of SHR6390 in Combination With Letrozole or Anastrozole or Fulvestrant in Patients With HR Positive and HER2 Negative Advanced Breast Cancer
- Official Title: A Phase IB/II to Evaluate Efficacy and Safety of SHR6390 in Combination With Letrozole or Anastrozole or Fulvestrant in Patients With HR Positive and HER2 Negative Recurrent/Metastatic Breast Cancer
Clinical Trial IDs
- ORG STUDY ID:
SHR6390-Ib/II-201
- NCT ID:
NCT03481998
Conditions
Interventions
Drug | Synonyms | Arms |
---|
SHR6390 | | Cohort 1 (Part 1) |
Letrozole or anastrozole or Fulvestrant | | Cohort 1 (Part 1) |
Purpose
This is a phase IB/II clinical trial to evaluate the efficacy and safety of SHR6390 in
combination with Letrozole or Anastrozole or Fulvestrant. Patients who have HR positive and
HER2 negative recurrent/metastatic breast cancer and have not received systemic anticancer
therapy are eligible for study.
Trial Arms
Name | Type | Description | Interventions |
---|
Cohort 1 (Part 1) | Experimental | Participants receive SHR6390 (at protocol defined dose levels) in combination with letrozole 2.5 mg or anastrozole 1mg, orally once daily (continuously). | - SHR6390
- Letrozole or anastrozole or Fulvestrant
|
Cohort 2 (Part 1) | Experimental | SHR6390 (TBD), in combination with letrozole 2.5 mg or anastrozole 1mg, orally once daily (continuously). | - SHR6390
- Letrozole or anastrozole or Fulvestrant
|
SHR6390 + Letrozole or anastrozole (Part 2) | Experimental | SHR6390 (RP2D, recommended Phase 2 dose), in combination with letrozole 2.5 mg or anastrozole 1mg, orally once daily (continuously). | - SHR6390
- Letrozole or anastrozole or Fulvestrant
|
SHR6390 + Fulvestrant Cohort 3 (Part 1) | Experimental | SHR6390 (at protocol defined dose levels), in combination with Fulvestrant 500 mg intramuscular injection on day 1 and day 15 for the first cycle and then on day 1 for every cycle once daily | - SHR6390
- Letrozole or anastrozole or Fulvestrant
|
SHR6390 + Fulvestrant Cohort 4 (Part 1) | Experimental | SHR6390 (TBD), in combination with Fulvestrant 500 mg intramuscular injection on day 1 and day 15 for the first cycle and then on day 1 for every cycle once daily | - SHR6390
- Letrozole or anastrozole or Fulvestrant
|
Eligibility Criteria
Inclusion Criteria:
1. Has the pathologically-confirmed diagnosis of locally recurrent or metastatic,
hormone-receptor positive, HER2 negative Breast Cancer.
2. Age: 18 - 75 years old, postmenopausal women.prepostmenopausal women, but should
receive Ovary castration.
Inclusion Criteria
3. Cohort 1 and Cohort 2 :No prior systemic anti-cancer therapy for advanced HR+ disease.
Cohort 3 and Cohort 4 : Patients must satisfy the following criteria for prior therapy:
1. a) Progressed after 2 years during treatment of adjuvant therapy with an aromatase
inhibitor if postmenopausal, or tamoxifen if pre- or perimenopausal.
b)Progressed within 12 months of completion of adjuvant therapy with an aromatase
inhibitor if postmenopausal, or tamoxifen if pre- or perimenopausal.
c) Progressed while 6 month after the end of prior aromatase inhibitor therapy for
advanced/metastatic breast cancer if postmenopausal, or prior endocrine treatment for
advanced/metastatic breast cancer if pre- or perimenopausal.
2. One previous line of chemotherapy for advanced/metastatic disease is allowed in
addition to endocrine therapy.
4. Eastern Cooperative Oncology Group [ECOG] 0-1 Measurable disease as per Response
Evaluation Criterion in Solid Tumors[RECIST] 1.1
5. Adequate organ and marrow function
Exclusion Criteria
1. Confirmed diagnosis of HER2 positive disease
2. Patients who received any endocrine therapy as neo/adjuvant therapy for breast cancer
are eligible. If the neo/adjuvant therapy of any endocrine therapy , the disease-free
interval must be greater than 12 months from the completion of treatment until study
entry.
3. Patients who received prior treatment with any CDK4/6 inhibitor,
everolimus,fulvestant.
4. Clinically significant cardiovascular and cerebrovascular diseases,including but not
limited to severe acute myocardial infarction within 6 months before enrollment,
unstable or severe angina, Congestive heart failure (New York heart association (NYHA)
class > 2), or ventricular arrhythmia which need medical intervention.
5. Has known active central nervous system metastases.
Maximum Eligible Age: | 75 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Female |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of Participants With adverse events (AEs) and serious adverse events (SAEs) at Phase 1 |
Time Frame: | Up to 4 weeks |
Safety Issue: | |
Description: | Incidence, nature, and severity of adverse events graded according to the NCI CTCAE v4.03.
Up to 24 months. |
Secondary Outcome Measures
Measure: | Area under the plasma concentration versus time curve (AUC) of SHR6390 |
Time Frame: | Up to 4 weeks |
Safety Issue: | |
Description: | |
Measure: | Peak Plasma Concentration (Cmax) of SHR6390 |
Time Frame: | Up to 4 weeks |
Safety Issue: | |
Description: | |
Measure: | The time of SHR6390 to reach the maximum concentration (Tmax) |
Time Frame: | Up to 4 weeks |
Safety Issue: | |
Description: | |
Measure: | Half-time (t1/2) of SHR6390 |
Time Frame: | Up to 4 weeks |
Safety Issue: | |
Description: | |
Measure: | Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 |
Time Frame: | Up to approximately 24 months. |
Safety Issue: | |
Description: | ORR is defined as the percentage of participants in the analysis population who have a Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: ¡Ý30% decrease in the sum of diameters of target lesions) per RECIST 1.1. |
Measure: | Progression-free Survival (PFS) per RECIST 1.1 |
Time Frame: | Up to approximately 24 months. |
Safety Issue: | |
Description: | PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 based on blinded independent central review or death due to any cause, whichever occurs first. |
Measure: | Disease Control Rate (DCR) per RECIST 1.1 |
Time Frame: | Up to approximately 24 months. |
Safety Issue: | |
Description: | DCR is defined as the percentage of participants in the analysis population who have a CR, PR or SD per RECIST 1.1. |
Measure: | Number of Participants With adverse events (AEs) and serious adverse events (SAEs) |
Time Frame: | Up to approximately 24 months. |
Safety Issue: | |
Description: | Incidence, nature, and severity of adverse events graded according to the NCI CTCAE v4.03. |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Jiangsu HengRui Medicine Co., Ltd. |
Trial Keywords
- CDK4/6 inhibitor
- Breast cancer
- Postmenopausal women
- Hormone-receptor positive
- HER2 negative
- Premenopausal women
Last Updated
June 2, 2021