Description:
The main purpose of this open-label, dose-escalation, phase Ib study is to identify the
appropriate dose of MEN1611 to be used in combination with Trastuzumab with/without
Fulvestrant for the treatment of advanced or metastatic HER2-positive breast cancer
Title
- Brief Title: MEN1611 With Trastuzumab (+/- Fulvestrant) in Metastatic Breast Cancer
- Official Title: Open-label, Multicentre, Phase Ib Dose-escalation Study of MEN1611, a PI3K Inhibitor Combined With Trastuzumab With or Without Fulvestrant, in Subjects With PIK3CA Mutated HER2 Positive Locally Recurrent Unresectable (Advanced) or Metastatic (a/m) Breast Cancer Progressed to Anti-HER2 Based Therapy
Clinical Trial IDs
- ORG STUDY ID:
MEN1611-01
- SECONDARY ID:
2017-004631-36
- NCT ID:
NCT03767335
Conditions
- Advanced or Metastatic Breast Cancer
Interventions
Drug | Synonyms | Arms |
---|
MEN1611 | | MEN1611 |
Trastuzumab | | MEN1611 |
Fulvestrant | | MEN1611 |
Purpose
The main purpose of this open-label, dose-escalation, phase Ib study is to identify the
appropriate dose of MEN1611 to be used in combination with Trastuzumab with/without
Fulvestrant for the treatment of advanced or metastatic HER2-positive breast cancer
Detailed Description
This Phase Ib study will investigate the safety and anti-tumor activity of daily oral doses
MEN1611 in combination with Trastuzumab with/without Fulvestrant in female and male patients
affected by advanced or metastatic HER2-positive breast cancer. Fulvestrant will be added to
the post-menopausal patients with hormone-sensitive disease.
MEN1611 is an investigational drug which blocks a protein called PI3K (phosphoinositide
3-kinase) involved in cancer cells growth. The Maximum Tolerated Dose (MTD) of MEN1611 given
as single agent was assessed in a phase I trial in patients with advanced solid tumors.
This Phase IB will start with a dose escalation part (Step 1) to identify the MTD of MEN1611
given in combination with Trastuzumab with/without Fulvestrant.
The study will continue with a cohort expansion (Step 2) to investigate the anti-tumor
activity of the selected MEN1611 dose level considered to be tolerable by a Safety Review
Committee.
Trial Arms
Name | Type | Description | Interventions |
---|
MEN1611 | Experimental | MEN1611 + Trastuzumab +/- Fulvestrant | - MEN1611
- Trastuzumab
- Fulvestrant
|
Eligibility Criteria
Main Inclusion Criteria:
- Histologically confirmed invasive adenocarcinoma of the breast
- Known HER2+ breast cancer
- Advanced or metastatic breast cancer harbouring PIK3CA mutation on tissue sample
- > 2 lines of anti-HER2 based regimens with at least 1 regimen with trastuzumab
- Radiological documented evidence of progressive disease
- Life expectancy ≥ 12 weeks
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
Main Exclusion Criteria:
- Previous treatment with PI3K inhibitors
- Brain metastases untreated, unless treated > 4 weeks and only if clinically stable and
not receiving corticosteroids
- History of clinically significant bowel disease
- ≥ grade 2 diarrhoea
- History of significant, uncontrolled, or active cardiovascular disease
- Any serious and/or unstable pre-existing psychiatric or neurologic illness or other
conditions that could interfere with patient's safety
- Not controlled diabetes mellitus (glycated haemoglobin [HbA1c] >7%) and fasting plasma
glucose >126 mg/dL
- Concurrent chronic treatment with steroids, as immunosuppressant, or another
immunosuppressive agent
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Maximum Tolerated Dose (MTD) and Recommended Phase 2 dose (RP2D) |
Time Frame: | 28 Days |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Treatment emergent adverse events (TEAEs) |
Time Frame: | 2 years |
Safety Issue: | |
Description: | |
Measure: | Progression Free Survival |
Time Frame: | 2 years |
Safety Issue: | |
Description: | |
Measure: | Overall Survival |
Time Frame: | 2 years |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Menarini Group |
Trial Keywords
- Advanced Breast Cancer
- Metastatic Breast Cancer
- PI3K inhibitor
- HER2-positive
Last Updated
May 12, 2021