Description:
This is two-part open label, non-randomized, Phase 2, study of ZEN003694 in combination with
Talazoparib in patients with TNBC without germline mutations of BRCA1 or BRCA2. Part 1 is
dose escalation and Part 2 is a Simon 2-Stage design
Title
- Brief Title: A Study of ZEN003694 and Talazoparib in Patients With Triple Negative Breast Cancer
- Official Title: A Phase 2 Study of ZEN003694 in Combination With Talazoparib in Patients With Triple-Negative Breast Cancer
Clinical Trial IDs
- ORG STUDY ID:
ZEN003694-004
- SECONDARY ID:
2018-003906-26
- NCT ID:
NCT03901469
Conditions
- Triple Negative Breast Cancer
Interventions
Drug | Synonyms | Arms |
---|
ZEN003694 | | Experimental: ZEN003694 in Combination with Talazoparib |
Talazoparib | | Experimental: ZEN003694 in Combination with Talazoparib |
Purpose
This is two-part open label, non-randomized, Phase 2, study of ZEN003694 in combination with
Talazoparib in patients with TNBC without germline mutations of BRCA1 or BRCA2. Part 1 is
dose escalation and Part 2 is a Simon 2-Stage design
Trial Arms
Name | Type | Description | Interventions |
---|
Experimental: ZEN003694 in Combination with Talazoparib | Experimental | ZEN003694 will be administered orally once daily with Talazoparib orally once daily in 28-day cycles, enrolling TNBC patients. Patients have histologically confirmed Triple Negative Breast Cancer and have no documented germline mutations of BRCA1 or BRCA2 | |
Eligibility Criteria
Inclusion Criteria:
1. Females or males age ≥ 18 years (at time of signing informed consent)
2. Histologically confirmed metastatic or recurrent triple-negative breast cancer
(estrogen receptor (ER) ≤10%; progesterone receptor (PR) ≤10%; HER2 negative by
immunohistochemistry (IHC) or fluorescent in situ hybridization (FISH)
3. Part 1: Progressed on at least 1 prior cytotoxic chemotherapy at least 21 days prior
to the start of study treatment. Part 2: Progressed on no more than 3 prior
chemotherapy-inclusive regimens for locally advanced or metastatic disease (no limit
on prior targeted anticancer therapies such as mechanistic target or rapamycin (mTOR)
or CDK4/6 inhibitors, immune-oncology agents, tyrosine kinase inhibitors, or
monoclonal antibodies against CTL4 or VEGF) at least 21 days prior to the start of
study treatment.
4. Patient is not a candidate for endocrine based therapy or has progressed on at least 2
prior endocrine based therapies in the locally advanced or metastatic setting
5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
6. Part 2 only: Measurable disease per RECIST version 1.1
Exclusion Criteria
1. Documented germline BRCA1 or BRCA2 mutations
2. Evidence of disease progression during platinum treatment either in the neoadjuvant or
in the metastatic setting. For patients receiving platinum in the neoadjuvant setting,
at least 12 months must have elapsed between the last dose of platinum-based treatment
and enrollment.
3. Patients with inflammatory breast cancer
4. Current or anticipated use of medications known to be strong inhibitors or inducers of
CYP3A4 or substrates of CYP1A2 with narrow therapeutic windows. Strong inhibitors,
inducers or substrates must be discontinued at least 7 days prior to the first
administration of study drug.
5. Current or anticipated use within 7 days prior to the first administration of study
drug, or during the study, of strong P-gp inhibitors. For a list of strong P-gp
inhibitors, refer to Section 8.4.1.
6. Prior anticancer therapy (chemotherapy, radiation, hormone therapy, immunotherapy or
investigational agent) within 3 weeks from the start of study drug (except for
nitrosoureas and mitomycin C within 6 weeks from start of study drug).
7. Have not progressed on prior endocrine therapy and have an ER and/or PR ≥ 1%
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Part 1 and Part 2: Incidence of of treatment-related adverse events (AE) and treatment-related serious adverse events (SAE) |
Time Frame: | From screening up to 18 months |
Safety Issue: | |
Description: | A DLT is a treatment-related, clinically significant adverse event or laboratory abnormality occurring during the first cycle of treatment |
Secondary Outcome Measures
Measure: | Part 1 and Part 2: Measure the pharmacokinetic (PK) parameter: AUC of ZEN003694 administered in combination with talazoparib |
Time Frame: | From screening up to 6 months |
Safety Issue: | |
Description: | |
Measure: | Part 1 and Part 2: Measure the pharmacokinetic (PK) parameter: Cmax of ZEN003694 administered in combination with talazoparib |
Time Frame: | Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 1, and Cycle 2 Day 15 |
Safety Issue: | |
Description: | |
Measure: | Part 1: Measure the pharmacokinetic (PK) parameter: Cmin of ZEN003694 administered in combination with talazoparib |
Time Frame: | Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 1, and Cycle 2 Day 15 |
Safety Issue: | |
Description: | |
Measure: | Part 1 and Part 2: Measure the pharmacokinetic (PK) parameter: Tmax of ZEN003694 administered in combination with talazoparib |
Time Frame: | Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 1, and Cycle 2 Day 15 |
Safety Issue: | |
Description: | |
Measure: | Part 1 and Part 2: Measure the pharmacokinetic (PK) parameter: t1/2 of ZEN003694 administered in combination with talazoparib |
Time Frame: | Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 1, and Cycle 2 Day 15 |
Safety Issue: | |
Description: | |
Measure: | Part 1: Objective response rate (ORR) defined as a complete response (CR), partial response (PR) or stable disease (SD ≥ 4 cycles) by RECIST 1.1 |
Time Frame: | From screening up to 6 months |
Safety Issue: | |
Description: | |
Measure: | Part 1 and Part 2: Evaluate median radiographic progression-free survival |
Time Frame: | From screening up to 18 months |
Safety Issue: | |
Description: | Time to radiographic progression by RECIST 1.1 or death |
Measure: | Part 1 and Part 2: Evaluate median progression-free survival |
Time Frame: | From screening up to 12 months |
Safety Issue: | |
Description: | Time to radiographic progression by RECIST 1.1, clinical progression, or death |
Measure: | Part 1 and Part 2: Evaluate duration of response (DOR) |
Time Frame: | From screening up to 12 months |
Safety Issue: | |
Description: | Time from first dose to last dose of ZEN-3694 |
Measure: | Part 1 and Part 2: Change From Baseline in Global Health Status/Quality of Life (QoL) Measured by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) for Overall Duration |
Time Frame: | Screening and Day 1 of every 28-day Cycle, up to 18 months (Overall Duration) |
Safety Issue: | |
Description: | EORTC QLQ-C30: cancer-specific instrument with 30 questions to assess the participant QoL. First 28 questions used to evaluate 5 functional scales (physical, role, cognitive, emotional, social), 3 symptom scales (fatigue, nausea and vomiting, pain) and other single items (dyspnea, appetite loss, insomnia, constipation, diarrhea, financial difficulties). Each question assessed on 4-point scale (1= not at all, 2= a little, 3= quite a bit, 4= very much); functional scales: higher score = better level of functioning; symptom scale: higher score = more severe symptoms; for single items: higher score= more severe problem. Last 2 questions used to evaluate global health status (GHS)/QoL. Each question was assessed on 7-point scale (1= very poor to 7= excellent). Scores averaged, transformed to 0-100 scale; higher score=better quality of life/better level of functioning. |
Measure: | Part 1 and Part 2: Change from Baseline in Breast Symptoms Scale as Assessed by the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Breast Cancer Module (EORTC-QLQ-BR23) |
Time Frame: | Screening and Day 1 of every 28-day Cycle, up to 18 months (Overall Duration) |
Safety Issue: | |
Description: | EORTC-QLQ-BR23 is a disease-specific module for breast cancer developed as a supplement for the EORTC-QLQ-C30 to assess the quality of life of participants with breast cancer. EORTC-QLQ-BR23 symptoms subscale includes 4 items: systemic therapy side effects, breast symptoms, arm symptoms, upset by hair loss. Each item is rated by choosing 1 of 4 possible responses that record the level of intensity (1= not at all, 2= a little, 3= quite a bit, and 4= very much), higher scores=high level of symptom/problems. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | Zenith Epigenetics |
Trial Keywords
- TNBC
- ZEN003694
- ZEN-3694
- Talazoparib
- Breast Cancer
- PARPi
- poly ADP ribose polymerase
- bromodomain
- BETi
Last Updated
July 13, 2021