Clinical Trials /

A Phase 1/2 Trial of ARV-471 Alone and in Combination With Palbociclib (IBRANCE®) in Patients With ER+/HER2- Locally Advanced or Metastatic Breast Cancer

NCT04072952

Description:

This is a Phase 1/2 dose escalation and cohort expansion study and will assess the safety and tolerability of ARV-471 alone and in combination with palbociclib (IBRANCE®) in patients with estrogen receptor positive/human epidermal growth factor receptor 2 negative (ER+/HER2-) locally advanced or metastatic breast cancer, who have received prior hormonal therapy and chemotherapy in the locally advanced/metastatic setting.

Related Conditions:
  • Breast Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: A Phase 1/2 Trial of ARV-471 Alone and in Combination With Palbociclib (IBRANCE®) in Patients With ER+/HER2- Locally Advanced or Metastatic Breast Cancer
  • Official Title: A Phase 1/2, Open Label, Dose Escalation, and Cohort Expansion Clinical Trial to Evaluate the Safety, Tolerability, and Pharmacokinetics of ARV-471 Alone and in Combination With Palbociclib (IBRANCE®) in Patients With Estrogen Receptor Positive/Human Epidermal Growth Factor Receptor 2 Negative (ER+/HER2-) Locally Advanced or Metastatic Breast Cancer, Who Have Received Prior Hormonal Therapy and Chemotherapy in the Locally Advanced/Metastatic Setting

Clinical Trial IDs

  • ORG STUDY ID: ARV-471-mBC-101
  • NCT ID: NCT04072952

Conditions

  • Breast Cancer

Interventions

DrugSynonymsArms
ARV-471ARV-471
ARV-471 in combination with palbociclib (IBRANCE®)ARV-471 and palbociclib (IBRANCE®)

Purpose

This is a Phase 1/2 dose escalation and cohort expansion study and will assess the safety and tolerability of ARV-471 alone and in combination with palbociclib (IBRANCE®) in patients with estrogen receptor positive/human epidermal growth factor receptor 2 negative (ER+/HER2-) locally advanced or metastatic breast cancer, who have received prior hormonal therapy and chemotherapy in the locally advanced/metastatic setting.

Trial Arms

NameTypeDescriptionInterventions
ARV-471ExperimentalParts A and B: ARV-471 administered QD or BID for 28 day cycles.
  • ARV-471
ARV-471 and palbociclib (IBRANCE®)ExperimentalPart C: Daily oral dosages of ARV-471 for 28 days in combination with palbociclib (IBRANCE®) for 21 days.
  • ARV-471 in combination with palbociclib (IBRANCE®)

Eligibility Criteria

        Inclusion Criteria:

        Part A:

          -  Patients at least 18 years of age at the time of signing the informed consent.

          -  Patients must have histologically or cytologically confirmed ER+ and HER2- advanced
             breast cancer for which standard curative therapy is no longer effective or does not
             exist.

          -  Patients must have measurable or non-measurable disease by RECIST criteria
             (version1.1), with radiologic tumor assessments performed within 28 days of the first
             dose of therapy.

          -  Patients must have received at least 2 prior endocrine regimens in any setting
             (neoadjuvant, adjuvant or advanced/metastatic) a CDK4/6 inhibitor and up to 3 prior
             regimens of cytotoxic chemotherapy in the locally advanced or metastatic setting.

          -  Patients must be willing to undergo a biopsy of accessible tumor within 4 weeks prior
             to the initiation of study treatment and a follow-up biopsy on treatment for ER IHC
             testing and PD studies. (Patients without accessible tumor tissue may be eligible
             after discussion with the Medical Monitor.)

          -  Women must be postmenopausal due to surgical or natural menopause.

        Part B:

          -  Patients must have received at least 1 prior endocrine regimen for a minimum of 6
             months in the locally advanced or metastatic setting; if more than 1 prior endocrine
             regimen has been administered, only one of the regimens must have been administered
             for a minimum of 6 months in the locally advanced or metastatic setting

          -  Patients must have received a CDK4/6 inhibitor

          -  Patients must have received 1 prior regimen of cytotoxic chemotherapy in the locally
             advanced or metastatic setting

          -  Women must be postmenopausal due to surgical or natural menopause.

        Part C:

          -  Patients must have received no more than one prior endocrine therapy in the advanced
             setting unless the patient recurred during adjuvant treatment or within the 12 months
             of completion of adjuvant endocrine therapy in which case no prior endocrine therapy
             is required in the advanced setting.

          -  Patients must have received no more than one prior chemotherapy regimen for advanced
             disease.

          -  Women must be postmenopausal due to surgical or natural menopause.

        Exclusion Criteria:

        Part A:

          -  Patients with known symptomatic brain metastases requiring steroids (above physiologic
             replacement doses). Patients with previously diagnosed brain metastases are eligible
             if they have completed their treatment and have recovered from the acute effects of
             radiation therapy or surgery prior to first dose of study drug, have discontinued
             high-dose corticosteroid treatment for these metastases for at least 4 weeks and are
             neurologically stable as judged by the Investigator.

          -  Patients who have received 4 or more regimens of chemotherapy for locally advanced or
             mBC.

          -  Receipt of prior anti-cancer or other investigational therapy within 14 days prior to
             the first administration of study drug.

          -  Radiation therapy within 4 weeks of first dose of study drug or prior irradiation to
             >25% of the bone marrow. Palliative radiation for the alleviation of pain due to bone
             metastasis will be allowed during the study.

        Part B:

          -  Patients who have received more than 1 regimen of chemotherapy for locally advanced or
             mBC.

        Part C:

          -  Patients have received more than one regimen of chemotherapy for advanced/metastatic
             disease (regardless of prior adjuvant chemotherapy use) in addition to endocrine
             therapy.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Part A: Incidence of Dose Limiting Toxicities of ARV-471
Time Frame:28 Days
Safety Issue:
Description:First Cycle Dose limiting toxicities characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study drug

Secondary Outcome Measures

Measure:Part A: Assessment of pharmacokinetic parameter area under the concentration-time curve (AUC).
Time Frame:28 Days
Safety Issue:
Description:Concentration-time curve (AUC) for single and multiple dose of ARV-471 PK parameters will be assessed when applicable after a single dose and after multiple doses.
Measure:Part A: Assessment of pharmacokinetic parameter maximum concentration (Cmax).
Time Frame:28 Days
Safety Issue:
Description:Maximum concentration (Cmax) for single and multiple dose of ARV-471 PK parameters will be assessed when applicable after a single dose and after multiple doses.
Measure:Part A: Assessment of pharmacokinetic parameter minimum concentration (Cmin).
Time Frame:28 Days
Safety Issue:
Description:Minimum concentration (Cmin) for single and multiple dose of ARV-471 PK parameters will be assessed when applicable after a single dose and after multiple doses.
Measure:Part A: Assessment of pharmacokinetic parameter time to maximum concentration (Tmax).
Time Frame:28 Days
Safety Issue:
Description:Time to maximum concentration (Tmax) for single and multiple dose of ARV-471 PK parameters will be assessed when applicable after a single dose and after multiple doses.
Measure:Part A: Assessment of anti-tumor activity of ARV-471
Time Frame:28 Days
Safety Issue:
Description:Anti-tumor activity of ARV-471 will be assessed by evaluating overall response rate per RECIST 1.1.
Measure:Part A: Assessment of anti-tumor activity of ARV-471
Time Frame:28 Days
Safety Issue:
Description:Anti-tumor activity of ARV-471 will be assessed by evaluating clinical benefit response (CBR) rate based on the summation of complete responses (CRs), partial responses (PRs) and stable disease of 6 months duration or longer.
Measure:Part A: Assessment of anti-tumor activity of ARV-471
Time Frame:28 Days
Safety Issue:
Description:Anti-tumor activity of ARV-471 will be assessed by evaluating disease control rate (complete response, partial response, stable disease).
Measure:Part A: Assessment of anti-tumor activity of ARV-471
Time Frame:28 Days
Safety Issue:
Description:Anti-tumor activity of ARV-471 will be assessed by evaluating time to event endpoints: progression free survival, duration of response.
Measure:Part B: Assessment of anti-tumor activity of ARV-471
Time Frame:28 Days
Safety Issue:
Description:Anti-tumor activity of ARV-471 will be assessed by evaluating overall response rate per RECIST 1.1 in patients with measurable disease at baseline.
Measure:Part B: Assessment of anti-tumor activity of ARV-471
Time Frame:28 Days
Safety Issue:
Description:Anti-tumor activity of ARV-471 will be assessed by evaluating duration of response, progression-free survival and overall survival.
Measure:Part B: Evaluation of Safety and Tolerability
Time Frame:28 Days
Safety Issue:
Description:Further evaluation of safety and tolerability of ARV-471 will be based on adverse events as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study drug.
Measure:Part B: Evaluation of Safety and Tolerability
Time Frame:28 Days
Safety Issue:
Description:Further evaluation of safety and tolerability of ARV-471 will be based on Laboratory abnormalities as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), and timing.
Measure:Part C:Assessment of pharmacokinetic parameter area under the concentration-time curve (AUC)
Time Frame:28 Days
Safety Issue:
Description:Concentration-time curve (AUC) for single and multiple dose of ARV-471 PK parameters will be assessed when applicable after a single dose and after multiple doses.
Measure:Part C: Assessment of pharmacokinetic parameter maximum concentration (Cmax).
Time Frame:28 Days
Safety Issue:
Description:Maximum concentration (Cmax) for single and multiple dose of ARV-471 PK parameters will be assessed when applicable after a single dose and after multiple doses.
Measure:Part C: Assessment of pharmacokinetic parameter minimum concentration (Cmin).
Time Frame:28 Days
Safety Issue:
Description:Minimum concentration (Cmin) for single and multiple dose of ARV-471 PK parameters will be assessed when applicable after a single dose and after multiple doses.
Measure:Part C: Assessment of pharmacokinetic parameter time to maximum concentration (Tmax)
Time Frame:28 Days
Safety Issue:
Description:Time to maximum concentration (Tmax) for single and multiple dose of ARV-471 PK parameters will be assessed when applicable after a single dose and after multiple doses.
Measure:Part C: Assessment of anti-tumor activity of ARV-471 in combination with palbociclib
Time Frame:28 Days
Safety Issue:
Description:Anti-tumor activity of ARV-471 in combination with palbociclib will be assessed by evaluating overall response rate per RECIST 1.1 in patients with measurable disease at baseline.
Measure:Part C: Assessment of anti-tumor activity of ARV-471 in combination with palbociclib
Time Frame:28 Days
Safety Issue:
Description:Anti-tumor activity of ARV-471 in combination with palbociclib will be assessed by evaluating clinical benefit response (CBR) rate based on the summation of complete responses (CRs), partial responses (PRs) and stable disease of 6 months duration or longer.
Measure:Part C: Assessment of anti-tumor activity of ARV-471 in combination with palbociclib
Time Frame:28 Days
Safety Issue:
Description:Anti-tumor activity of ARV-471 in combination with palbociclib will be assessed by evaluating time to event endpoints: progression free survival, duration of response.

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Arvinas Inc

Trial Keywords

  • Breast Cancer
  • Metastatic Breast Cancer
  • Malignant Neoplasm of the Breast
  • mBC
  • ER+/HER2-
  • Locally Advanced Breast Cancer

Last Updated

December 14, 2020