Clinical Trials /

Trilaciclib, a CDK 4/6 Inhibitor, in Patients Receiving Gemcitabine and Carboplatin for Metastatic Triple-Negative Breast Cancer (TNBC)

NCT04799249

Description:

This is a Phase 3, multicenter, randomized, double-blind, placebo-controlled study evaluating the safety and efficacy of trilaciclib versus placebo administered prior to gemcitabine and carboplatin in patients receiving first- or second-line treatment for locally advanced unresectable/metastatic TNBC.

Related Conditions:
  • Breast Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 3

Trial Eligibility

Document

Title

  • Brief Title: Trilaciclib, a CDK 4/6 Inhibitor, in Patients Receiving Gemcitabine and Carboplatin for Metastatic Triple-Negative Breast Cancer (TNBC)
  • Official Title: A Phase 3, Randomized, Double-Blind Study of Trilaciclib or Placebo in Patients Receiving First- or Second-Line Gemcitabine and Carboplatin Chemotherapy for Locally Advanced Unresectable or Metastatic Triple-Negative Breast Cancer (PRESERVE 2)

Clinical Trial IDs

  • ORG STUDY ID: G1T28-208
  • SECONDARY ID: 2020-004930-39
  • NCT ID: NCT04799249

Conditions

  • TNBC - Triple-Negative Breast Cancer
  • Breast Cancer

Interventions

DrugSynonymsArms
TrilaciclibG1T28, COSELATrilaciclib + gemcitabine + carboplatin
Placebo0.9% normal saline, 5 % Dextrose in water (D5W)Placebo + gemcitabine + carboplatin
GemcitabinePlacebo + gemcitabine + carboplatin
CarboplatinPlacebo + gemcitabine + carboplatin

Purpose

This is a Phase 3, multicenter, randomized, double-blind, placebo-controlled study evaluating the safety and efficacy of trilaciclib versus placebo administered prior to gemcitabine and carboplatin in patients receiving first- or second-line treatment for locally advanced unresectable/metastatic TNBC.

Detailed Description

      This study will have two separate cohorts (Cohort 1 and Cohort 2). Both cohorts will follow
      the same general study conduct/design with similar primary and key secondary endpoints and
      identical treatment arms.

        -  Cohort 1 will evaluate patients receiving first-line therapy, regardless of programmed
           death-ligand 1 (PD-L1) status, who are programmed cell death protein 1 (PD-1)/PD-L1
           inhibitor therapy naïve.

        -  Cohort 2 will evaluate PD-L1 positive patients receiving second-line therapy following
           prior PD-1/PD-L1 inhibitor therapy in the locally advanced unresectable/metastatic
           setting.
    

Trial Arms

NameTypeDescriptionInterventions
Trilaciclib + gemcitabine + carboplatinExperimentalTrilaciclib (240mg/m2) + gemcitabine (1000 mg/m2) and carboplatin (AUC 2)
  • Trilaciclib
  • Gemcitabine
  • Carboplatin
Placebo + gemcitabine + carboplatinPlacebo ComparatorThe subjects in the placebo arm will follow the same schedule as the trilaciclib arm, but will receive placebo instead of trilaciclib.
  • Placebo
  • Gemcitabine
  • Carboplatin

Eligibility Criteria

        Inclusion Criteria:

          1. Age >/= 18 years of age with evaluable locally advanced unresectable or metastatic
             TNBC.

          2. Documentation of triple negative breast cancer (estrogen and progesterone receptor <1%
             and HER2-negative)

          3. Prior systemic therapies (Cohort 1 only):

               1. No prior systemic therapy in the locally advanced unresectable/metastatic setting
                  including chemotherapy, targeted therapy, immunotherapy, or investigational
                  agents.

               2. Prior PD-1/PD-L1 inhibitor treatment is not permitted in any setting, including
                  in the neoadjuvant setting.

               3. Time between completion of last treatment with curative intent and first
                  metastatic recurrence must be ≥ 6 months.

          4. Prior systemic therapies (Cohort 2 only):

               1. Documentation of PD-L1 positive status

               2. Treated with a PD-1/PD-L1 inhibitor for a minimum duration of 4 months in the
                  locally advanced unresectable/metastatic setting and as the most recent therapy.

          5. Radiation therapy for metastatic disease is permitted. There is no required minimum
             washout period for radiation therapy. Patients should be recovered from the effects of
             radiation.

          6. Archival tumor tissue must be available or a fresh biopsy must be obtained, unless
             approved by the Medical Monitor.

          7. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

          8. Adequate organ function as demonstrated by normal laboratory values

        Exclusion Criteria:

          1. Prior treatment with gemcitabine in any setting.

          2. Prior treatment with carboplatin in the locally advanced unresectable/metastatic
             setting.

             Prior carboplatin in the (neo)adjuvant/curative setting is permitted as long as it was
             completed ≥ 6 months prior to the first metastatic recurrence.

          3. Presence of central nervous system (CNS) metastases and/or leptomeningeal disease
             requiring immediate treatment with radiation therapy or steroids.

          4. Receipt of any cytotoxic chemotherapy within 14 days prior to the first dose of study
             drugs.

          5. QTcF interval >480 msec at Screening (confirmed in triplicate). For patients with
             ventricular pacemakers, QTcF >500 msec.

          6. Known hypersensitivity to carboplatin or other platinum-containing compounds, or
             mannitol

          7. Pregnant or lactating women

          8. Prior hematopoietic stem cell or bone marrow transplantation
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Effect on Overall Survival (OS)
Time Frame:Cohort 1:From date of randomization up to 39 months
Safety Issue:
Description:(Cohort 1):To evaluate the effect of trilaciclib on overall survival (OS) compared with placebo in patients receiving first-line gemcitabine and carboplatin.

Secondary Outcome Measures

Measure:Quality of life/Effects On Chemotherapy-Induced Fatigue
Time Frame:Cycle 1 Day 1 (each cycle is 21 days) up to 14 months
Safety Issue:
Description:To assess the effect of trilaciclib on patients' quality of life as measured by time to first confirmed deterioration of fatigue compared with placebo in patients receiving gemcitabine and carboplatin
Measure:Myeloprotective Effects
Time Frame:Cycle 1 Day 1 (each cycle is 21 days) up to 14 months
Safety Issue:
Description:Occurrence of cytopenias, febrile neutropenia, hospitalization due to chemotherapy-induced myelosuppression, RBC and platelet transfusions, growth factor administration, and dose reductions and delays
Measure:Progression Free Survival
Time Frame:From date of randomization up to 14 months)
Safety Issue:
Description:To evaluate the effect of trilaciclib on progression-free survival (PFS) compared with placebo in patients receiving gemcitabine and carboplatin.

Details

Phase:Phase 3
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:G1 Therapeutics, Inc.

Trial Keywords

  • breast cancer
  • gemcitabine
  • carboplatin
  • solid tumors
  • breast
  • chemotherapy
  • TNBC
  • trilaciclib
  • cyclin-dependent kinase 4/6 inhibitor
  • CDK 4/6 Inhibitor
  • triple-negative breast cancer
  • metastatic
  • chemotherapy-induced fatigue
  • HER2-negative
  • immunotherapy
  • immune checkpoint inhibitor therapy
  • chemotherapy-induced myelosuppression
  • myeloprotection
  • myeloprotective
  • PD-1/PD-L1 inhibitor therapy
  • advanced
  • stage 4
  • preserve
  • PRESERVE 2

Last Updated

August 17, 2021