A Study of GDC-0810 Single Agent or in Combination With Palbociclib and/or a Luteinizing Hormone-releasing Hormone (LHRH) Agonist in Women With Locally Advanced or Metastatic Estrogen Receptor Positive Breast Cancer
Status: | Active, not recruiting |
---|---|
Conditions: | Breast Cancer, Cancer |
Therapuetic Areas: | Oncology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 2/8/2019 |
Start Date: | December 29, 2014 |
End Date: | March 28, 2019 |
An Open-label, Phase Ia/Ib/IIa Study of GDC-0810 Single Agent or in Combination With Palbociclib and/or an LHRH Agonist in Women With Locally Advanced or Metastatic Estrogen Receptor Positive Breast Cancer
This study is a multi-institution, Phase Ia/Ib/IIa open-label, dose-finding, safety,
pharmacokinetics (PK), and proof-of-concept study of GDC-0810 as a single agent and in
combination with palbociclib and/or LHRH agonist. The study is divided into 3 phases: Phase
Ia, Phase Ib, and Phase IIa. During Phase Ia (dose escalation phase), GDC-0810 single agent
will be administered orally on a continuous daily dosing regimen with a Day -7 lead-in period
for single dose PK evaluation prior to the start of daily treatment. The incidence of
dose-limiting toxicities (DLTs) will be evaluated from Day -7 through the first cycle (28
days) of treatment (35 days total). Depending on safety and tolerability, participants will
be assigned sequentially to escalating doses of GDC-0810 using standard 3 + 3 design. During
Phase Ib (dose escalation and expansion phase), participants will receive GDC-0810 with
palbociclib and/or LHRH agonist to determine the recommended Phase II dose (RP2D) and assess
the safety and tolerability of concomitant administration. During Phase IIa (dose expansion
phase), participants previously treated with an aromatase inhibitor (AI) will be treated at
the RP2D to further characterize the safety, PK, pharmacodynamics, and anti-tumor activity of
GDC-0810.
pharmacokinetics (PK), and proof-of-concept study of GDC-0810 as a single agent and in
combination with palbociclib and/or LHRH agonist. The study is divided into 3 phases: Phase
Ia, Phase Ib, and Phase IIa. During Phase Ia (dose escalation phase), GDC-0810 single agent
will be administered orally on a continuous daily dosing regimen with a Day -7 lead-in period
for single dose PK evaluation prior to the start of daily treatment. The incidence of
dose-limiting toxicities (DLTs) will be evaluated from Day -7 through the first cycle (28
days) of treatment (35 days total). Depending on safety and tolerability, participants will
be assigned sequentially to escalating doses of GDC-0810 using standard 3 + 3 design. During
Phase Ib (dose escalation and expansion phase), participants will receive GDC-0810 with
palbociclib and/or LHRH agonist to determine the recommended Phase II dose (RP2D) and assess
the safety and tolerability of concomitant administration. During Phase IIa (dose expansion
phase), participants previously treated with an aromatase inhibitor (AI) will be treated at
the RP2D to further characterize the safety, PK, pharmacodynamics, and anti-tumor activity of
GDC-0810.
Inclusion Criteria:
Phase 1a portion
- Histologically or cytologically proven diagnosis of adenocarcinoma of the breast with
evidence of either locally recurrent disease not amenable to resection or radiation
therapy with curative intent, or metastatic disease, both progressing after at least 6
months of hormonal therapy for estrogen receptor (ER) positive breast cancer
- ER-positive, human epidermal growth factor 2 (HER2) negative
- At least 2 months must have elapsed from the use of tamoxifen
- At least 6 months must have elapsed from the use of fulvestrant
- At least 2 weeks must have elapsed from the use of any other anticancer hormonal
therapy
- At least 3 weeks must have elapsed from the use of any chemotherapy
- Postmenopausal status
- Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2
- Adequate organ function
Phase Ib portion
- All above inclusion criteria, except:
- Postmenopausal status, pre- and peri-menopausal participants will also be included
- ECOG performance status less than 2
- At least 2 months must have elapsed from the use of tamoxifen not applicable
- At least 6 months must have elapsed from the use of fulvestrant not applicable
and plus:
- Documented sensitivity to prior hormonal therapy
- Cohort C1 (palbociclib combination cohorts): no prior treatment with cyclin-dependent
kinase (CDK) 4/6 inhibitor
Phase IIa portion
- All above inclusion criteria for Phase Ia, except:
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- At least 6 months must have elapsed from the use of fulvestrant not applicable
and plus:
- Cohort A only: confirmed estrogen receptor alpha (ESR1) mutation and presence of
measurable disease as per RECIST v1.1 or evaluable bone disease
- Cohort A1 only: no prior fulvestrant allowed; at least 2 months must have elapsed from
the use of tamoxifen
- Cohort A2 only: prior fulvestrant allowed
- Cohort B only: disease progression following no more than 1 prior treatment with an
aromatase inhibitor in the advanced/metastatic setting
- Cohort B1 only: no prior fulvestrant allowed
- Cohort B2 only: prior fulvestrant allowed
Exclusion Criteria:
Phase 1a portion
- Untreated or symptomatic central nervous system (CNS) metastases
- Endometrial disorders
- More than 2 prior chemotherapy in the advanced/metastatic setting (prior adjuvant
chemotherapy is allowed so long as it occurred greater than or equal to 12 months
prior to enrollment)
- Current treatment with any systemic anticancer therapies for advanced disease
- Any significant cardiac dysfunction within 12 months prior to enrollment
- Active inflammatory bowel disease or chronic diarrhea, short bowel syndrome, or upper
gastrointestinal surgery including gastric resection
- Known human immunodeficiency virus (HIV) infection
- Known clinically significant history of liver disease
- Major surgery within 4 weeks prior to enrollment
- Radiation therapy within 2 weeks prior to enrollment
Phase Ib portion - all above exclusion criteria, plus:
- Cohort C1 (palbociclib combination cohorts): history of venous thromboembolic event
requiring therapeutic anticoagulation; vaginal bleeding within 2 months prior to
enrollment
Phase IIa portion - all above exclusion criteria, plus:
- Cohort A1, A2, and Cohort B2 only: more than 1 prior chemotherapy in the
advanced/metastatic setting
- Cohort B1 only: prior chemotherapy in the advanced/metastatic setting
We found this trial at
12
sites
Yale Cancer Center Yale Cancer Center combines a tradition of innovative cancer treatment and quality...
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1211 Medical Center Dr
Nashville, Tennessee 37232
Nashville, Tennessee 37232
(615) 322-5000
Vanderbilt Univ Med Ctr Vanderbilt University Medical Center (VUMC) is a comprehensive healthcare facility dedicated...
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Mount Sinai Med Ctr Founded in 1852, The Mount Sinai Hospital is a 1,171-bed, tertiary-care...
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Seattle Cancer Care Alliance Seattle Cancer Care Alliance (SCCA) is a cancer treatment center that...
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Dana-Farber Cancer Institute Since it’s founding in 1947, Dana-Farber has been committed to providing adults...
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Memorial Sloan Kettering Cancer Center Memorial Sloan Kettering Cancer Center — the world's oldest and...
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