Dose Escalation Study of LEE011 in Combination With Buparlisib and Letrozole in HR+, HER2-negative Post-menopausal Women With Advanced Breast Cancer.
Status: | Completed |
---|---|
Conditions: | Breast Cancer, Cancer |
Therapuetic Areas: | Oncology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 7/25/2018 |
Start Date: | June 27, 2014 |
End Date: | October 26, 2016 |
A Phase 1 Dose Escalation Study of LEE011 in Combination With Buparlisib and Letrozole for the Treatment of HR+, HER2-negative Post-menopausal Women With Locally Advanced or Metastatic Breast Cancer.
This is a multi-center, open-label, non-randomized, phase I study
Inclusion Criteria:
1. Women with advanced (recurrent or metastatic) breast cancer who received no prior
therapy for advanced disease.
2. Patient is postmenopausal.
3. Patient may have received ≤ 2 lines of chemotherapy for metastatic or recurrent breast
cancer in the dose-escalation phase.
4. Patient has a histologically and/or cytologically confirmed diagnosis of
estrogen-receptor positive and/or progesterone receptor positive breast cancer by
local laboratory.
5. Patient has HER2-negative breast cancer defined as a negative in situ hybridization
test or an IHC status of 0, 1+ or 2+. If IHC is 2+, a negative in situ hybridization
(FISH, CISH, or SISH) test is required by local laboratory testing.
6. Patient must have either:
- Measurable disease, i.e., at least one measurable lesion as per RECIST 1.1
criteria or at least one predominantly lytic bone lesion
Exclusion Criteria:
1. Patient who received any CDK4/6 or PI3K inhibitor.
2. Patient has active cardiac disease or a history of cardiac dysfunction including any
of the following:
- History of angina pectoris, symptomatic pericarditis, or myocardial infarction
within 12 months prior to study entry
- History of documented congestive heart failure (New York Heart Association
functional classification III-IV)
- Documented cardiomyopathy
- Patient has a Left Ventricular Ejection Fraction (LVEF) < 50% as determined by
Multiple Gated acquisition (MUGA) scan or echocardiogram (ECHO)
- History of any cardiac arrhythmias, e.g., ventricular, supraventricular, nodal
arrhythmias, or conduction abnormality in the previous 12 months.
- On screening, any of the following cardiac parameters: bradycardia (heart rate <
50 at rest), tachycardia (heart rate > 90 at rest), PR interval > 220 msec, QRS
interval >109 msec, or QTcF >450 msec.
Systolic blood pressure >160 or <90 mmHg
3. Patient is currently receiving any of the following medications:
- That are known strong inducers or inhibitors of CYP3A4.
- That have a known risk to prolong the QT interval or induce Torsades de Pointes.
- That have a narrow therapeutic window and are predominantly metabolized through
CYP3A4.
4. Certain scores on an anxiety and depression mood questionnaires
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