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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT05501769
Other study ID # ARV-471-mBC-102
Secondary ID C4891020
Status Active, not recruiting
Phase Phase 1
First received
Last updated
Start date September 8, 2022
Est. completion date November 30, 2024

Study information

Verified date January 2024
Source Arvinas Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

A phase 1b study to assess the combination of ARV-471 and everolimus in participants with advanced or metastatic ER+/HER2- breast cancer.


Description:

This is a Phase 1b study to assess the safety and tolerability of ARV-471 in combination with everolimus in participants with estrogen receptor positive/human epidermal growth factor receptor 2 negative (ER+/HER2-) advanced or metastatic breast cancer, who have received a prior CDK4/6 inhibitor and endocrine therapy in the advanced/metastatic setting.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 32
Est. completion date November 30, 2024
Est. primary completion date May 30, 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Histologically or cytologically confirmed ER+ and HER2-advanced breast cancer (metastatic, recurrent, or unresectable) - Women must be postmenopausal, or pre-/peri-menopausal women must be on ovarian suppression - Measurable disease or non-measurable (evaluable) disease per RECIST v1.1 - Received a minimum of 1 and up to 3 lines of anti-cancer therapy in the advanced/metastatic setting: must have received and progressed on (or were intolerant to) a CDK 4/6 inhibitor, either alone or in combination; must have received at least one endocrine therapy, either alone or in combination; may have received up to one line of chemotherapy - Must be willing to use dexamethasone mouthwash for the prevention of everolimus-induced stomatitis - ECOG performance status of 0 or 1 Exclusion Criteria: - Untreated brain metastases or brain metastases requiring steroids above physiologic replacement doses - Prior treatment with ARV-471 - Prior treatment targeting mTOR (e.g. everolimus) - Prior anticancer or investigational drug treatment within 28 days (fulvestrant) or 14 days (tamoxifen or aromatase inhibitor, or CDK 4/6 inhibitor) before the first dose of study drug - Prior anticancer or investigational anticancer drug therapy within 28 days or 5 half-lives (whichever is shorter) before the first dose of study drug, except as mentioned above - Any of the following in the previous 12 months: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident, transient ischemic attack, symptomatic pulmonary embolism, or other clinically significant episode of thromboembolism - Any of the following in the previous 6 months: congenital long QT syndrome, Torsade de Pointes, sustained ventricular tachyarrhythmia and ventricular fibrillation, left anterior hemiblock, ongoing cardiac arrythmias/dysrhythmias, atrial fibrillation - Hypertension that cannot be controlled by medication (>150/90 mmHg despite optimal medical therapy) - Active, uncontrolled bacterial, fungal, or viral infection, including hepatitis B virus, hepatitis C virus, known human immunodeficiency virus (HIV), or acquired immunodeficiency syndrome (AIDS)-related illness - Known history of drug-induced pneumonitis or other significant symptomatic deterioration of lung function - Live vaccines within 14 days before the first dose of study drug - Major surgery (as defined by the Investigator) within 4 weeks of first dose of study drug - Radiation therapy within 4 weeks of first dose of study drug or prior irradiation to more than 25% of the bone marrow

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
ARV-471 in combination with Everolimus
ARV-471 oral tablets in combination with everolimus administered daily in 28 day cycles

Locations

Country Name City State
Spain Clinical Trial Site Barcelona
Spain Clinical Trial Site Madrid
Spain Clinical Trial Site Valencia
United States Clinical Trial Site Ann Arbor Michigan
United States Clinical Trial Site Lake Mary Florida
United States Clinical Trial Site Nashville Tennessee
United States Clinical Trial Site San Diego California
United States Clinical Trial Site Santa Monica California
United States Clinical Trial Site Washington District of Columbia

Sponsors (2)

Lead Sponsor Collaborator
Arvinas Estrogen Receptor, Inc. Pfizer

Countries where clinical trial is conducted

United States,  Spain, 

Outcome

Type Measure Description Time frame Safety issue
Primary Incidence of dose limiting toxicities of ARV-471 in combination with everolimus Dose limiting toxicities in the first 35 days of the study combination treatment characterized by type, frequency, severity (as graded by NCI CTCAE v5.0), timing, seriousness, and relationship to study drug 35 Days
Primary Recommended Phase 2 Dose (RP2D) for ARV-471 in combination with everolimus 35 Days
Primary Number of participants with adverse events as a measure of safety and tolerability of ARV-471 in combination with everolimus Adverse events as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study drug combination 28 calendar days after participant discontinues study treatment
Primary Incidence of laboratory abnormalities as a measure of safety and tolerability of ARV-471 in combination with everolimus Laboratory abnormalities as characterized by type, frequency, severity (as graded by NCI CTCAE v5.0), and timing 28 calendar days after participant discontinues study treatment
Secondary Overall response rate (ORR) in participants Up to approximately 1 year
Secondary Clinical benefit rate (CBR) in participants. Clinical benefit response rate based on the summation of CRs, PRs and stable disease of 24 weeks duration or longer. Up to approximately 1 year
Secondary Duration of response (DOR) in participants Up to approximately 1 year
Secondary Maximum plasma concentrations (Cmax) of ARV-471 and everolimus At predefined intervals throughout the treatment period, up to approximately 4 weeks after last dose of investigational products
Secondary Time to maximum plasma concentrations (Tmax) of ARV-471 and everolimus At predefined intervals throughout the treatment period, up to approximately 4 weeks after last dose of investigational products
Secondary Area under the concentration-time curve over 24 hours at steady state (AUC(0-24)) of ARV-471 and everolimus At predefined intervals throughout the treatment period, up to approximately 4 weeks after last dose of investigational products
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