Metastatic Breast Cancer Clinical Trial
Official title:
A Phase I ,Single Center, Open-labeling, Single and Dose-escalating Study to Assess the Safety, Tolerability and Pharmacokinetic Profile of Oral Novel ERa36 Modifier Icaritin in Advanced Breast Patients
To assess safety, tolerance and PK profile of different doses(50mg,100mg,200mg,300mg, 400mg, 500mg,QD)of Icaritin in advanced breast cancer Patients in China
ERa36 predominantly localizes on the plasma membrane and in the cytoplasm and mediates a
membrane-initiated "nongenomic" signaling pathway. Membrane-initiated estrogen signaling has
been linked to rapid responses to estrogen and generally activates signaling pathways like
MAPK/ERK, phosphatidylinositol-3-kinase, and protein kinase C pathways. Preclinical study
demonstrated that ERa36 was expressed in tumor cells and might be the driving force of
breast cancer cell proliferation. 40% of breast cancer tumors which used to be considered as
ER negative also express ERa36. In the former study the investigators found that 40% of
ERa66-positive breast cancer patients express high levels of ERa36 in their tumors, and this
subset of patients are less likely to benefit from tamoxifen treatment compared with those
with ERa66-positive/ERa36-negative tumors.
Icaritin is a newly discovered small molecular compound which is high selective ERa36
modulators and perhaps will be a very promising new drug to treat advanced breast cancer by
targeting this nongenomic pathway. It was showed that it can inhibit the growth of breast
cancer cells both in vitro and in vivo. The investigators have completed the preclinical
PK&PD and toxicity studies in animals and now move on to test it in a FIM clinical trial.
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Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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