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Completed

NCT Number: NCT02333370

A Phase Ib Dose Escalation Study of the Combination of LEE011 With Letrozole and Dose Expansion of LEE011 With Hormonal Therapy for the Treatment of Pre-(With Goserelin) and Postmenopausal Women With Hormone Receptor Positive, HER2-negative, Advanced Breast Cancer

The purpose of the Phase Ib is to:

1. determine the recommended dose of LEE011 in combination with a standard dose of letrozole as well as to provide additional safety and anti-tumor activity data in Asian non-Japanese patients 2. determine the recommended dose of LEE011 in combination with a standard dose of letrozole as well as to provide additional safety and activity data in Japanese patients 3. evaluate the safety and anti-tumor activity of LEE011 at the RP2D established in the dose escalation part in combination with a standard dose of letrozole, fulvestrant or tamoxifen plus goserelin in Japanese patients.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Phase 1

Primary location

Novartis Investigative Site, Hong Kong

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Women with advanced (locoregionally recurrent or metastatic) breast cancer not amenable to curative therapy (surgery and/or radiotherapy).
  • Patient has a histologically and/or cytologically confirmed diagnosis of estrogen receptor positive and/or progesterone receptor positive breast cancer
  • Patient has HER2-negative breast cancer
  • Patient has adequate bone marrow and organ function

Exclusion criteria

  • Patient who received any CDK4/6 inhibitor.
  • Patient has a known hypersensitivity to any of the excipients of LEE011 or letrozole
  • Patients with inflammatory breast cancer.
  • Patient who received any prior systemic anti-cancer therapy (including hormonal therapy and chemotherapy) for advanced breast cancer
  • Patient is currently using other anti-cancer therapy
  • Patient has had major surgery within 14 days prior to starting study drug or has not recovered from major side effects.
  • Patient who has received radiotherapy ≤ 4 weeks
  • Patient has a concurrent malignancy or malignancy within 3 years
  • Patient has metastases to the central nervous system (CNS).
  • Patient has a known history of HIV infection

Other protocol-defined inclusion/exclusion criteria may apply

Treatment and study plan

LEE011

Drug

LEE011 as 50 mg and 200 mg hard gelatin oral capsules as individual patient supply packaged in bottles. LEE011 will be taken QD - days 1-21 of each 28 days cycle.

letrozole

Drug

25mg

Tamoxifen

Drug

20 mg

Fulvestrant

Drug

500 mg

Goserelin

Drug

Primary outcomes

  1. Phase Ib Dose escalation - Frequency of dose limiting toxicities (DLTs)

    Time frame: first cycle (28 days)

    DLTs at each dose level associated with administration of LEE011 and letrozole

  2. Phase Ib Dose Expansion: Number of participants with adverse events (AEs)

    Time frame: 18 months

    This will be defined by changes in hematology and chemistry values, vital signs and ECGs, frequency and duration of AEs, lab abnormalities and other safety parameters.

    For LEE011 and letrozole or tamoxifen or fulvestrant

  3. Phase Ib Dose Expansion: Number of participants with serious adverse events (SAEs)

    Time frame: 18 months

    This will be defined by changes in hematology and chemistry values, vital signs and ECGs, frequency and duration of SAEs, lab abnormalities and other safety parameters.

    For LEE011 and letrozole or tamoxifen or fulvestrant

Secondary outcomes

  1. Number of participants with adverse events (AEs) - Phase Ib dose escalation

    Time frame: 18 months

    This will be defined by changes in hematology and chemistry values, vital signs and ECGs, frequency and duration of AEs, lab abnormalities and other safety parameters.

    For LEE011 and letrozole or tamoxifen or fulvestrant

  2. Number of participants with serious adverse events (SAEs) - Phase Ib dose escalation

    Time frame: 18 months

    This will be defined by changes in hematology and chemistry values, vital signs and ECGs, frequency and duration of SAEs, lab abnormalities and other safety parameters.

    For LEE011 and letrozole or tamoxifen or fulvestrant

  3. Overall Response Rate (ORR) - Phase Ib dose expansion

    Time frame: 18 months

    Anti-tumor activity for LEE011 and letrozole or tamoxifen or fulvestrant

  4. Clinical Benefit Rate (CBR) - Phase Ib dose expansion

    Time frame: 18 months

    Anti-tumor activity for LEE011 and letrozole or tamoxifen or fulvestrant

  5. Composite Plasma pharmacokinetics (PK) parameters of LEE011 (and relevant metabolites) and letrozole - Phase Ib

    Time frame: C1D1, C1D2, C1D8, C1D15, C1D21, C1D22, C2D15, C3D15

    As assessed by PK parameters such as Cmax, Tmax, AUC0-24hours, accumulation ratio and Ctrough for LEE011 (and relevant metabolites) and letrozole, tamoxifen and fulvestrant

  6. Progression Free Survival (PFS) as per RECIST v1.1- phase Ib dose expansion

    Time frame: 18 months

    Anti-tumor activity for LEE011 and letrozole or tamoxifen or fulvestrant

  7. Overall Survival (OS) - Phase Ib dose expansion

    Time frame: 18 months

    Anti-tumor activity for LEE011 and letrozole or tamoxifen or fulvestrant

  8. Disease Control Rate (DCR) - Phase Ib dose expansion

    Time frame: 18 months

    Anti-tumor activity for LEE011 and letrozole or tamoxifen or fulvestrant

  9. Duration of Response (DOR) - Phase Ib dose expansion

    Time frame: 18 months

    Anti-tumor activity for LEE011 and letrozole or tamoxifen or fulvestrant

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Important dates

Study start
2015
Primary completion
2022
Study completion
2022
First posted
Jan 7, 2015
Registry last updated
Jun 8, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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