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OpenTrials
Completed

NCT Number: NCT03455270

G1T48, an Oral SERD, Alone and in Combination With Palbociclib in ER-Positive, HER2-Negative Advanced Breast Cancer

This is a study to investigate the potential clinical benefit of G1T48 as an oral selective estrogen receptor degrader (SERD) alone and in combination with palbociclib, a cyclin dependent kinase 4/6 (CDK 4/6) inhibitor, in patients with estrogen receptor-positive, HER2-negative metastatic breast cancer.

The study is an open-label design, consisting of 3 parts: dose-finding portion including food effect (Part 1), G1T48 monotherapy expansion portion (Part 2), and G1T48 in combination with palbociclib expansion portion (Part 3). All parts include 3 study phases: Screening Phase, Treatment Phase, and Survival Follow-up Phase. The Treatment Phase begins on the day of first dose with study treatment and completes at the Post-Treatment Visit. Approximately, 184 patients may be enrolled in the study.

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Key information

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • For Part 1, postmenopausal women only
  • For Parts 2 and 3, any menopausal status
  • Confirmed diagnosis of ER-positive, HER2-negative advanced breast cancer, not amenable to curative therapy
  • For Part 1, prior treatment with less than 4 prior lines of chemotherapy
  • For Part 2, prior treatment with less than 2 prior line of chemotherapy
  • For Part 3, prior treatment with no more than 1 prior line of chemotherapy
  • For Parts 1 and 2, prior treatment with less than 4 prior endocrine therapies for metastatic breast cancer
  • For Part 3, prior treatment with no more than 1 prior line of endocrine therapies for metastatic breast cancer
  • For Parts 1 and 2, patients must satisfy 1 of the following criteria for prior therapy:
  • Progressed during treatment or within 12 months of completion of adjuvant therapy with an aromatase inhibitor
  • Progressed after the end of prior aromatase inhibitor therapy for advanced/metastatic breast cancer
  • For Part 3, patients must satisfy 1 of the following criteria for prior therapy:
  • Received ≥ 24 months of endocrine therapy in the adjuvant setting prior to recurrence or progression
  • Received ≥ 6 months of endocrine therapy in the advanced/metastatic setting prior to progression
  • For Part 1, evaluable or measurable disease
  • For Parts 2 and 3, evaluable (approximately 25%) or measurable disease (approximately 75%) as defined by RECIST, Version 1.1 including bone-only disease
  • ECOG performance status 0 to 1
  • Adequate organ function

Exclusion criteria

  • For Part 3, prior treatment with CDK4/6 inhibitor, investigational oral SERDs or SERCAs in any setting
  • Active uncontrolled/symptomatic CNS metastases, carcinomatous meningitis, or leptomeningeal disease
  • Anticancer therapy within 14 days of first G1T48 dose or within 28 days for antibody-based therapy
  • Concurrent radiotherapy, radiotherapy within 14 days of first G1T48 dose, previous radiotherapy to the target lesion sites, or prior radiotherapy to > 25% of bone marrow
  • Prior hematopoietic stem cell or bone marrow transplantation

Treatment and study plan

G1T48

Drug

oral SERD

Other names: Rintodestrant

Palbociclib

Drug

CDK 4/6 Inhibitor

Other names: Ibrance

Primary outcomes

  1. Dose Limiting Toxicity

    Time frame: Cycle 1 Day -3 to Cycle 1 Day 28

  2. Recommended Phase 2 dose

    Time frame: 12 months

    G1T48 alone and in combination with palbociclib; progression-free survival (PFS)

  3. Number of Treatment Related Adverse Event, including Abnormal Laboratory Events

    Time frame: 21 months

    All AEs, including clinical laboratory, vitals signs, physical examinations and ECGs will be analyzed in all patients receiving study drug(s) from the signing of the informed consent until 30 days after the last dose of study medication(s).

Secondary outcomes

  1. Tumor response based on RECIST, Version 1.1

    Time frame: 21 months

    G1T48 alone and in combination with palbociclib;

  2. Effect of food on bioavailability of G1T48

    Time frame: Part 1, Cycle 1 Day -10 to Cycle 1 Day 1.

  3. Pharmacokinetics of G1T48 and metabolites: Maximum Plasma Concentration (Cmax)

    Time frame: Part 1, Cycle 1 Day -3 to Cycle 2 Day 1. Part 2, Cycle 2 Day 1 to Cycle 3 Day 1. Part 3, Cycle 2 Day 1 to Cycle 3 Day 1.

  4. Pharmacokinetics of G1T48 and metabolites: Area under Curve - plasma concentration (AUC)

    Time frame: Part 1, Cycle 1 Day -3 to Cycle 2 Day 1. Part 2, Cycle 2 Day 1 to Cycle 3 Day 1. Part 3, Cycle 2 Day 1 to Cycle 3 Day 1.

  5. Pharmacokinetics of G1T48 and metabolites: Plasma: terminal half life (T1/2)

    Time frame: Part 1, Cycle 1 Day -3 to Cycle 2 Day 1. Part 2, Cycle 2 Day 1 to Cycle 3 Day 1. Part 3, Cycle 2 Day 1 to Cycle 3 Day 1.

  6. Pharmacokinetics of G1T48 and metabolites: Plasma - Volume of distribution

    Time frame: Part 1, Cycle 1 Day -3 to Cycle 2 Day 1. Part 2, Cycle 2 Day 1 to Cycle 3 Day 1. Part 3, Cycle 2 Day 1 to Cycle 3 Day 1.

  7. Pharmacokinetics of palbociclib: Plasma - Trough concentration

    Time frame: Part 3, Cycle 2 Day 1 to Cycle 3 Day 1.

Sponsors and collaborators

Lead sponsor

G1 Therapeutics, Inc.

Industry

Registry information

Official study title

A Phase 1, Open-Label, Multicenter Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of Ascending Doses of G1T48 Alone and in Combination With Palbociclib in Women With Estrogen Receptor-Positive, HER2-Negative Advanced Breast Cancer

Important dates

Study start
2018
Primary completion
2022
Study completion
2022
First posted
Mar 6, 2018
Registry last updated
Dec 15, 2022

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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