An Open-label Multicenter Phase 1b-2 Study of Elacestrant in Combination With Abemaciclib in Women and Men With Brain Metastasis From Estrogen Receptor Positive, HER-2 Negative Breast Cancer

Status: Recruiting
Location: See all (84) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

This is a multi-site, global, open-label study that includes a phase 1b evaluation of elacestrant in combination with abemaciclib in women and men with brain metastases from estrogen receptor (ER)-positive, human epidermal growth factor receptor-2 (HER-2) negative breast cancer. Phase 1b was designed to select the recommended phase 2 dose (RP2D) and is followed by an ongoing phase 2 evaluation of elacestrant in combination with abemaciclib in participants with active brain metastases from ER-positive, HER-2 negative breast cancer.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Participant has the signed informed consent form before any study-related activities according to local guidelines.

• Women or men aged ≥18 years, at the time of informed consent signature.

‣ Female participants may be either postmenopausal or pre/perimenopausal. Postmenopausal status is defined by:

⁃ Age ≥60 years

• Age \<60 years and amenorrhea for 12 or more months without an alternative cause) and follicle stimulating hormone and estradiol in postmenopausal ranges per local reference ranges

• Documentation of prior bilateral oophorectomy, at least 1 month before first dose of trial therapy).

⁃ Pre-menopausal / peri-menopausal women and men must be concurrently receiving a luteinizing hormone-releasing hormone (LHRH) agonist starting at least 3-4 weeks before the start of trial therapy and is planning to continue LHRH during the study.

• Participant must have ER-positive, HER-2 negative tumor status as confirmed by local laboratory testing in the following manner:

‣ Documentation of ER positive tumor with ≥ 1% staining by immunohistochemistry (IHC) as defined in the 2010 or 2020 American Society for Clinical Oncology (ASCO) recommendations for ER testing, with or without progesterone receptor (PGR) positivity

⁃ HER-2 negative tumor with an IHC result of 0 or 1+ for cellular membrane protein expression or an in situ hybridization negative result as defined in the 2013 or 2018 ASCO recommendations for HER-2 testing

• In Phase 2, participants must have at least one active and measurable brain metastasis per RECIST version 1.1.

‣ Any of the following qualifies brain metastases as active:

⁃ Newly diagnosed brain metastasis in participants who never received prior central nervous system (CNS)-directed therapy.

• Newly diagnosed brain metastasis outside any area that was previously subjected to CNS-directed therapy.

• Brain metastases demonstrating unequivocal progression in the opinion of the treating investigator in an area that has previously been subjected to CNS-directed therapy.

⁃ For lesions, including brain metastases, to qualify as measurable, and possibly be selected as target lesions, per RECIST version 1.1, the longest diameter must be ≥10 millimeters \[mm\] by computed tomography \[CT\] or magnetic resonance imaging \[MRI\]).

⁃ In Phase 1b, the presence of brain metastases is allowed but not required for eligibility, in this case, at least 1 measurable lesion outside the brain is required.

• Participants receiving concomitant corticosteroids must be on a stable or decreasing dose for at least 7 days prior to baseline and not receiving doses higher than 4 mg of dexamethasone per day or equivalent.

• Participants have experienced no more than one seizure within 4 weeks prior to starting trial therapy.

• Participants' prior therapy received in the metastatic setting includes:

‣ At least one endocrine therapy

⁃ Up to two chemotherapy regimens

⁃ Up to two lines of prior cyclin-dependent kinase (CDK) 4/6 inhibitor, not including abemaciclib

• Note 1: Toxicity from prior therapy must be resolved to NCI CTCAE version 5.0 Grade ≤1, with the exception of alopecia and peripheral sensory neuropathy (Grade ≤2).

• Note 2: Chemotherapy refers to not targeted cytotoxic agents (for example, alkylating agents, taxanes, nucleotide analogs, platinum-based drugs, vinca alkaloids, etc) and antibody drug conjugates (ADCs). Targeted therapies (for example, kinase inhibitors) are not considered chemotherapy for eligibility purposes. Not targeted cytotoxic agents administered for less than 1 cycle will not be counted as a prior chemotherapy regimen.

• Participant has documented intracranial and/or extracranial radiological progression or recurrence while on or after the most recent therapy.

• Participant has an Eastern Cooperative Oncology Group (ECOG) performance status of ≤2

⁃ Participant has a life expectancy ≥ 12 weeks.

⁃ Participant has adequate bone marrow and organ function, as defined by the following laboratory values:

• Absolute neutrophil count (ANC) ≥1.5 × 10\^9/liter (L)

∙ Platelets ≥100 × 10\^9/L

∙ Hemoglobin ≥9.0 grams (g)/deciliter (dL)

∙ Potassium, sodium, calcium (corrected for serum albumin) and magnesium CTCAE Grade ≤1 (if screening assessments are abnormal, these assessments may be repeated up to 2 times; participants may receive appropriate supplementation or treatment prior to reassessment)

∙ Creatinine clearance (per Cockcroft-Gault formula) ≥50 mL/minute

∙ Serum albumin ≥3.0 g/dL (≥30 g/L)

∙ Liver function tests:

• In absence of liver metastases, alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤3.0 × upper limit of normal (ULN). If the participant has liver metastases, ALT and AST ≤5.0 × ULN.

∙ Total serum bilirubin \<1.5 × ULN except for participants with Gilbert's syndrome who may be included if the total serum bilirubin is ≤3.0 × ULN or direct bilirubin ≤ 1.5 × ULN

⁃ The participant is willing and able to adhere to the study visit schedule and other protocol requirements.

Locations
United States
California
Providence Medical Foundation
RECRUITING
Fullerton
California Research Institute
RECRUITING
Los Angeles
Illinois
Carle Cancer Center
RECRUITING
Urbana
Massachusetts
Dana-Farber Cancer Institute
RECRUITING
Boston
Michigan
Henry Ford Hospital
RECRUITING
Detroit
Ohio
Miami Valley Hospital South
RECRUITING
Centerville
Oregon
Oregon Health & Science University
RECRUITING
Portland
Tennessee
SCRI Oncology Partners
RECRUITING
Nashville
Texas
University of Texas MD Anderson Cancer Center
RECRUITING
Houston
UT Health San Antonio University of Texas
RECRUITING
San Antonio
Virginia
Virginia Cancer Institute
RECRUITING
Norfolk
Other Locations
Belgium
Antwerp University Hospital
RECRUITING
Edegem
Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
RECRUITING
Leuven
Universite Catholique de Louvain (UCL) - Cliniques Universitaires Saint-Luc
RECRUITING
Woluwe-saint-lambert
France
Institut de Cancerologie de l'Ouest site Paul Papin
RECRUITING
Angers
Hôpital Morvan - CHRU de Brest - cancérologie et d'hématologie
RECRUITING
Brest
Centre Francois Baclesse - Oncologie Medicale - Cancerolo
RECRUITING
Caen
Centre Jean Perrin
RECRUITING
Clermont-ferrand
Centre Léon Bérard - Département Oncologie Médicale
RECRUITING
Lyon
Centre de Cancerologie du Grand Montpellier
RECRUITING
Montpellier
Hôpital de la Pitiê Salpêtriêre
RECRUITING
Paris
Centre Hospitalier Universitaire de Poitiers
RECRUITING
Poitiers
Institut Claudius Regaud
RECRUITING
Toulouse
Germany
Klinikum Bayreuth GmbH
RECRUITING
Bayreuth
Uniklinik Koeln - Klinik und Poliklinik fuer Frauenheilkunde
RECRUITING
Cologne
Universitatsklinikum Carl Gustav Carus
RECRUITING
Dresden
Universitaetsklinikum Duesseldorf
RECRUITING
Düsseldorf
Universitätsklinikum Erlangen
RECRUITING
Erlangen
Medizinische Hochschule Hannover
RECRUITING
Hanover
Universitätsklinikum Leipzig
RECRUITING
Leipzig
Klinikum Worms gGmbH
RECRUITING
Worms
Helios Klinikum Wuppertal
RECRUITING
Wuppertal
Greece
National and Capodistrian University of Athens - University General Hospital Attikon
RECRUITING
Athens
Metropolitan Hospital [Oncology]
RECRUITING
Piraeus
EUROMEDICA General Clinic of Thessaloniki
COMPLETED
Thessaloniki
Interbalkan European Medical Center
RECRUITING
Thessaloniki
Italy
AOU Ospedali Riuniti Umberto I-G.M.Lancisi -G.Salesi
RECRUITING
Ancona
Istituto di Candiolo, IRCCS
RECRUITING
Candiolo
Istituto Romagnolo per lo Studio dei Tumori Dino Amadori - IRST IRCCS
RECRUITING
Meldola
A. O. Ospedali Riuniti Parpardo, Piemonte, Messina
RECRUITING
Messina
IEO - Istituto Europeo di Oncologia, IRCCS
RECRUITING
Milan
Azienda Ospedaliero-Universitaria di Modena, Policlinico di Modena
RECRUITING
Modena
Ospedale San Gerardo, ASST di Monza, IRCCS
RECRUITING
Monza
Azienda Ospedaliera Universitaria Federico II
RECRUITING
Napoli
Istituto Nazionale dei Tumori - Fondazione Pascale, IRCCS
RECRUITING
Napoli
Istituto Oncologico Veneto IOV - IRCCS
RECRUITING
Padua
IRCCS Policlinico San Matteo, Università degli studi di Pavia, Pavia Fondazione IRCCS Policlinico San Matteo
RECRUITING
Pavia
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
RECRUITING
Roma
Azienda Ospedaliera Santa Maria di Terni
RECRUITING
Terni
AOU Città della Salute e della Scienza di Torino, Ospedale Molinette
RECRUITING
Torino
Republic of Korea
Asan Medical Center
RECRUITING
Seoul
Ewha Womans University MokDong Hospital
RECRUITING
Seoul
Gangnam Severance Hospital
RECRUITING
Seoul
Samsung Medical Center
RECRUITING
Seoul
Seoul National University Bundang Hospital
RECRUITING
Seoul
Seoul National University Hospital
RECRUITING
Seoul
Spain
Hospital Clinic De Barcelona
RECRUITING
Barcelona
Hospital Universitari Vall D Hebron
RECRUITING
Barcelona
University Hospital Reina Sofía
RECRUITING
Córdoba
University Clinical Hospital Virgen de la Arrixaca
RECRUITING
El Palmar
Clara Campal Comprehensive Cancer Center (CIOCC)
RECRUITING
Madrid
Clinica Universidad de Navarra
RECRUITING
Madrid
Hospital Clínico San Carlos
RECRUITING
Madrid
Hospital Universitario Quirónsalud Madrid
RECRUITING
Madrid
University Hospital 12 de Octubre
RECRUITING
Madrid
University Hospital Ramón y Cajal
RECRUITING
Madrid
Clinica Universidad de Navarra
RECRUITING
Pamplona
Complexo Hospitalario Universitario De Santiago
RECRUITING
Santiago De Compostela
Fundación Instituto Valenciano De Oncología
RECRUITING
Valencia
Hospital Universitario Virgen del Rocío
RECRUITING
Valencia
Turkey
Adana Sehir Hastanesi
RECRUITING
Adana
Ankara Bilkent Sehir Hastanesi Tibbi Onkoloji Klinigi
RECRUITING
Ankara
Ankara University Medical Faculty
RECRUITING
Ankara
Dr. Abdurrahman Yurtaslan Ankara Onkoloji Egitim ve Arastirma Hastanesi
RECRUITING
Ankara
Gulhane Egitim ve Arastirma Hastanesi Tibbi Onkoloji Klinigi
RECRUITING
Ankara
Hacettepe University Medical Faculty
RECRUITING
Ankara
Memorial Ankara Hastanesi Tibbi Onkoloji
RECRUITING
Ankara
Ege University Medical Faculty
RECRUITING
Bornova
Prof. Dr. Suleyman Yalcin Sehir Hastanesi
RECRUITING
Istanbul
United Kingdom
University Hospitals of Leicester NHS Trust -Glenfield Hospital
WITHDRAWN
Leicester
The Clatterbridge Cancer Centre NHS Foundation Trust
WITHDRAWN
Liverpool
Guy's and St Thomas' NHS Foundation Trust
RECRUITING
London
University College London Hospitals NHS Foundation Trust - University College Hospital (UCH) - Macmillan Cancer Centre
RECRUITING
London
The Christie NHS Foundation Trust - Medical Oncology
RECRUITING
Manchester
Contact Information
Primary
Stemline Trials
clinicaltrials@menarinistemline.com
1-877-332-7961
Time Frame
Start Date: 2022-08-31
Estimated Completion Date: 2026-12
Participants
Target number of participants: 73
Treatments
Experimental: Phase 1b Cohort 1
Elacestrant 300 milligrams (mg) once daily (QD) + abemaciclib 100 mg twice daily (BID)
Experimental: Phase 1b Cohort 2
Elacestrant 400 mg QD + abemaciclib 100 mg BID
Experimental: Phase 1b Cohort 3
Elacestrant 400 mg QD + abemaciclib 150 mg BID
Experimental: Phase 2
Elacestrant in combination with abemaciclib at the RP2D determined in Phase 1b
Related Therapeutic Areas
Sponsors
Leads: Stemline Therapeutics, Inc.

This content was sourced from clinicaltrials.gov

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