RESOLVE: letRozole abEmaciclib combinationS in endOmetriaL and oVarian cancEr: A Multi-Cohort Phase 2 Study of Letrozole/Abemaciclib Alone and in Combination With Metformin, Zotatifin and Gedatolisib

Who is this study for? Patients with Endometrial Cancer
What treatments are being studied? Letrozole+Abemaciclib
Status: Recruiting
Location: See all (3) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This research study is studying a combination of targeted therapies as a possible treatment for estrogen-receptor positive (ER+) endometrial cancer and low-grade serous ovarian cancer. The drugs involved in this study are: * Abemaciclib (also known as Verzenio™) * Letrozole (also known as Femara®) * Metformin (also known as Glucophage®) * Zotatifin (also known as eFT226) * Gedatolisib (also known as PF-05212384)

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

• Participants must have cytologically or histologically confirmed endometrial cancer that is recurrent or metastatic and/or resistant to standard therapies, or for which no standard therapy is available.Participants enrolled in the second stage of Cohort 1A, or into Cohort 3, 4, 6 and 7, must have histologically confirmed either i) endometrioid endometrial cancer or ii) endometrial carcinosarcoma with endometrioid epithelial component

• For Cohort 5: Participants must have histologically confirmed diagnosis of low-grade serous carcinoma of ovary, fallopian tube or peritoneum; original diagnosis of de novo low-grade serous carcinoma or original diagnosis of serous borderline tumor with subsequent diagnosis of low-grade serous carcinoma. Participants whose tumors contain both low-grade serous carcinoma and high-grade serous carcinoma are not eligible.

• Participants must have ER-positive disease, defined as ≥ 1 percent of tumor cell nuclei being immunoreactive by immunohistochemistry (IHC). If multiple analyses have been performed, judgment should be based on the most recent biopsy or pathology specimen analyzed in a CLIA-certified laboratory. For Cohort 5, participants are eligible regardless of ER positive or negative status.

• Participants must have measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded for non-nodal lesions and short axis for nodal lesions) as ≥20 mm with conventional techniques or as ≥10 mm with spiral CT scan, MRI, or calipers by clinical exam.

• Age ≥ 18 years

• ECOG performance status of 0 or 1

• Participants must have normal organ and bone marrow function as defined below:

‣ Absolute neutrophil count ≥ 1,500/mcL

⁃ Platelets ≥ 100,000/mcL

⁃ Total bilirubin ≤ 1.5 × institutional upper limit of normal (ULN). Patients with Gilbert's syndrome with a total bilirubin \</= 2.0 times ULN and direct bilirubin within normal limits are permitted.

⁃ AST(SGOT)/ALT(SGPT) ≤ 3× institutional ULN

⁃ Creatinine ≤ 1.5 × institutional ULN, OR

⁃ Creatinine clearance ≥ 60 mL/min/1.73 m2 for participants with creatinine levels above institutional normal.

• For cohorts 4, 5, 6 and 7, patients must not have remaining ovarian function to be included. Women who have ovarian function are eligible but must be placed on hormonal suppression.

• The effects of the study agents on the developing human fetus are unknown. For this reason, women of child-bearing potential must agree to use a medically approved contraceptive method during the treatment period and for 3 months following the last dose of study agent. Contraceptive methods may include an intrauterine device (IUD) or barrier method. If condoms are used as a barrier method, a spermicidal agent should be added as a double barrier protection. Should a woman become pregnant or suspect she is pregnant while she is participating in this study, she should inform her treating physician immediately. A negative serum pregnancy test is required for study entry from women of childbearing potential.

• Ability to understand and the willingness to sign a written informed consent document.

• Ability to swallow and retain oral medication.

• Participants can have received an unlimited number of prior therapies.

• Participants must have archival tissue available for analysis in the form of a formalin-fixed paraffin embedded (FFPE) block or unstained slides. Note: confirmation of availability of archival tissue is the only requirement for eligibility, archival tissue does not need to be received by the study team prior to enrollment

• For Cohorts 6 and 7, participants must have HbA1c ≤6.4% and fasting plasma glucose (FPG) ≤140 mg/dL.

• For Cohort 6 and 7, patients must have wildtype TP53 as assessed either by immunohistochemistry or any CLIA-certified next-generation sequencing assay.

• For Cohort 7, patients must have received prior CDK4/6 inhibitor therapy and developed disease progression as deemed by the investigator. Patients who have stopped CDK4/6 inhibitor therapy because of intolerance are ineligible.

Locations
United States
Massachusetts
Beth Israel Deaconess Medical Center (BIDMC)
RECRUITING
Boston
Dana Farber Cancer Institute
RECRUITING
Boston
Massachusetts General Hospital Cancer Center
RECRUITING
Boston
Contact Information
Primary
Panagiotis Konstantinopoulos, MD
PanagiotisA_Konstantinopoulos@DFCI.HARVARD.EDU
877-338-7425
Time Frame
Start Date: 2018-12-24
Estimated Completion Date: 2031-08-01
Participants
Target number of participants: 180
Treatments
Experimental: Cohort 1
* Abemaciclib is administered by mouth twice daily~* LY3023414 is administered by mouth twice daily~* Letrozole is administered by mouth once daily
Experimental: Cohort 2
* Abemaciclib is administered by mouth twice daily~* LY3023414 is administered by mouth twice daily
Experimental: Cohort 1A
* Abemaciclib is administered by mouth twice daily~* Letrozole is administered by mouth once daily
Experimental: Cohort 3
* Abemaciclib is administered by mouth twice daily~* Letrozole is administered by mouth once daily~* Metformin is administered by mouth once daily
Experimental: Cohort 4
* Abemaciclib is administered by mouth twice daily~* Letrozole is administered by mouth once daily~* Zotatifin is administered intravenously on days 1 and 8 of a 21-day cycle
Experimental: Cohort 5
* Abemaciclib is administered by mouth twice daily~* Letrozole is administered by mouth once daily~* Zotatifin is administered intravenously on days 1 and 8 of a 21-day cycle
Experimental: Cohort 6
* Abemaciclib is administered by mouth twice daily~* Letrozole is administered by mouth once daily~* Gedatolisib is administered intravenously on days 1, 8 and 15 of a 28-day cycle
Experimental: Cohort 7
* Abemaciclib is administered by mouth twice daily~* Letrozole is administered by mouth once daily~* Gedatolisib is administered intravenously on days 1, 8 and 15 of a 28-day cycle
Related Therapeutic Areas
Sponsors
Collaborators: Celcuity Inc, Eli Lilly and Company, Effector Therapeutics
Leads: Dana-Farber Cancer Institute

This content was sourced from clinicaltrials.gov