E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients with locally advanced or metastatic estrogen receptor (ER) positive breast cancer |
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E.1.1.1 | Medical condition in easily understood language |
Patients with locally advanced or metastatic estrogen receptor (ER) positive breast cancer |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 19.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10070575 |
E.1.2 | Term | Estrogen receptor positive breast cancer |
E.1.2 | System Organ Class | 100000004864 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Phase Ia: To determine the maximum tolerated dose (MTD) and/or recommended Phase II dose (RP2D) and assess the safety of single agent GDC-0810 in postmenopausal women with locally advanced or metastatic ER+ (HER2-) breast cancer
Phase IIa: To determine the anti-tumor activity of single agent of GDC0810 in postmenopausal women with locally advanced or metastatic ER+ (HER2-) breast cancer |
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E.2.2 | Secondary objectives of the trial |
•To evaluate the safety of GDC-0810 single agent when administered at the RP2D in postmenopausal women with locally advanced or metastatic ER+ (HER2-) breast cancer
•To evaluate the pharmacokinetics of GDC-0810 single agent and its O-glucuronide metabolite following single and multiple dose treatments
•To evaluate the effect of GDC-0810 single agent on ventricular repolarization in postmenopausal women participating in the Phase IIa portion of the study
•To perform exploratory evaluation of biomarkers of pharmacodynamic (PD) response with [18F]-fluoroestradiol (FES) positron emitting tomography (PET) [FES-PET] in Phase Ia and Phase IIa
•To perform exploratory evaluation of ER target genes
•To perform exploratory evaluation of mechanisms of resistance to GDC-0810.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
General inclusion criteria: -Histologically or cytologically proven diagnosis of adenocarcinoma of the breast with evidence of either locally recurrent disease not amenable to resection or radiation therapy with curative intent, or metastatic disease, both progressing after at least 6 months of hormonal therapy for ER+ breast cancer
- ER-positive, HER2-negative
- At least 2 months must have elapsed from the use of tamoxifen
- At least 6 months must have elapsed from the use of fulvestrant
- At least 2 weeks must have elapsed from the use of any other anticancer hormonal therapy
- At least 3 weeks must have elapsed from the use of any chemotherapy
- Females, 18 years of age or older
- Postmenopausal status
- Eastern Cooperative Oncology Group (ECOG) performance status </= 2
- Adequate organ function
Phase II portion - all general above inclusion criteria, plus:
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 - At least 6 months must have elapsed from the use of fulvestrant not applicable
and plus:
- Cohort A only: Confirmed ESR1 mutation and presence of measurable disease as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or evaluable bone disease
- Cohort A1 only: no prior fulvestrant allowed; at least 2 months must have elapsed from the use of tamoxifen
- Cohort A2 only: prior fulvestrant allowed
- Cohort B only: disease progression following no more than 1 prior treatment with an aromatase inhibitor in the advanced/metastatic setting
- Cohort B1 only: no prior fulvestrant allowed
- Cohort B2 only: prior fulvestrant allowed |
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E.4 | Principal exclusion criteria |
General exclusion criteria: - Untreated or symptomatic CNS metastases
- Patients with a history of endometrial polyps, endometrial cancer, atypical endometrial hyperplasia, or other significant endometrial disorders should be excluded unless they have undergone total hysterectomy and there is no evidence of active disease.
- More than 2 prior chemotherapy in the advanced/metastatic setting (prior adjuvant chemotherapy is allowed so long as it occurred >/= 12 months prior to enrollment)
- Current treatment with any systemic anticancer therapies for advanced disease or any systemic experimental treatment on another clinical trial
- Any significant cardiac dysfunction within 12 months prior to enrollment
- Active inflammatory bowel disease or chronic diarrhea, short bowel syndrome, or upper gastrointestinal surgery including gastric resection
- Known human immunodeficiency virus infection
- Major surgery within 4 weeks prior to enrollment
- Radiation therapy within 2 weeks prior to enrollment
Phase IIa portion - all general exclusion criteria, plus:
- Cohort A1, A2, and Cohort B2 only: > 1 prior chemotherapy in the advanced/metastatic setting
- Cohort B1 only: prior chemotherapy in the advanced/metastatic setting |
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E.5 End points |
E.5.1 | Primary end point(s) |
1. Maximum tolerated dose (MTD) 2. Incidence of adverse events 3. Efficacy (phase II portion only):clinical benefit rate according to RECIST v1.1 |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
1-2. 12 months 3. Until disease progression, unacceptable toxicity, or patient withdrawal of consent, approximately 6 months |
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E.5.2 | Secondary end point(s) |
1.Pharmacokinetics of ARN-810 and its main metabolite:Maximum concentration (Cmax) 2.Pharmacokinetics of ARN-810 and its main metabolite:Time to maximum concentration (Tmax) 3.Pharmacokinetics of ARN-810 and its main metabolite:area under the concentration-time curve (AUC) 4.Pharmacokinetics of ARN-810 and its main metabolite:half-life (t1/2)
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | Yes |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 5 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Korea, Republic of |
Netherlands |
Spain |
United States |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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The end of this study is defined as the date when the last patient, last visit (LPLV) occurs, GDC 0810 drug supply is exhausted, or when Sponsor decides to stop the study. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 5 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 5 |
E.8.9.2 | In all countries concerned by the trial months | 9 |