E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Triple Negative Breast Cancer |
Cáncer de mama triple negativo |
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E.1.1.1 | Medical condition in easily understood language |
Triple Negative Breast Cancer |
Cáncer de mama triple negativo |
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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 | 20.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10071115 |
E.1.2 | Term | Node-negative breast cancer |
E.1.2 | System Organ Class | 100000004864 |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Part 1: - To determine the safety, tolerability, maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of ZEN003694 in combination with talazoparib in patients with locally advanced or metastatic triple-negative breast cancer (TNBC) Part 2: - To evaluate the efficacy of ZEN003694 in combination with talazoparib in patients with locally advanced or metastatic TNBC |
Parte 1: - Determinar la seguridad, la tolerabilidad, la dosis máxima tolerable (DMT) y la dosis recomendada de la fase 2 (DRF2) de ZEN003694 en combinación con talazoparib en pacientes con cáncer de mama triple negativo (CMTN) localmente avanzado o metastásico Parte 2: - Evaluar la eficacia de ZEN003694 en combinación con talazoparib en pacientes con CMTN localmente avanzado o metastásico |
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E.2.2 | Secondary objectives of the trial |
Part 1: - To determine the pharmacokinetics (PK) of ZEN003694, its metabolite, ZEN003791, and talazoparib - To evaluate the effects of ZEN003694 and talazoparib on mRNA expression of pharmacodynamic markers - To evaluate the clinical activity of ZEN003694 in combination with talazoparib by radiographic response rate and progression-free survival - To determine the effect of ZEN003694 and talazoparib on patient reported health status and quality of life Part 2: - To further evaluate the safety and tolerability of ZEN003694 in combination with talazoparib - To determine the pharmacokinetics (PK) of ZEN003694, its metabolite, ZEN003791, and talazoparib - To determine the effect of ZEN003694 and talazoparib on patient reported health status and quality of life |
Parte 1: - Determinar la farmacocinética (FC) de ZEN003694, de su metabolito ZEN003791 y de talazoparib - Evaluar los efectos de ZEN003694 y talazoparib sobre la expresión del ARNm de los marcadores farmacodinámicos - Evaluar la actividad clínica de ZEN003694 en combinación con talazoparib a través de la tasa de respuesta radiológica y de la supervivencia sin progression - Determinar el efecto de ZEN003694 y talazoparib sobre la calidad de vida y el estado de salud comunicados por el propio paciente Parte 2: - Continuar evaluando la seguridad y la tolerabilidad de ZEN003694 en combinación con talazoparib - Determinar la farmacocinética (FC) de ZEN003694, de su metabolito ZEN003791 y de talazoparib - Determinar el efecto de ZEN003694 y talazoparib sobre la calidad de vida y el estado de salud comunicados por el propio paciente |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Females or males age ≥ 18 years (at time of signing informed consent) 2. Histologically confirmed metastatic or recurrent triple-negative breast cancer (estrogen receptor (ER) ≤10%; progesterone receptor (PR) ≤10%; HER2 negative by immunohistochemistry (IHC) or fluorescent in situ hybridization (FISH) 3. Patient is not a candidate for endocrine based therapy by virtue of having an ER and/or PR < 1%, or having progressed on at least 2 prior endocrine based therapies in the locally advanced or metastatic setting 4. Part 1: Progressed on at least 1 prior cytotoxic chemotherapy at least 21 days prior to the start of study treatment. Part 2: Progressed on no more than 3 prior chemotherapy-inclusive regimens for locally advanced or metastatic disease (no limit on prior targeted anticancer therapies such as mechanistic target or rapamycin (mTOR) or CDK4/6 inhibitors, immune-oncology agents, tyrosine kinase inhibitors, or monoclonal antibodies against CTL4 or VEGF) at least 21 days prior to the start of study treatment. 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 6. Part 2 only: Measurable disease per RECIST version 1.1 |
1.Hombres o mujeres de edad ≥18 años (en el momento de la firma del consentimiento informado) 2.Cáncer de mama triple negativo recidivante o metastásico confirmado mediante estudio de histología (receptores de estrógenos (RE) ≤10 %; receptores de progesterona (RP) ≤10 %; HER2 negativo por inmunohistoquímica (IHQ) o hibridación in situ con fluorescencia (FISH) 3.El paciente no es candidato a tratamiento endocrino por tener RE y/o RP<1%, o haber progresado con al menos 2 tratamientos endocrinos anteriores en un context de enfermedad localmente avanzada o metastásica 4.Parte 1 : progresión con, como mínimo, 1 quimioterapia citotóxica previa al menos 21 días antes del inicio del tratamiento del estudio Parte 2 : progresión con no más de 3 pautas que incluyesen quimioterapia para la enfermedad localmente avanzada o metastásica (sin límite de tratamientos hormonales o tratamientos antineoplásicos dirigidos, como inhibidores de la diana de la rapamicina en mamíferos [mTOR] o inhibidores de CDK 4/6, fármacos de inmunoncología, inhibidores de la tirosina-cinasa, o anticuerpos monoclonales contra CTL4 o VEGF) al menos 21 días antes del inicio del tratamiento del estudio 5.El paciente no es candidato a tratamiento endocrino o su enfermedad ha progresado tras al menos 2 tratamientos endocrinosprevios para la enfermedad localmente avanzada o metastásica. 5.Estado funcional del Grupo Oncológico Cooperativo de la costa Este (Eastern Cooperative Oncology Group, ECOG) de 0 o 1 6.Parte 2 solamente: enfermedad medible conforme a los criterios RECIST, versión 1.1 |
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E.4 | Principal exclusion criteria |
1. Documented germline BRCA1 or BRCA2 mutations 2. Evidence of disease progression during platinum treatment either in the neoadjuvant or in the metastatic setting. For patients receiving platinum in the neoadjuvant setting, at least 12 months must have elapsed between the last dose of platinum-based treatment and enrollment. 3. Patients with inflammatory breast cancer (in Part 2 only) 4. Current or anticipated use of medications known to be strong inhibitors or inducers of CYP3A4 or substrates of CYP1A2 with narrow therapeutic windows. Strong inhibitors, inducers or substrates must be discontinued at least 7 days prior to the first administration of study drug. 5. Current or anticipated use within 7 days prior to the first administration of study drug, or during the study, of strong P-gp inhibitors. 6. Prior anticancer therapy (chemotherapy, radiation, hormone therapy, immunotherapy or investigational agent) within 3 weeks from the start of study drug (except for nitrosoureas and mitomycin C within 6 weeks from start of study drug). |
1.Mutaciones documentadas de BRCA1 o BRCA2 en la línea germinal 2.Indicios de progresión de la enfermedad durante el tratamiento con platino, neoadyuvante o para la enfermedad metastásica. En el caso de los pacientes que hayan recibido tratamiento neoadyuvante con platino, deben haber transcurrido al menos 12 meses entre la última dosis y la inclusión. 3.Pacientes con cáncer de mama inflamatorio (en Parte 2 únicamente) 4.Uso en curso o previsto de medicamentos que son inhibidores o inductores potentes del CYP3A4 o sustratos del CYP1A2 con un margen terapéutico estrecho. Se debe interrumpir la administración de estos sustratos, inductores o inhibidores potentes al menos 7 días antes de la primera administración del fármaco del etudio. 5.Uso de inhibidores potentes de la gp-P en curso o previsto para los 7 días previos a la primera administración del fármaco del estudio o durante el studio, de inhibidores potentes de la gp-P. 6.Tratamiento antineoplásico previo (quimioterapia, radioterapia,tratamiento hormonal, inmunoterapia o fármaco en fase de investigación ) en las 3 semanas anteriores al inicio del fármaco del estudio (excepto nitrosoureas y mitomicina, cuyo plazo correspondería a las 6 semanas anteriores al inicio del fármaco del estudio) |
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E.5 End points |
E.5.1 | Primary end point(s) |
Part 1: - Safety profile of ZEN003694 in combination with talazoparib - DLT characteristics and MTD determination for ZEN003694 in combination with talazoparib - RP2D of ZEN003694 in combination with talazoparib for further clinical investigation Part 2: - Objective response rate (ORR) defined as a complete response (CR), partial response (PR) or stable disease (SD ≥ 4 cycles) by RECIST 1.1 |
Parte 1: - Perfil de seguridad de ZEN003694 en combinación con talazoparib - Características de TLD y determinación de DMT para ZEN003694 en combinación con talazoparib |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
throughout the trial |
durante el estudio |
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E.5.2 | Secondary end point(s) |
Part 1: - Plasma concentrations of ZEN003694, the active metabolite ZEN003791 and talazoparib. The following PK parameters, at a minimum, will be calculated as appropriate: AUC0-last and AUC0-inf, Cmax and minimum or trough concentration (Cmin), dosing interval, and Tmax and half-life (t1/2) - Overall response rate (ORR) - Radiographic progression-free survival (rPFS) - Quality of Life Part 2: - Progression-free survival (PFS) - Radiographic progression-free survival (rPFS) - Duration of response (DOR) - Plasma concentrations of ZEN003694, the active metabolite ZEN003791 and talazoparib. The following PK parameters, at a minimum, will be calculated as appropriate: AUC0-last and AUC0-inf, Cmax and minimum or trough concentration (Cmin), dosing interval, and Tmax and half-life (t1/2) - Quality of Life - Safety |
Parte 1: - Concentraciones plasmáticas de ZEN003694, del metabolito activo ZEN003791 y talazoparib. El seguimiento de parámetros de FC,como mínimo serán calculados: AUC0-last y AUC0-inf, Cmax y minimo o concentración (Cmin), intervalo de dosis, y Tmax y vida media (t1/2) - frecuencia de respuesta objetiva (ORR) - supervivencia sin progresión radiológica (SSPr) - calidad de vida Parte 2: - Supervivencia sin progression (SSP) - supervivencia sin progresión radiológica (SSPr) - Duración de la respuesta (DR) - Concentraciones plasmáticas de ZEN003694, del metabolito activo ZEN003791 y talazoparib. El seguimiento de parámetros de FC,como mínimo serán calculados: AUC0-last y AUC0-inf, Cmax y minimo o concentración (Cmin), intervalo de dosis, y Tmax y vida media (t1/2) - calidad de vida - seguridad |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
throughout the trial |
durante el estudio |
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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 | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
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 | 4 |
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 |
Belgium |
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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LVLS |
última visita del ultimo paciente |
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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 | |
E.8.9.1 | In the Member State concerned months | 18 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 18 |