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Study of CYH33 in Combination With Endocrine Therapy With or Without Palbociclib in Patients With HR+, HER2- Advanced Breast Cancer

Primary Purpose

Advanced Breast Cancer

Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
CYH33
Fulvestrant
Letrozole
Palbociclib
Sponsored by
Haihe Biopharma Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Breast Cancer focused on measuring PIK3CA Mutant, Advanced Breast Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Main Inclusion Criteria:

  1. Provide informed consent voluntarily.
  2. Male and female patients ≥ 18 years of age.
  3. Patient must have a histologically or cytologically documented locally advanced, recurrent or metastatic breast cancer.
  4. In case of women, both premenopausal and postmenopausal patients can be enrolled in the study.
  5. Confirmed diagnosis of HR+, HER2- breast cancer.
  6. For Stage 1 dose exploration phase, patients with or without PIK3CA mutation may be enrolled; For Stage 2 dose expansion phase, patients with PIK3CA mutations are required.
  7. Patient must have evidence of disease radiological progression after previous endocrine therapy, or other systemic therapy.
  8. Patient has measurable disease per RECIST v1.1.
  9. ECOG ≤ 1.
  10. Patient must have adequate organ and bone marrow function.

Main Exclusion Criteria:

  1. Previously received any anticancer therapy within 28 days or 5 times of half-lives prior to the first dose of the study treatment.
  2. Previously received treatment with any PI3Kα inhibitor, AKT inhibitor, or mTOR inhibitor.
  3. Radical radiation therapy within 4 weeks prior to the first dose of the study treatment.
  4. Patient with an established diagnosis of diabetes mellitus.
  5. Any other concurrent disease with potential risk of insulin resistance or current use of medication with potential risk of insulin resistance.
  6. Patient with clinically significant cardiovascular disease.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    CYH33 + fulvestrant

    CYH33 + fulvestrant + palbociclib

    CYH33 + letrozole + palbociclib

    Arm Description

    Participants will receive CYH33 in combination with a standard fixed dose of fulvestrant 500 mg.

    Participants will receive CYH33 in combination with standard fixed dose of fulvestrant (500 mg) and palbociclib (125 mg).

    Participants will receive CYH33 in combination with standard fixed dose of letrozole (2.5 mg) and palbociclib (125 mg)

    Outcomes

    Primary Outcome Measures

    Dose Limiting Toxicities (DLT)
    Incidence rate of DLT in the first cycle (of 28 days).

    Secondary Outcome Measures

    Safety and tolerability
    Type, incidence, duration, severity and seriousness of adverse events (AEs).
    Preliminary efficacy-ORR
    Tumor objective response rate (ORR) assessed by RECIST v1.1
    Preliminary efficacy-CBR
    Clinical benefit rate (CBR) assessed by RECIST v1.1
    Preliminary efficacy-PFS
    Progression Free Survival (PFS) assessed by RECIST v1.1
    Pharmacokinetic measures - AUC
    Measure the variation of concentration in blood plasma as a function of time
    Pharmacokinetic measures - C trough
    Measure the minimum (trough) plasma concentration
    Pharmacokinetic measures - Cmax
    Measure the maximum (peak) plasma concentration
    Pharmacokinetic measures - Tmax
    Measure of time to reach maximum (peak) plasma concentration
    Pharmacokinetic measures - CL/F
    Measure apparent total clearance(s) from plasma after administration
    Pharmacokinetic measures - Vz/F
    Measure apparent volume of distribution during terminal phase
    Assess downstream effects of PI3K pathway inhibition on blood glucose
    Pre- and post-treatment of blood glucose
    Assess downstream effects of PI3K pathway inhibition on C peptide
    Pre- and post-treatment of C peptide
    Assess the changes of biomarker-PIK3CA
    Pre- and post-treatment PIK3CA changes in ctDNA samples.
    Assess the changes of biomarker-PTEN
    Pre- and post-treatment PTEN changes in ctDNA samples.
    Assess the changes of biomarker-KRAS
    Pre- and post-treatment KRAS changes in ctDNA samples.

    Full Information

    First Posted
    April 11, 2021
    Last Updated
    April 19, 2021
    Sponsor
    Haihe Biopharma Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04856371
    Brief Title
    Study of CYH33 in Combination With Endocrine Therapy With or Without Palbociclib in Patients With HR+, HER2- Advanced Breast Cancer
    Official Title
    A Multicenter, Open-label, Phase Ib Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of CYH33 in Combination With Endocrine Therapy With or Without Palbociclib in Patients With PIK3CA Mutant, HR+, HER2- Advanced Breast Cancer
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2021
    Overall Recruitment Status
    Unknown status
    Study Start Date
    April 2021 (Anticipated)
    Primary Completion Date
    March 2022 (Anticipated)
    Study Completion Date
    December 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Haihe Biopharma Co., Ltd.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This is a multicenter, open-label, phase Ib study designed to evaluate the safety, tolerability, pharmacokinetics and preliminary efficacy of CYH33 administered orally in combination with standard-of-care ET ± CDK4/6 inhibitor therapies for the treatment of locally advanced, recurrent or metastatic hormone-receptor positive (HR+), human epidermal growth factor receptor 2 negative (HER2-) breast cancer. Patients will be enrolled in two stages, including dose exploration phase (Stage 1) and dose expansion phase (Stage 2) of each cohort.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Advanced Breast Cancer
    Keywords
    PIK3CA Mutant, Advanced Breast Cancer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Sequential Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    228 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    CYH33 + fulvestrant
    Arm Type
    Experimental
    Arm Description
    Participants will receive CYH33 in combination with a standard fixed dose of fulvestrant 500 mg.
    Arm Title
    CYH33 + fulvestrant + palbociclib
    Arm Type
    Experimental
    Arm Description
    Participants will receive CYH33 in combination with standard fixed dose of fulvestrant (500 mg) and palbociclib (125 mg).
    Arm Title
    CYH33 + letrozole + palbociclib
    Arm Type
    Experimental
    Arm Description
    Participants will receive CYH33 in combination with standard fixed dose of letrozole (2.5 mg) and palbociclib (125 mg)
    Intervention Type
    Drug
    Intervention Name(s)
    CYH33
    Intervention Description
    Participants will receive oral CYH33 once daily on Days 1-28 of each 28-day cycle.
    Intervention Type
    Drug
    Intervention Name(s)
    Fulvestrant
    Intervention Description
    Participants will receive fulvestrant 500 mg, administered intramuscularly on Days 1, 15 on Cycle 1 (28-day cycle) and Day 1 at each 28-day cycle thereafter.
    Intervention Type
    Drug
    Intervention Name(s)
    Letrozole
    Intervention Description
    Participants will receive oral letrozole once daily continuous on Day 1-28 of each cycle.
    Intervention Type
    Drug
    Intervention Name(s)
    Palbociclib
    Intervention Description
    Participants will receive palbociclib once daily continuous on Day 1-21 of each 28-day cycle.
    Primary Outcome Measure Information:
    Title
    Dose Limiting Toxicities (DLT)
    Description
    Incidence rate of DLT in the first cycle (of 28 days).
    Time Frame
    28 days
    Secondary Outcome Measure Information:
    Title
    Safety and tolerability
    Description
    Type, incidence, duration, severity and seriousness of adverse events (AEs).
    Time Frame
    30 months
    Title
    Preliminary efficacy-ORR
    Description
    Tumor objective response rate (ORR) assessed by RECIST v1.1
    Time Frame
    30 months
    Title
    Preliminary efficacy-CBR
    Description
    Clinical benefit rate (CBR) assessed by RECIST v1.1
    Time Frame
    30 months
    Title
    Preliminary efficacy-PFS
    Description
    Progression Free Survival (PFS) assessed by RECIST v1.1
    Time Frame
    30 months
    Title
    Pharmacokinetic measures - AUC
    Description
    Measure the variation of concentration in blood plasma as a function of time
    Time Frame
    20 months
    Title
    Pharmacokinetic measures - C trough
    Description
    Measure the minimum (trough) plasma concentration
    Time Frame
    20 months
    Title
    Pharmacokinetic measures - Cmax
    Description
    Measure the maximum (peak) plasma concentration
    Time Frame
    20 months
    Title
    Pharmacokinetic measures - Tmax
    Description
    Measure of time to reach maximum (peak) plasma concentration
    Time Frame
    20 months
    Title
    Pharmacokinetic measures - CL/F
    Description
    Measure apparent total clearance(s) from plasma after administration
    Time Frame
    20 months
    Title
    Pharmacokinetic measures - Vz/F
    Description
    Measure apparent volume of distribution during terminal phase
    Time Frame
    20 months
    Title
    Assess downstream effects of PI3K pathway inhibition on blood glucose
    Description
    Pre- and post-treatment of blood glucose
    Time Frame
    20 months
    Title
    Assess downstream effects of PI3K pathway inhibition on C peptide
    Description
    Pre- and post-treatment of C peptide
    Time Frame
    20 months
    Title
    Assess the changes of biomarker-PIK3CA
    Description
    Pre- and post-treatment PIK3CA changes in ctDNA samples.
    Time Frame
    20 months
    Title
    Assess the changes of biomarker-PTEN
    Description
    Pre- and post-treatment PTEN changes in ctDNA samples.
    Time Frame
    20 months
    Title
    Assess the changes of biomarker-KRAS
    Description
    Pre- and post-treatment KRAS changes in ctDNA samples.
    Time Frame
    20 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Main Inclusion Criteria: Provide informed consent voluntarily. Male and female patients ≥ 18 years of age. Patient must have a histologically or cytologically documented locally advanced, recurrent or metastatic breast cancer. In case of women, both premenopausal and postmenopausal patients can be enrolled in the study. Confirmed diagnosis of HR+, HER2- breast cancer. For Stage 1 dose exploration phase, patients with or without PIK3CA mutation may be enrolled; For Stage 2 dose expansion phase, patients with PIK3CA mutations are required. Patient must have evidence of disease radiological progression after previous endocrine therapy, or other systemic therapy. Patient has measurable disease per RECIST v1.1. ECOG ≤ 1. Patient must have adequate organ and bone marrow function. Main Exclusion Criteria: Previously received any anticancer therapy within 28 days or 5 times of half-lives prior to the first dose of the study treatment. Previously received treatment with any PI3Kα inhibitor, AKT inhibitor, or mTOR inhibitor. Radical radiation therapy within 4 weeks prior to the first dose of the study treatment. Patient with an established diagnosis of diabetes mellitus. Any other concurrent disease with potential risk of insulin resistance or current use of medication with potential risk of insulin resistance. Patient with clinically significant cardiovascular disease.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Yong Yuan, MD
    Phone
    86 13820384005
    Email
    yong.yuan@haihepharma.com

    12. IPD Sharing Statement

    Learn more about this trial

    Study of CYH33 in Combination With Endocrine Therapy With or Without Palbociclib in Patients With HR+, HER2- Advanced Breast Cancer

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