Trilaciclib, a CDK 4/6 Inhibitor, in Patients Receiving Gemcitabine and Carboplatin for Metastatic Triple-Negative Breast Cancer (TNBC) (PRESERVE 2)
TNBC - Triple-Negative Breast Cancer, Breast Cancer
About this trial
This is an interventional treatment trial for TNBC - Triple-Negative Breast Cancer focused on measuring breast cancer, gemcitabine, carboplatin, solid tumors, breast, chemotherapy, TNBC, trilaciclib, cyclin-dependent kinase 4/6 inhibitor, CDK 4/6 Inhibitor, triple-negative breast cancer, metastatic, chemotherapy-induced fatigue, HER2-negative, immunotherapy, immune checkpoint inhibitor therapy, chemotherapy-induced myelosuppression, myeloprotection, myeloprotective, PD-1/PD-L1 inhibitor therapy, advanced, stage 4, preserve, PRESERVE 2
Eligibility Criteria
Inclusion Criteria:
- Age >/= 18 years of age with evaluable locally advanced unresectable or metastatic TNBC.
- Documentation of triple negative breast cancer (estrogen and progesterone receptor <1% and HER2-negative)
Prior systemic therapies (Cohort 1 only):
- No prior systemic therapy in the locally advanced unresectable/metastatic setting including chemotherapy, targeted therapy, immunotherapy, or investigational agents.
- Prior PD-1/PD-L1 inhibitor treatment is not permitted in any setting, including in the neoadjuvant setting.
- Time between completion of last treatment with curative intent and first metastatic recurrence must be ≥ 6 months.
Prior systemic therapies (Cohort 2 only):
- Documentation of PD-L1 positive status
- Treated with a PD-1/PD-L1 inhibitor for a minimum duration of 4 months in the locally advanced unresectable/metastatic setting and as the most recent therapy.
- Radiation therapy for metastatic disease is permitted. There is no required minimum washout period for radiation therapy. Patients should be recovered from the effects of radiation.
- Archival tumor tissue must be available or a fresh biopsy must be obtained, unless approved by the Medical Monitor.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Adequate organ function as demonstrated by normal laboratory values
Exclusion Criteria:
- Prior treatment with gemcitabine in any setting.
Prior treatment with carboplatin in the locally advanced unresectable/metastatic setting.
Prior carboplatin in the (neo)adjuvant/curative setting is permitted as long as it was completed ≥ 6 months prior to the first metastatic recurrence.
- Presence of central nervous system (CNS) metastases and/or leptomeningeal disease requiring immediate treatment with radiation therapy or steroids.
- Receipt of any cytotoxic chemotherapy within 14 days prior to the first dose of study drugs.
- QTcF interval >480 msec at Screening (confirmed in triplicate). For patients with ventricular pacemakers, QTcF >500 msec.
- Known hypersensitivity to carboplatin or other platinum-containing compounds, or mannitol
- Pregnant or lactating women
- Prior hematopoietic stem cell or bone marrow transplantation
Sites / Locations
- Banner M.D. Anderson Cancer Center
- Washington Cancer Institute at MedStar Washington Hospital Center - Oncology Research
- Florida Cancer Specialists - North (SCRI)
- Moffitt Cancer Center
- Maryland Oncology Hematology, P.A.
- Saint Luke's Cancer Specialists
- Comprehensive Cancer Genetics of Nevada
- Duke Cancer Center
- UPC Pinnacle Health Cancer Institute
- Tennessee Oncology Chattanooga
- Baptist Cancer Cancer - Oncology
- Tennessee Oncology (SCRI)
- Texas Oncology- Austin Central
- Texas Oncology - Baylor Charles A. Sammons Cancer Center
- Texas Oncology P.A.
- Virginia Oncology Associates
- Chris O'Brien Lifehouse
- Sunshine Coast University Hospital
- Peter MacCallum Cancer Centre - Oncology
- Cabrini Health
- Mater Hospital Sydney
- Complex Oncology Center - Burgas
- Medical Ctr Nadezhda Clinical
- The First Affiliated Hospital of Chongqing Medical University
- Sun Yat-sen University Cancer Center
- The Fourth Hospital of Hebei Medical University
- Anhui Provincial Hospital
- First Affiliated Hospital of Zhengzhou University
- Jilin Cancer Hospital
- The First Hospital of Jilin University
- Tianjin Cancer Hospital
- Zhejiang Cancer Hospital
- Fudan University Shanghai Cancer Center
- Centre Jean Bernard
- Centre Francois Baclesse
- ICM-Val d'Aurelle
- Centre Hospitalier de Poitiers
- Pharmacie Essais Cliniques
- Centre Leon Berard
- High Technology Hospital MedCenter LTD
- Acad.Fridon Todua Medical Center - Research Institute of Clinical Medicine
- ARENSIA Exploratory Medicine Harmony Health
- LTD Israeli-Georgian Medical Research Clinic Helsicore
- LTD Multiprofile Clinic Consilium Medulla
- TIM - Tbilisi Institute of Medicine LTD
- Institute Of Clinical Oncology LTD
- IMSP Institutul Oncologic, ARENSIA Exploratory Medicine
- Pratia MCM Krakow
- Med-Polonia Sp. Z o.o.
- Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Lodzi, Oddzial Chorob Rozrostowych
- Centrum Medyczne Pratia Poznan
- Narodowy Instytut Onkologii im. Marii Sklodowskiej - Curie - Panstwowy Instytut Badawczy
- Instytut MSF Sp. z. o.o.
- Saint-Petersburg State Budgetary Healthcare Institution "City Clinical Oncology Dispensary"
- SAHI Republcx Clinical Oncology Dispensary of the Ministry of Healthcare of Tatarstan Republix
- FSBI Russian Scientific Center of Roentgenoradiology of the MoH of Russia
- State Budgetary Healthcare Institution of Moscow Region "Moscow Reginoal Oncology Dispensary"
- Budgetary Healthcare Institution of Omsk Region "Clinical Oncological Dispensary"
- Hospital General Universitario de Elche
- Hospital Puerta de Hierro Majadahonda
- Hospital Universitario de Badajos
- Hospital Universitario 12 de Octubre
- Vall d'Hebrón University Hospital
- Hospital Clìnic de Barcelona
- Hospital Universitario Ramón y Cajal
- Yuri Prokopovich Spizhenko
- Komunalne nekomertsiine pidpryiemstvo Sumskoi oblasnoi rady Sumskyi oblasnyi onkolohichnyi dyspanser
- Komunalne nekomertsiine pidpryiemstvo Ternopilskyi oblasnyi klinichnyi onkolohichnyi dyspanser Ternopilskoi oblasnoi rady
- Volynskyi oblasnyi medychnyi tsentr onkolohii
- Komunalne nekomertsiine pidpryiemstvo Miska klinichna likarnia No 4 Dniprovskoi miskoi rady
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Trilaciclib + gemcitabine + carboplatin
Placebo + gemcitabine + carboplatin
Trilaciclib (240mg/m2) + gemcitabine (1000 mg/m2) and carboplatin (AUC 2)
The subjects in the placebo arm will follow the same schedule as the trilaciclib arm, but will receive placebo instead of trilaciclib.