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Trial Title: A Study of Samuraciclib and Elacestrant in Participants With Metastatic or Locally Advanced HR+/HER2-negative Breast Cancer

NCT ID: NCT05963997

Condition: Metastatic Breast Cancer
Locally Advanced Breast Cancer
Breast Cancer

Conditions: Official terms:
Breast Neoplasms

Conditions: Keywords:
Metastatic Breast Cancer
Advanced Breast Cancer
Breast Cancer
HR Positive
HER2-Negative

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Active, not recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Samuraciclib
Description: Samuraciclib capsules by mouth once a day
Arm group label: Cohort 1
Arm group label: Cohort 2
Arm group label: Cohort 3
Arm group label: Cohort 4 Expansion

Intervention type: Drug
Intervention name: Elacestrant Dihydrochloride
Description: Elacestrant tablets by mouth once a day
Arm group label: Cohort 1
Arm group label: Cohort 2
Arm group label: Cohort 3
Arm group label: Cohort 4 Expansion

Other name: ORSERDU

Summary: This is an international, multisite, open-label, Phase 1b/2 study, to confirm safety and efficacy of samuraciclib in combination with elacestrant in adult participants with metastatic or locally advanced Hormone Receptor (HR) positive and Human Epidermal Growth Factor Receptor (HER)2-negative breast cancer.

Detailed description: This is a multiple cohort study, an initial dose escalation phase is designed to confirm the safe dose of samuraciclib in combination with elacestrant. A Safety Review Committee (SRC) will monitor the safety, tolerability, and PK data during this phase. Once ascertained, an expansion cohort will be opened to explore the efficacy of samuraciclib in combination with elacestrant.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Histologically confirmed diagnosis of ER-positive, HER2-negative locally advanced or metastatic breast cancer. - Documented objective disease progression while on or within 6 months after the end of the most recent therapy. - Received prior AI in combination with a CDK4/6i as the last therapy - Known TP53 and ESR1 mutation status. - Participants must have measurable disease or bone only disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. - Pre/peri-menopausal participants must have commenced treatment with a luteinizing hormone-releasing hormone (LHRH) agonist at least 4 weeks prior to first dose of study intervention. - Eastern Cooperative Oncology Group (ECOG) performance status ≤1 with no deterioration over the past 2 weeks. - Expected life expectancy of >12 weeks in the judgement of the treating investigator. Exclusion Criteria: - Inflammatory breast cancer. - Participants with any other active malignancy within 3 years prior to enrollment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the cervix. - More than 1 line of endocrine treatment for locally advanced or metastatic disease treatment. - Inadequate hepatic, renal, and bone marrow function. - Clinically significant cardiovascular disease. - Any current or prior central nervous system metastases, carcinomatous meningitis, or leptomeningeal disease. - Pregnant or breastfeeding women.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Site 38 - Northwestern University, Feinberg School of Medicine, Northwestern University

Address:
City: Chicago
Zip: 60611
Country: United States

Facility:
Name: Site 42 - Dana-Farber Cancer Institute, EDDC

Address:
City: Boston
Zip: 02215
Country: United States

Facility:
Name: Site 35 - Cleveland Clinic, Taussig Cancer Institute

Address:
City: Cleveland
Zip: 44106
Country: United States

Facility:
Name: Site 41 - The START Center for Cancer Care, South Texas Oncology and Hematology

Address:
City: San Antonio
Zip: 78229
Country: United States

Facility:
Name: Site 32 - Swedish Medical Center, Swedish Cancer Institute (SCI),Cherry Hill Campus

Address:
City: Seattle
Zip: 98122
Country: United States

Facility:
Name: Site 81 - Bergonie unicancer, Nouvelle-Aquitaine, L'Institut Bergonie

Address:
City: Bordeaux
Country: France

Facility:
Name: Site 80 - Centre Jean Bernard, Clinique Victor Hugo

Address:
City: Le Mans
Country: France

Facility:
Name: Site 83 - Institut Paoli Calmettes (IPC)

Address:
City: Marseille
Country: France

Facility:
Name: Site 85 - Institut Curie

Address:
City: Paris
Country: France

Facility:
Name: Site 82 - Institut de Cancerologie de Ouest (ICO)

Address:
City: Saint-Herblain
Country: France

Facility:
Name: Site 65 - Complexo Hospitalario Universitario A Coruña

Address:
City: A Coruña
Country: Spain

Facility:
Name: Site 64 - Hospital Clinic de Barcelona (Hospital Clinic i Provincial)

Address:
City: Barcelona
Country: Spain

Facility:
Name: Site 68 -Hospital Universitario Vall d'Hebron

Address:
City: Barcelona
Country: Spain

Facility:
Name: Site 61 - Institut Catala d'Oncologia (ICO), Hospital Duran i Reynals Location

Address:
City: L'Hospitalet De Llobregat
Country: Spain

Facility:
Name: Site 62 - Universidad de Navarra, Clinica Universidad de Navarra (CUN)

Address:
City: Madrid
Country: Spain

Facility:
Name: Site 63 - South Texas Accelerated Research Therapeutics, CIOCC, Hospital Madrid Norte-Sanchinarro

Address:
City: Madrid
Country: Spain

Facility:
Name: Site 66 - Hospital Clinico San Carlos

Address:
City: Madrid
Country: Spain

Facility:
Name: Site 69 - Universidad de Navarra - Clinica Universidad de Navarra (CUN)

Address:
City: Pamplona
Country: Spain

Facility:
Name: Site 60 - NEXT Oncology EU Hospital Universitario Quiron Salud Madrid

Address:
City: Pozuelo de Alarcon
Country: Spain

Facility:
Name: Site 67 - Universidad de Sevilla, Hospital Universitario Virgen Macarena

Address:
City: Sevilla
Country: Spain

Facility:
Name: Site 12 - Belfast City Hospital

Address:
City: Belfast
Country: United Kingdom

Facility:
Name: Site 4 - The Christie NHS Foundation Trust

Address:
City: Manchester
Country: United Kingdom

Facility:
Name: Site 2 - Oxford University Hospitals NHS Trust - Churchill Hospital

Address:
City: Oxford
Zip: OX3 7LE
Country: United Kingdom

Start date: October 9, 2023

Completion date: June 16, 2025

Lead sponsor:
Agency: Carrick Therapeutics Limited
Agency class: Industry

Collaborator:
Agency: Berlin-Chemie AG Menarini Group
Agency class: Industry

Source: Carrick Therapeutics Limited

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05963997

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