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Trial record 1 of 1 for:    MEN1611-01
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MEN1611 With Trastuzumab (+/- Fulvestrant) in Metastatic Breast Cancer (B-PRECISE-01)

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ClinicalTrials.gov Identifier: NCT03767335
Recruitment Status : Recruiting
First Posted : December 6, 2018
Last Update Posted : January 16, 2019
Sponsor:
Information provided by (Responsible Party):
Menarini Group

Brief Summary:
The main purpose of this open-label, dose-escalation, phase Ib study is to identify the appropriate dose of MEN1611 to be used in combination with Trastuzumab with/without Fulvestrant for the treatment of advanced or metastatic HER2-positive breast cancer

Condition or disease Intervention/treatment Phase
Advanced or Metastatic Breast Cancer Drug: MEN1611 Drug: Trastuzumab Drug: Fulvestrant Phase 1

Detailed Description:

This Phase Ib study will investigate the safety and anti-tumor activity of daily oral doses MEN1611 in combination with Trastuzumab with/without Fulvestrant in female patients affected by advanced or metastatic HER2-positive breast cancer. Fulvestrant will be added to the post-menopausal patients with hormone-sensitive disease.

MEN1611 is an investigational drug which blocks a protein called PI3K (phosphoinositide 3-kinase) involved in cancer cells growth. The Maximum Tolerated Dose (MTD) of MEN1611 given as single agent was assessed in a phase I trial in patients with advanced solid tumors.

This Phase IB will start with a dose escalation part (Step 1) to identify the MTD of MEN1611 given in combination with Trastuzumab with/without Fulvestrant.

The study will continue with a cohort expansion (Step 2) to investigate the anti-tumor activity of the selected MEN1611 dose level considered to be tolerable by a Safety Review Committee.


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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 48 participants
Intervention Model: Sequential Assignment
Intervention Model Description: Step 1 Dose escalation / Step 2 Cohort expansion in two selected breast cancer sub-populations
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Open-label, Multicentre, Phase Ib Dose-escalation Study of MEN1611, a PI3K Inhibitor Combined With Trastuzumab With or Without Fulvestrant, in Subjects With PIK3CA Mutated HER2 Positive Locally Recurrent Unresectable (Advanced) or Metastatic (a/m) Breast Cancer Progressed to Anti-HER2 Based Therapy
Actual Study Start Date : July 19, 2018
Estimated Primary Completion Date : July 31, 2020
Estimated Study Completion Date : July 31, 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Breast Cancer

Arm Intervention/treatment
Experimental: MEN1611
MEN1611 + Trastuzumab +/- Fulvestrant
Drug: MEN1611
MEN1611 oral dose administered twice daily for a continuous 28-day cycle

Drug: Trastuzumab
Trastuzumab solution for infusion administered weekly via IV

Drug: Fulvestrant
Fulvestrant solution for injection administered monthly via IM (only for HR-positive postmenopausal women)




Primary Outcome Measures :
  1. Maximum Tolerated Dose (MTD) and Recommended Phase 2 dose (RP2D) [ Time Frame: 28 Days ]

Secondary Outcome Measures :
  1. Treatment emergent adverse events (TEAEs) [ Time Frame: 2 years ]
  2. Progression Free Survival [ Time Frame: 2 years ]
  3. Overall Survival [ Time Frame: 2 years ]


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Main Inclusion Criteria:

  • Histologically confirmed invasive adenocarcinoma of the breast
  • Known HER2+ breast cancer
  • Advanced or metastatic breast cancer harbouring PIK3CA mutation on tissue sample
  • > 2 lines of anti-HER2 based regimens with at least 1 regimen with trastuzumab
  • Radiological documented evidence of progressive disease
  • Life expectancy ≥ 12 weeks
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2

Main Exclusion Criteria:

  • Previous treatment with PI3K inhibitors
  • Brain metastases untreated, unless treated > 4 weeks and only if clinically stable and not receiving corticosteroids
  • History of clinically significant bowel disease
  • ≥ grade 2 diarrhoea
  • History of significant, uncontrolled, or active cardiovascular disease
  • Any serious and/or unstable pre-existing psychiatric or neurologic illness or other conditions that could interfere with patient's safety
  • Not controlled diabetes mellitus (glycated haemoglobin [HbA1c] >7%) and fasting plasma glucose >126 mg/dL
  • Concurrent chronic treatment with steroids, as immunosuppressant, or another immunosuppressive agent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03767335


Contacts
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Contact: Angela Capriati, PhD MD +390555680 ext 9933 acapriati@menarini-ricerche.it
Contact: Maria Paola Contini mcontini@menarini-ricerche.it

Locations
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Belgium
Cliniques Universitaires Saint-Luc Not yet recruiting
Brussels, Belgium
Institut Jules Bordet Not yet recruiting
Brussels, Belgium
UZ Leuven Not yet recruiting
Leuven, Belgium
France
Centre Georges François Leclerc Recruiting
Dijon, France
Institut Régional du Cancer de Montpellier Recruiting
Montferrier Sur Lez, France
ICO - Site René Gauducheau Recruiting
Saint-Herblain, France
Spain
Hospital Clínic i Provincial de Barcelona Recruiting
Barcelona, Spain
Hospital Universitari Vall d'Hebron Recruiting
Barcelona, Spain
Centro Integral Oncologico Clara Campal Recruiting
Madrid, Spain
START Madrid Fundacion Jimenez Diaz Recruiting
Madrid, Spain
Hospital Clínico Universitario Virgen de la Victoria Recruiting
Málaga, Spain
Hospital Universitario Virgen del Rocío Recruiting
Sevilla, Spain
United Kingdom
Sarah Cannon Research Institute UK Recruiting
London, United Kingdom
The Christie Recruiting
Manchester, United Kingdom
Sponsors and Collaborators
Menarini Group
Investigators
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Study Chair: Martine Piccart, MD PhD Institute Jules Bordet - Boulevard De Waterloo 125 - B-1000 Brussels, Belgium

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Responsible Party: Menarini Group
ClinicalTrials.gov Identifier: NCT03767335     History of Changes
Other Study ID Numbers: MEN1611-01
2017-004631-36 ( EudraCT Number )
First Posted: December 6, 2018    Key Record Dates
Last Update Posted: January 16, 2019
Last Verified: December 2018

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: No

Keywords provided by Menarini Group:
Advanced Breast Cancer
Metastatic Breast Cancer
PI3K inhibitor
HER2-positive

Additional relevant MeSH terms:
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Breast Neoplasms
Neoplasms by Site
Neoplasms
Breast Diseases
Skin Diseases
Trastuzumab
Fulvestrant
Antineoplastic Agents, Immunological
Antineoplastic Agents
Antineoplastic Agents, Hormonal
Estrogen Receptor Antagonists
Estrogen Antagonists
Hormone Antagonists
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs