The goal of this clinical study is to determine the safety, pharmacokinetics, pharmacodynamics and efficacy and activity of seviteronel, a lyase-selective inhibitor of CYP17, in patients with advanced breast cancer.
This is an open-label, Phase 1/2 study of seviteronel in subjects with TNBC or ER +/HER2 normal unresectable locally advanced breast cancer. Only women will be enrolled in Phase 1 and both men and women enrolled into their respective cohorts in Phase 2. There will be a dose confirmation Phase 1 portion of the study to establish the recommended Phase 2 dose (RP2D) for women with breast cancer using a non-stratified, combined cohort of women with TNBC or ER+ BC. Cohort expansion will occur in Phase 2 at the RP2D confirmed/established in Phase 1 using separate TNBC and ER+ cohorts. The Phase 2 portion of the study is divided into three parallel cohorts: Cohort 1: Female TNBC Subjects Cohort 2: Female ER+ Subjects Cohort 3: Male ER+ BC or TNBC Subjects
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
175
Seviteronel given daily with evening meal in 28 day cycles
Wallace Tumor Institute- University of Alabama
Birmingham, Alabama, United States
Clearview Cancer Institute
Huntsville, Alabama, United States
University of Colorado
Aurora, Colorado, United States
Rocky Mountain Cancer Centers
Lakewood, Colorado, United States
Florida Cancer Specialists
Fort Myers, Florida, United States
Estimate efficacy of seviteronel as measured by clinical benefit rate at 16 weeks (CBR16) for female subjects with TNBC.
Time frame: Duration of Study
Estimate efficacy of seviteronel as measured by clinical benefit rate at 24 weeks (CBR24) for female subjects with ER+ BC.
Time frame: Duration of Study
Estimate efficacy of seviteronel as measured by CBR16 for all male BC subjects.
Time frame: Duration of Study
Describe the pharmacokinetics of seviteronel
Area under the curve concentration verses time curve and Peak Plasma Concentration
Time frame: At least monthly over the first eight 28-day cycles
Estimate efficacy of seviteronel as measured by the overall response rate (ORR) based on RECIST 1.1
Time frame: At least monthly over the first eight 28-day cycles
Estimate efficacy of seviteronel as measured by progression-free survival (PFS)
Time frame: At least monthly over the first eight 28-day cycles
Describe the safety profile of seviteronel
Time frame: Duration of the study
Compare the safety profile of seviteronel with or without concurrent glucocorticoid administration
Time frame: Duration of the study
Compare the CBR16 with or without concurrent glucocorticoid administration for female subjects with TNBC
Time frame: Duration of the study
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Florida Cancer Specialists- North
St. Petersburg, Florida, United States
Georgia Cancer Center at Augusta University
Augusta, Georgia, United States
SCRI - HCA Midwest Division
Kansas City, Kansas, United States
University of Louisville Hospital / James Brown Cancer Center
Louisville, Kentucky, United States
Maryland Oncology Hematology
Silver Spring, Maryland, United States
...and 26 more locations