To characterize the safety and tolerability, identify recommended doses and regimens for future studies, pharmacokinetics (PK), pharmacodynamics (PD) and anti-tumor activity of LSZ102 as a single agent and in combination with either LEE011 or BYL719 in adult patients with locally advanced or metastatic ER+ breast cancer who have progressed after endocrine therapy.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
199
Massachusetts General Hospital Massachusetts General Hospital
Boston, Massachusetts, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
MD Anderson Cancer Center SC - LSZ102X2101
Houston, Texas, United States
Incidence of dose limiting toxicities (DLTs)
The dose escalation part of the study will be guided by well-established statistical methods/models to estimate the maximum tolerated doses (MTD)and/or recommended doses for expansion (RDE). Safety, pharmacokinetic and pharmacodynamics data will guide dose escalation decisions.
Time frame: Day 1 - Day 28 of Cycle 1 (28 day cycle)
Safety and tolerability of LSZ102, LSZ102 + LEE011 and LSZ102 + BYL719
Incidence and severity of adverse events, serious adverse events, clinical laboratory values, vital signs, ECGs, dose interruptions, dose reductions and dose intensity.
Time frame: Approximately 3 years
Overall response rate (ORR)
Assessment of preliminary anti-tumor activity of LSZ102, LSZ102 + LEE011 and LSZ102 + BYL719. ORR is defined as the proportion of patients with a best overall response of complete response or partial response.
Time frame: Approximately 3 years
Duration of Response (DOR)
Assessment of preliminary anti-tumor activity of LSZ102, LSZ102 + LEE011 and LSZ102 + BYL719
Time frame: 3 years
Progression Free Survival (PFS)
Assessment of preliminary anti-tumor activity of LSZ102, LSZ102 + LEE011 and LSZ102 + BYL719
Time frame: 3 years
Disease control rate (DCR)
Assessment of preliminary anti-tumor activity of LSZ102, LSZ102 + LEE011 and LSZ102 + BYL719
Time frame: 3 years
Plasma concentration of study medications
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Novartis Investigative Site
Brussels, Belgium
Novartis Investigative Site
Lyon, France
Novartis Investigative Site
Ulm, Germany
Novartis Investigative Site
Milan, MI, Italy
Novartis Investigative Site
Milan, MI, Italy
Novartis Investigative Site
Koto Ku, Tokyo, Japan
Novartis Investigative Site
Singapore, Singapore
Plasma concentration versus time
Time frame: 1 cycle (28 day cycle)
Plasma concentration under fasted condition and fed condition
Plasma concentration versus time under fasted and fed conditions
Time frame: Up to 2 cycles (28 day cycle)
Levels of Pharmacodynamic marker Estrogen receptor (ER)
To assess pharmacodynamics effect
Time frame: 3 years
Levels of Pharmacodynamic marker Progesterone receptor (PgR)
To assess the pharmacodynamic effect
Time frame: 3 years
Levels of Pharmacodynamic marker pS6
To assess the pharmacodynamic effect
Time frame: 3 years
Pharmacokinetics (PK) parameter AUC
AUC = Area under curve
Time frame: 6 cycles (28 day cycle)
PK parameter Cmax
Cmax = Maximum observed plasma concentration after drug administration
Time frame: 6 cycles (28 day cycle)
PK parameter Tmax
Tmax = Time to reach Cmax
Time frame: 6 cycles (28 day cycle)
PK parameter Cmin
Cmin = Minimum observed plasma concentration after drug administration
Time frame: 6 cycles (28 day cycle)