A Phase 1 Dose Escalation and Expansion Study of AZD9833 Alone or in Combination in Women with ER Positive, HER2 Negative Advanced Breast Cancer (SERENA-1)
This is a multicentre dose escalation and expansion, first-in-human study designed to evaluate the safety and tolerability of AZD9833, alone (Parts A and B), or in combination with palbociclib (Parts C and D), or in combination with everolimus (Parts E and F), or in combination with abemaciclib (± anastrozole) (Parts G and H), or in combination with capivasertib (Parts I and J), or in combination with ribociclib (± anastrozole) (Parts K and L), or in combination with anastrozole (Parts M and N) in women with endocrine-resistant ER+ HER2- breast cancer that is not amenable to treatment with curative intent.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
396
Research Site
Aurora, Colorado, United States
Research Site
Sarasota, Florida, United States
Research Site
Philadelphia, Pennsylvania, United States
The number of subjects with dose-limiting toxicity, as defined in the protocol.
Dose-limiting toxicity as described in the protocol that is not related to disease progression, intercurrent illness or concomitant medications and that, despite optimal therapeutic intervention, meets protocol-defined criteria.
Time frame: Minimum observation period 28 days on treatment.
The number of subjects with treatment-related adverse events as assessed by CTCAE v4.03.
Data will include clinical observations, ECG parameters, clinical chemistry and haematology and vital signs assessed as the number of subjects with treatment-related adverse events assessed by CTCAE v4.03.
Time frame: Minimum observation period 28 days on treatment, and will continue until the subject is off the study (approximately 1 year).
Objective Response Rate
Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in Solid Tumours (RECIST 1.1)
Time frame: Weeks 8, 16 and 24 and then every 12 weeks (weeks 36, 48 and 60) until the end of the study (approximately 1 year).
Duration of Response
Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in Solid Tumours (RECIST 1.1)
Time frame: Weeks 8, 16 and 24 and then every 12 weeks (weeks 36, 48 and 60) until the end of the study (approximately 1 year).
Clinical benefit rate at 24 weeks
Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in Solid Tumours (RECIST 1.1)
Time frame: Up to 24 weeks
Percentage Change in Tumour Size
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Part D: AZD9833 in combination with palbociclib expansion
Part E: AZD9833 in combination with everolimus dose escalation
Part F: AZD9833 in combination with everolimus dose expansion
Part G: AZD9833 in combination with abemaciclib (± anastrozole) dose escalation
Part H: AZD9833 in combination with abemaciclib (± anastrozole) dose expansion
Part I: AZD9833 in combination with capivasertib dose escalation
Part J: AZD9833 in combination with capivasertib dose expansion
Part K: AZD9833 in combination with ribociclib (± anastrozole) dose escalation
Part L: AZD9833 in combination with ribociclib (± anastrozole) dose expansion
Part M: AZD9833 in combination with anastrozole dose escalation
Part N: AZD9833 in combination with anastrozole dose expansion
Research Site
Nashville, Tennessee, United States
Research Site
Salt Lake City, Utah, United States
Research Site
Barcelona, Spain
Research Site
Barcelona, Spain
Research Site
Madrid, Spain
Research Site
Madrid, Spain
Research Site
Seville, Spain
...and 7 more locations
Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in Solid Tumours (RECIST 1.1)
Time frame: Weeks 8, 16 and 24 and then every 12 weeks (weeks 36, 48 and 60) until the end of the study (approximately 1 year).
Progression Free Survival
Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in Solid Tumours (RECIST 1.1)
Time frame: Weeks 8, 16 and 24 and then every 12 weeks (weeks 36, 48 and 60) until the end of the study (approximately 1 year).
Maximum Observed Plasma Concentration (Cmax) of AZD9833 alone or in combination with Palbociclib, Everolimus, Abemaciclib, Capivasertib, Ribociclib or Anastrozole
Blood samples will be collected to assess plasma concentrations of AZD9833 alone or in combination with Palbociclib, Everolimus, Abemaciclib, Capivasertib, Ribociclib or Anastrozole at a series of timepoints to derive Cmax
Time frame: At predefined intervals throughout the AZD9833 treatment period (approximately 16 weeks )
Time to observed Cmax (Tmax) for AZD9833 alone or in combination with Palbociclib, Everolimus, Abemaciclib, Capivasertib, Ribociclib or Anastrozole
Blood samples will be collected to assess plasma concentrations of AZD9833 alone or in combination with Palbociclib, Everolimus, Abemaciclib, Capivasertib, Ribociclib or Anastrozole at a series of timepoints to derive Tmax
Time frame: At predefined intervals throughout the AZD9833 treatment period (approximately 16 weeks )
Area under the plasma concentration-time curve (AUC) for AZD9833 alone or in combination with Palbociclib, Everolimus, Abemaciclib, Capivasertib, Ribociclib or Anastrozole
Blood samples will be collected to assess plasma concentrations of AZD9833 alone or in combination with Palbociclib, Everolimus, Abemaciclib, Capivasertib, Ribociclib or Anastrozole at a series of timepoints to derive AUC
Time frame: At predefined intervals throughout the AZD9833 treatment period (approximately 16 weeks )
Renal clearance (CLR) for AZD9833
Urine samples will be collected to assess urine concentrations of AZD9833 at a series of timepoints to derive renal clearance
Time frame: At predefined intervals throughout the AZD9833 treatment period (approximately 16 weeks )
Assessment of biomarker changes
Tumour samples will be collected to assess biomarker changes of estrogen receptor (ER), progesterone receptor (PgR) and Ki67 protein at a series of timepoints to derive AZD9833 activity in tumour cells.
Time frame: At pre-defined time intervals throughout the AZD9833 treatment period and at discontinuation. (approximately 1 year)