This study is a multi-center, open-label, Phase 1 clinical study to evaluate the safety, pharmacokinetic (PK) and anti-tumor efficacy of SIM0270 and SIM0270 in combination with palbociclib or everolimus in subjects with estrogen receptor (ER) -positive, human epidermal growth factor receptor (HER-2) -negative locally advanced or metastatic breast cancer.
The study is comprised of two parts: Phase Ia and Phase Ib. Phase Ia includes dose-escalating stage and dose expansion stageof SIM0270 monotherapy to determine the MTD/ RP2D and the preliminary safety and efficacy of SIM0270; Phase Ib includes 2 arms, armA: dose escalation and dose expansion of SIM0270 in combination with palbociclib; armB: dose escalation and dose expansion of SIM0270 in combination with palbociclib everolimus; phase Ib is designed to determine the MTD/RP2D and the preliminary safety and efficacy of SIM0270 in combination with palbociclib or everolimus.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
214
SIM0270 is an oral, selective estrogen receptor degrader (SERD)
palbociclib is a selective inhibitor of cyclin D-cyclin-dependent kinase (CDK) 4/6
Everolimus is an inhibitor of mTOR (mammalian target of rapamycin)
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, China
Maximum Tolerated Dose
Dose Escalation: Maximum Tolerated Dose (MTD) of SIM0270 When Administered as a Single Agent or in Combination with Palbociclib or Everolimus
Time frame: At the end of Cycle 1 (each cycle is 28 days)
recommended phase 2 Dose
Dose Escalation: recommended phase 2 Dose (RP2D) of SIM0270 When Administered as a Single Agent or in Combination with Palbociclib or Everolimus
Time frame: At the end of Cycle 1 (each cycle is 28 days)
Dose-Limiting Toxicities
Dose Escalation: Number of Participants with Dose-Limiting Toxicities When SIM0270 is Administered as a Single Agent or in Combination with Palbociclib or Everolimus
Time frame: At the end of Cycle 1 (each cycle is 28 days)
Adverse event
Number of Participants with Adverse Events by Severity, According to National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI-CTCAE v5.0)
Time frame: From Baseline until 30 days after the last dose of study treatment
Peak Plasma Concentration (Cmax) of SIM0270 as monotherapy or combination with palbociclib or everolimus
Peak Plasma Concentration (Cmax)
Time frame: At the end of Cycle 4 (each cycle is 28 days)
Time of Peak Plasma Concentration (Tmax) of SIM0270 as monotherapy or combination with palbociclib or everolimus
Time of Peak Plasma Concentration (Tmax)
Time frame: At the end of Cycle 4 (each cycle is 28 days)
Area under the plasma concentration versus time curve (AUC) of SIM0270 as monotherapy or combination with palbociclib or everolimus
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Area under the plasma concentration versus time curve (AUC)
Time frame: At the end of Cycle 4 (each cycle is 28 days)
clinical benefit rate
Antitumour activity by evaluation of clinical benefit rate assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)or Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM)
Time frame: through study completion, an average of 1 year
disease control rate
Antitumour activity by evaluation of disease control rate assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)or Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM)
Time frame: through study completion, an average of 1 year
duration of response
Antitumour activity by evaluation of duration of response assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)or Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM)
Time frame: through study completion, an average of 1 year
progression free survival
Antitumour activity by evaluation of progression free survival assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)or Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM)
Time frame: From date of C1D1 until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months
time to progression
Antitumour activity by evaluation of time to progression assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)or Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM)
Time frame: From date of C1D1 until the date of first documented progression, assessed up to100 months
time to response
Antitumour activity by evaluation of time to response assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)or Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM)
Time frame: through study completion, an average of 1 year
overall survival
Antitumour activity by evaluation of overall survival assessments
Time frame: From date of C1D1 until the date of death from any cause, assessed up to 100 months
overall response rate
Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)
Time frame: through study completion, an average of 1 year