The purpose of this study is to evaluate the safety and efficacy of samuraciclib in combination with fulvestrant versus fulvestrant alone in adult participants with metastatic or locally advanced Hormone Receptor (HR) positive and Human Epidermal Growth Factor Receptor (HER)2-negative breast cancer.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Samuraciclib tablet by mouth once a day
Injection administered monthly (i.e., every 4 weeks), plus additional dose at Cycle 1 Day 15
Clinical Benefit Response (CBR)
CBR is defined as the overall complete response (CR), partial response (PR), or stable disease (SD) ≥ 24 weeks according to RECIST version 1.1 recorded from randomization until disease progression, or death due to any cause.
Time frame: From randomization until Week 24
Objective Response Rate (ORR)
ORR defined as the proportion of participants who achieved a best overall Response (BOR) of CR or PR per RECIST Version 1.1 from randomization until disease progression, or death due to any cause.
Time frame: Time from the date of first dose of study intervention until the first documentation of disease progression, death, withdrawal of consent, or start of new anticancer therapy (assessed up to week 48)
Duration of Response (DOR)
DOR defined as the time from the date of first documentation of objective tumor response (CR or PR) to the earliest documented disease progression per RECIST version 1.1, or death due to any cause.
Time frame: Time from the date of first dose of study intervention until the first documentation of disease progression, death, withdrawal of consent, or start of new anticancer therapy (assessed up to week 48)
Progression Free Survival (PFS)
PFS defined as the time from the date of randomization to the earliest documented disease progression per RECIST version 1.1, or death due to any cause.
Time frame: Time from the date of first dose of study intervention until the first documentation of disease progression, death, withdrawal of consent, or start of new anticancer therapy (assessed up to week 48)
Incidence and severity of adverse events (AEs) as assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0
Safety will be assessed by monitoring adverse events and clinically relevant changes in vital signs and clinical laboratory results.
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Ocala Oncology Center PL DBA Florida Cancer Affiliates
Ocala, Florida, United States
Mfsmc-Hjwci
Baltimore, Maryland, United States
Saint Luke's Cancer Institute
Kansas City, Missouri, United States
Sidney Kimmel Cancer Center - Jefferson Health
Philadelphia, Pennsylvania, United States
The Center for Cancer and Blood Disorders
Fort Worth, Texas, United States
Szent Borbala Korhaz
Tatabánya, Komárom-Esztergom, Hungary
Nograd Varmegyei Szent Lazar Korhaz
Salgótarján, Nógrád megye, Hungary
Semmelweis Egyetem
Budapest, Hungary
Actualidad Basada en la Investigación del Cáncer
Guadalajara, Jalisco, Mexico
Renati Innovation S.A.P.I de C.V
Guadalajara, Jalisco, Mexico
...and 22 more locations
Time frame: From first dose of any study intervention through 28 days after the last dose of any study intervention
Samuraciclib plasma exposure: Cmax
Time frame: Day 1 of Cycles 2 and 3 (each cycle is 28 days)
Samuraciclib plasma exposure: Ctrough
Time frame: Cycle 1 Days 8 and 15; Day 1 of Cycles 2, 3, 4, 5, and 6; and within 28 days of last dose (each cycle is 28 days)
Fulvestrant plasma exposure: Ctrough
Time frame: Cycle 1 Days 8 and 15; Day 1 of Cycles 2, 3, 4, 5 and 6; and within 28 days of last dose (each cycle is 28 days)