This is a first-in-human, Phase Ia/Ib, dose-escalation and expansion study evaluating the safety, pharmacokinetics, and activity of GDC-0587 (cyclin-dependent kinase-4 \[CDK4\] inhibitor) as a monotherapy and in combination with giredestrant in participants with locally advanced or metastatic estrogen receptor-positive and human epidermal growth factor receptor 2-negative (ER+/HER2-) breast cancer who have previously progressed during or after CDK 4/6 inhibitor therapy.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
136
Participants will receive GDC-0587 orally as per the schedule in the protocol.
Participants will receive Giredestrant orally as per the schedule in the protocol.
Participants will receive Omeprazole orally as per the schedule in the protocol.
START - Midwest - EDOS
Grand Rapids, Michigan, United States
RECRUITINGSTART - San Antonio - EDOS
San Antonio, Texas, United States
RECRUITINGPercentage of Participants with Adverse Events
Measured by reporting the incidence and severity using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0 grading scale.
Time frame: From Baseline to 30 days after final dose of study treatment (Up to approximately to 18 months)
Percentage of Participants with Dose-limiting Toxicity (DLTs)
Time frame: Phase 1a: Days 1-28 of Cycle 1; Phase 1b: Days 1-28 of Cycle 1 (Each cycle is 28 days)
Percentage of Participants With Objective Response Rate (ORR) of Complete Response (CR) or Partial Response (PR) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
Time frame: Up to approximately to 18 months
Plasma Concentration of GDC-0587 as a Monotherapy and in Combination With Giredestrant
Time frame: Phase 1a: Cycle 1 (Day 1, 2 15, 16), Cycle 2, 3, 5, 7, 9, 11 (Day 1); Phase 1b: Cycle 1 (Day 1, 2 15, 16), Cycle 2, 3, 5, 7, 9, 11 (Day 1) (Each cycle is 28 days)
Plasma Concentration of GDC-0587 with Giredestrant Under Fasted and Fed Conditions
Time frame: Part 1b: Cycle 1 (Day 1, 2, 4), Cycle 2, 3, 5, 7, 9 and 11 (Day 1) (Each cycle is 28 days)
Plasma Concentration of GDC-0587 with Giredestrant Following Multiple-dose Administration, Either Alone or in Combination With Omeprazole
Time frame: Part 1b: Cycle 1 (Day 11, 12, 20 and 21) (Each cycle is 28 days)
Recommended Phase II Dose (RP2D) of GDC-0587
Time frame: Up to approximately to 18 months
Recommended Phase II Dose (RP2D) of GDC-0587 in Combination with Giredestrant
Time frame: Up to approximately to 18 months
Reference Study ID Number: GO46057 https://forpatients.roche.com/
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