Идёт набор NCT05683418

A Study to Evaluate the Safety and Tolerability of TOS-358 in Women With HR+ HER2- Breast Cancer

Фаза I С лечением HR+/HER2-negative Breast Cancer

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: TOS-358, Fulvestrant, Palbociclib, Ribociclib.
Кому может быть актуально: Состояния в реестре: HR+/HER2-negative Breast Cancer. Базовые параметры: от 18 лет · Женщины.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: США, Испания
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

A Study to Evaluate the Safety and Tolerability of the Covalent Phosphoinositide-3-Kinase (PI3K)-Alpha Inhibitor, TOS-358, in Adult Subjects With Select Solid Tumors

Обзор

The goal of this clinical trial is to evaluate the safety and efficacy of TOS-358 in women with HR+ HER2- metastatic breast cancer whose tumors have a mutation in PIK3CA and who meet all other study enrollment criteria. The main questions it aims to answer are: 1. Phase 1a: what is the maximum tolerated dose and recommended dose for phase 2? 2. Phase 1a: how safe and tolerable is TOS-358 at different dose levels when taken orally once or twice per day? 3. Phase 1b: how safe and effective is TOS-358 when given with standard of care medicines for HR+HER2- metastatic breast cancer (fulvestrant and CDK4/6i)

Подробное описание

This study will be conducted in two parts: a dose finding portion to determine the maximum tolerated dose and recommended phase 2 dose (RP2D) of TOS-358 administered orally on once a day (QD) and twice daily (BID) schedules, and a dose expansion portion to evaluate safety and tolerability in tumor-specific cohorts administered TOS-358 at the recommended phase 2 dose and schedule.

Women with histologically confirmed diagnosis of hormone receptor-positive (HR+), human epidermal growth factor receptor 2 (HER2) negative breast cancer with known PIK3CA mutations or amplifications and who meet all of the eligibility criteria will be enrolled in the study.

In the dose finding portion of the study, TOS-358 will be evaluated as a single-agent at multiple dose levels administered orally until disease progression, unacceptable toxicity, or until meeting any other reason for discontinuation as specified in the protocol. In the Phase 1b portion, TOS-358 will be combined with fulvestrant +/- CDK4/6i.

Вмешательства

Препарат TOS-358
Covalent Phosphoinositide-3-Kinase (PI3K)-alpha Inhibitor
Препарат Fulvestrant
Intramuscular SERD at standard doses
Препарат Palbociclib
CDK4/6 inhibitor at standard doses
Препарат Ribociclib
CDK4/6 inhibitor at standard doses

Первичные конечные точки

Determine the rate of dose-limiting toxicities (DLTs) [Срок оценки: First 21 days of treatment]
Incidence and severity of adverse events (AEs) and specific laboratory abnormalities graded according to NCI CTCAE v5 [Срок оценки: Start of treatment to 30 days after last dose]

Вторичные конечные точки (1)

ORR and duration of tumor control [Срок оценки: Up to 24 months]

Критерии участия

Критерии включения

Locally advanced, recurrent, or metastatic HR +/HER2- breast cancer
Up to 3 prior lines of therapy for metastatic disease
Willing and able to provide written informed consent for this study
Adults ≥ 18 years old at time of consent
Known PIK3CA mutations or amplifications as determined at a CAP/CLIA-certified or equivalently accredited diagnostic laboratory using a validated test
Measurable or evaluable disease by RECIST 1.1
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Life expectancy ≥ 6 months, as determined by the investigator
Adequate bone marrow, liver, and kidney function within 14 days prior to first dose of investigational product
Fasting plasma glucose <= 140 mg/dL AND hemoglobin A1c (HbA1c) <= 7.0%
Available archived or fresh tumor tissue sample for detection of PIK3CA mutation by central laboratory test

Критерии исключения

Has an established diagnosis of diabetes mellitus type 1 or has uncontrolled diabetes mellitus type 2
Known active central nervous system (CNS) metastases
PTEN mutations

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет