Open Actively Recruiting

FIH Study of RGT-419B Alone and With Endocrine Therapy in HR-Positive, HER2-Negative Advanced/Metastatic Breast Cancer

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Brief Summary

This is a phase I, First-in-Human (FIH), open-label study to evaluate the safety, tolerability, pharmacokinetic (PK) profile, and preliminary efficacy of RGT-419B administered orally as monotherapy OR in combination with Hormonal Therapy in subjects with HR+, HER2- locally advanced and unresectable (Stage III) or metastatic (Stage IV) breast cancer whose disease has progressed during prior therapy with an approved CDK4/6i plus hormonal therapy.

Primary Purpose
Treatment
Study Type
Interventional
Phase
Phase 1

Eligibility

Gender
All
Healthy Volunteers
No
Minimum Age
18 Years
Maximum Age
N/A

Inclusion Criteria:

  • Male or female >/= 18 years old
  • ECOG Performance Status 0 to 1
  • Subjects must have histologically or cytologically confirmed diagnosis of ER+, HER2- ABC consistent with ASCO CAP guidelines that is locally advanced and unresectable (Stage III) or metastatic (Stage IV) BC.
  • Measurable AND evaluable lesions at baseline per RECIST v1.1.
  • Eligible subjects must meet all of the following criteria:
    • Progression after receiving 1 line of prior cyclin-dependent kinase 4 and 6 inhibitor (CDK4/6i) therapy combined with HT in the MBC setting (up to 1 additional line of CDK4/6i is permitted in the post-surgical adjuvant setting);
      • Subjects must have received therapy for ≥3 months in the MBC setting, or for ≥6 months in the adjuvant setting, prior to progression
    • Progression after ≤3 lines of prior HT therapy (regardless of whether it is HT alone or in combination with other therapies)
      • Prior HT combination agents, including SERD, SERM or AI, must have received formal approval by regulatory agency.
    • ≤ 1 prior line of chemotherapy in the metastatic setting
  • Adequate organ function
  • Ability to understand and the willingness to sign a written informed consent document

Exclusion Criteria:

  • Presence of visceral metastases with severe organ dysfunction as evidence by signs and symptoms, laboratory studies, lymphangitic spread and/or rapid progression of disease
  • Pregnant or planning to become pregnant
  • Prior irradiation to >25% of the bone marrow and/or inadequate bone marrow function or evidence of clinically significant end-organ damage
  • Major surgery, chemotherapy, targeted therapy, experimental agents, or radiation within 14-28 days prior to Cycle 1, Day 1
  • Active, serious medical condition that is not well controlled with locally approved medications allowed by the protocol
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to the drugs used in the study
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Study Stats
Protocol No.
24-5340
Category
Breast Cancer
Contact
Monica Rocha
Location
  • UCLA Atascadero
  • UCLA Beverly Hills
  • UCLA Burbank
  • UCLA Encino
  • UCLA Laguna Hills
  • UCLA Parkside
  • UCLA San Luis Obispo
  • UCLA Santa Clarita
  • UCLA Santa Monica
  • UCLA Torrance
  • UCLA Ventura
  • UCLA Westlake Village
For Providers
NCT No.
NCT05304962
For detailed technical eligibility, visit ClinicalTrials.gov.