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This is a phase I dose escalation and expansion study in patients with ER+, HER2- advanced breast cancer to explore the tolerance, PK/PD(pharmacokinetics/pharmacodynamics) profiles and preliminary anti-tumor activity of different doses of LX-039 tablets. The trial consists of two parts, dose escalation and dose expansion. Part 1 is the dose escalation phase with initial 6 dose groups, and "3 + 3" design is used to explore MTD of the drug; Part 2 is the dose expansion phase with 2 ~ 3 doses selected for expansion according to the escalation results of Part 1, and more subjects are enrolled to further observe the tolerance and preliminary anti-tumor activity of the drug. After the completion of dose expansion, the recommended phase II dose (RP2D) will be determined after discussion based on the obtained tolerance and PK/PD data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part1:dose escalation | Experimental | The investigational product for this study is LX-039 tablets,which can be administered orally. 6~8 ascending dose level until MTD and the specification included 50 mg, 100 mg, 200 mg, 400 mg, 600 mg , 800 mg,1050 mg and 1400 mg. LX-039 tablets will be administered in a therapeutic cycle of 28 days once a day orally. The subjects will continue therapy with LX-039 if good safety and tolerability were assessed by investigators after one cycle treatment. The treatment will continue until disease progression, unacceptable toxicity, withdrawal of consent, or study termination. |
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| Part 2:dose expansion | Experimental | 2~3 selected tolerable dose will be selected according to the tolerance and FES PET results of dose escalation phase.The subjects will continue therapy with LX-039 if good safety and tolerability were assessed by investigators after one cycle treatment. The treatment will continue until disease progression, unacceptable toxicity, withdrawal of consent, or study termination. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LX-039 tablets | Drug | orally once daily until disease progression, unacceptable toxicity, withdrawal of consent, or study termination |
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| Measure | Description | Time Frame |
|---|---|---|
| To explore the tolerance of LX-039 in ER +, HER2 - patients with advanced breast cancer | Incidence of dose limiting toxicities (DLTs) | DLT observation period(5 weeks for dose escalation, 4 weeks for dose expansion) |
| Measure | Description | Time Frame |
|---|---|---|
| The safety of LX-039 in ER +, HER2 - patients with advanced breast cancer | Number of participants with treatment related. adverse events as assessed by CTCAE v5.0 | through study completion,an average of 1 year |
| To explore the efficacy of LX-039 in ER +, HER2 - patients with advanced breast cancer according to Recist 1.1. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Shanghai | Shanghai Municipality | 200032 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35436589 | Derived | Lu J, Chan CC, Sun D, Hu G, He H, Li J, Dong J, Liu K, Shen L, Hu L, Gu Q, Chen S, Wang T, Gong T, Tang W, Li X, Zhu X, Zeng X, Zhu Y, Xia Y, Huang Y, Zhu Y, Liu Z, Ding CZ. Discovery and preclinical profile of LX-039, a novel indole-based oral selective estrogen receptor degrader (SERD). Bioorg Med Chem Lett. 2022 Jun 15;66:128734. doi: 10.1016/j.bmcl.2022.128734. Epub 2022 Apr 15. |
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Objective response rate (ORR) |
| through study completion,an average of 1 year. |
| To explore the efficacy of LX-039 in ER +, HER2 - patients with advanced breast cancer according to Recist 1.1. | proportion of subjects with complete response (CR) | through study completion,an average of 1 year. |
| To explore the efficacy of LX-039 in ER +, HER2 - patients with advanced breast cancer according to Recist 1.1. | proportion of subjects with partial response (PR) | through study completion,an average of 1 year. |
| To explore the efficacy of LX-039 in ER +, HER2 - patients with advanced breast cancer according to Recist 1.1. | proportion of subjects with stable disease (SD) | through study completion,an average of 1 year. |
| To explore the efficacy of LX-039 in ER +, HER2 - patients with advanced breast cancer according to Recist 1.1. | proportion of subjects with progressive disease (PD) | through study completion,an average of 1 year. |
| To explore the efficacy of LX-039 in ER +, HER2 - patients with advanced breast cancer according to Recist 1.1. | duration of response (DoR) | through study completion,an average of 1 year. |
| To explore the efficacy of LX-039 in ER +, HER2 - patients with advanced breast cancer according to Recist 1.1. | disease control rate (DCR) | through study completion,an average of 1 year. |
| To explore the efficacy of LX-039 in ER +, HER2 - patients with advanced breast cancer according to Recist 1.1. | clinical benefit rate (CBR) | through study completion,an average of 1 year. |
| To explore the efficacy of LX-039 in ER +, HER2 - patients with advanced breast cancer according to Recist 1.1. | time to progression (TTP) | through study completion,an average of 1 year. |
| To explore the efficacy of LX-039 in ER +, HER2 - patients with advanced breast cancer according to Recist 1.1. | progression-free survival (PFS) | through study completion,an average of 1 year. |
| To explore the efficacy of LX-039 in ER +, HER2 - patients with advanced breast cancer according to Recist 1.1. | overall survival (OS) | through study completion,an average of 1 year. |
| Comparison of changes in maximum uptake ability of FES(progression free survival) in breast cancer lesions before and after treatment with LX-039 by PET(positron emission tomography) scan (performed in some subjects) | Decrease in SUVmax in comparison with that before treatment | Up to the third day of Cycle 2(each cycle is 28 days) |
| PK profiles after a single dose of LX-039 | Peak Concentration (Cmax) | Up to the third day of Cycle 0(Cycle 0 is 7 days) |
| PK profiles after a single dose of LX-039 | Peak Time (Tmax) | Up to the third day of Cycle 0(Cycle 0 is 7 days) |
| PK profiles after a single dose of LX-039 | Elimination Half-life (t1/2) | Up to the third day of Cycle 0(Cycle 0 is 7 days) |
| PK profiles after a single dose of LX-039 | Eliminate Rate Constant (Kel) | Up to the third day of Cycle 0(Cycle 0 is 7 days) |
| PK profiles after a single dose of LX-039 | Mean Residence Time (MRT) | Up to the third day of Cycle 0(Cycle 0 is 7 days) |
| PK profiles after a single dose of LX-039 | Area under plasma Concentration-time curve from 0 time to 24 hours (AUC0-24h) | Up to the third day of Cycle 0(Cycle 0 is 7 days) |
| PK profiles after a single dose of LX-039 | Area under plasma Concentration-time curve from 0 time to sampling time t of the last measurable concentration (AUC0-last) | Up to the third day of Cycle 0(Cycle 0 is 7 days) |
| PK profiles after a single dose of LX-039 | Area under plasma Concentration-time curve from administration (0) to infinity (AUC0-inf) | Up to the third day of Cycle 0(Cycle 0 is 7 days) |
| PK profiles after a single dose of LX-039 | Apparent Total Clearance (CL/F) | Up to the third day of Cycle 0(Cycle 0 is 7 days) |
| PK profiles after a single dose of LX-039 | Apparent Volume of Distribution (Vd/F) | Up to the third day of Cycle 0(Cycle 0 is 7 days) |
| PK profiles after continuous administration of LX-039 | Trough Concentration at Steady State (Css, min) | Up to the Second day of Cycle 2(each cycle is 28 days) |
| PK profiles after continuous administration of LX-039 | Peak Concentration at Steady State (Css, max) | Up to the Second day of Cycle 2(each cycle is 28 days) |
| PK profiles after continuous administration of LX-039 | Average Concentration at Steady State (Css, av) | Up to the Second day of Cycle 2(each cycle is 28 days) |
| PK profiles after continuous administration of LX-039 | Peak Time (Tss, max) | Up to the Second day of Cycle 2(each cycle is 28 days) |
| PK profiles after continuous administration of LX-039 | Apparent Volume of Distribution at steady state (Vss/F) | Up to the Second day of Cycle 2(each cycle is 28 days) |
| PK profiles after continuous administration of LX-039 | Steady-state Clearance Half-life (tss,1/2) | Up to the Second day of Cycle 2(each cycle is 28 days) |
| PK profiles after continuous administration of LX-039 | Total Body Clearance (CLss/F) | Up to the Second day of Cycle 2(each cycle is 28 days) |
| PK profiles after continuous administration of LX-039 | Coefficient of Fluctuation (DF) | Up to the Second day of Cycle 2(each cycle is 28 days) |
| PK profiles after continuous administration of LX-039 | Area under Plasma Concentration-time Curve at Steady State (AUCss) | Up to the Second day of Cycle 2(each cycle is 28 days) |
| PK profiles after continuous administration of LX-039 | Accumulation Coefficient (Rac) | Up to the Second day of Cycle 2(each cycle is 28 days) |