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| Name | Class |
|---|---|
| Nanjing Zaiming Pharmaceutical Co., Ltd. | INDUSTRY |
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This study is a multi-center, open-label, Phase 1 clinical study to evaluate the safety, pharmacokinetic (PK) and anti-tumor efficacy of SIM0270 and SIM0270 in combination with palbociclib or everolimus in subjects with estrogen receptor (ER) -positive, human epidermal growth factor receptor (HER-2) -negative locally advanced or metastatic breast cancer.
The study is comprised of two parts: Phase Ia and Phase Ib. Phase Ia includes dose-escalating stage and dose expansion stageof SIM0270 monotherapy to determine the MTD/ RP2D and the preliminary safety and efficacy of SIM0270; Phase Ib includes 2 arms, armA: dose escalation and dose expansion of SIM0270 in combination with palbociclib; armB: dose escalation and dose expansion of SIM0270 in combination with palbociclib everolimus; phase Ib is designed to determine the MTD/RP2D and the preliminary safety and efficacy of SIM0270 in combination with palbociclib or everolimus.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SIM0270 | Experimental | Phase Ia SIM0270 monotherapy dose escalation and expansion |
|
| SIM0270+palbociclib | Experimental | Phase Ib SIM0270 with palbociclib dose escalation and expansion |
|
| SIM0270+everolimus | Experimental | Phase Ib SIM0270 with everolimus dose escalation and expansion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SIM0270 | Drug | SIM0270 is an oral, selective estrogen receptor degrader (SERD) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Tolerated Dose | Dose Escalation: Maximum Tolerated Dose (MTD) of SIM0270 When Administered as a Single Agent or in Combination with Palbociclib or Everolimus | At the end of Cycle 1 (each cycle is 28 days) |
| recommended phase 2 Dose | Dose Escalation: recommended phase 2 Dose (RP2D) of SIM0270 When Administered as a Single Agent or in Combination with Palbociclib or Everolimus | At the end of Cycle 1 (each cycle is 28 days) |
| Dose-Limiting Toxicities | Dose Escalation: Number of Participants with Dose-Limiting Toxicities When SIM0270 is Administered as a Single Agent or in Combination with Palbociclib or Everolimus | At the end of Cycle 1 (each cycle is 28 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse event | Number of Participants with Adverse Events by Severity, According to National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI-CTCAE v5.0) | From Baseline until 30 days after the last dose of study treatment |
| Peak Plasma Concentration (Cmax) of SIM0270 as monotherapy or combination with palbociclib or everolimus |
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key Inclusion Criteria:
key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jiong Wu, phD | chief physician | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Shanghai | Shanghai Municipality | China |
the plan to make individual participant data (IPD) available to other researchers is not decided yet.
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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| ID | Term |
|---|---|
| C500026 | palbociclib |
| D000068338 | Everolimus |
| ID | Term |
|---|---|
| D020123 | Sirolimus |
| D018942 | Macrolides |
| D007783 | Lactones |
| D009930 | Organic Chemicals |
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| Palbociclib | Drug | palbociclib is a selective inhibitor of cyclin D-cyclin-dependent kinase (CDK) 4/6 |
|
| everolimus | Drug | Everolimus is an inhibitor of mTOR (mammalian target of rapamycin) |
|
Peak Plasma Concentration (Cmax) |
| At the end of Cycle 4 (each cycle is 28 days) |
| Time of Peak Plasma Concentration (Tmax) of SIM0270 as monotherapy or combination with palbociclib or everolimus | Time of Peak Plasma Concentration (Tmax) | At the end of Cycle 4 (each cycle is 28 days) |
| Area under the plasma concentration versus time curve (AUC) of SIM0270 as monotherapy or combination with palbociclib or everolimus | Area under the plasma concentration versus time curve (AUC) | At the end of Cycle 4 (each cycle is 28 days) |
| clinical benefit rate | Antitumour activity by evaluation of clinical benefit rate assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)or Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) | through study completion, an average of 1 year |
| disease control rate | Antitumour activity by evaluation of disease control rate assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)or Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) | through study completion, an average of 1 year |
| duration of response | Antitumour activity by evaluation of duration of response assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)or Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) | through study completion, an average of 1 year |
| progression free survival | Antitumour activity by evaluation of progression free survival assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)or Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) | From date of C1D1 until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months |
| time to progression | Antitumour activity by evaluation of time to progression assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)or Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) | From date of C1D1 until the date of first documented progression, assessed up to100 months |
| time to response | Antitumour activity by evaluation of time to response assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1)or Response Assessment in Neuro-Oncology Brain Metastases (RANO-BM) | through study completion, an average of 1 year |
| overall survival | Antitumour activity by evaluation of overall survival assessments | From date of C1D1 until the date of death from any cause, assessed up to 100 months |
| overall response rate | Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in breast cancer (RECIST 1.1) | through study completion, an average of 1 year |
| D017437 |
| Skin and Connective Tissue Diseases |