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This is a Study to Evaluate the Efficacy and Safety of Multiple Combination Therapies with FWD1802 in Subjects with ER-positive/HER2-negative Unresectable Locally Advanced or Metastatic Breast Cancer
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FWD1802 in combination with Palbociclib (CDK4/6 inhibitor) with or without LHRH agonist; | Experimental |
| |
| FWD1802 in combination with Ribociclib (CDK4/6 inhibitor) with or without LHRH agonist | Experimental |
| |
| FWD1802 in combination with Abemaciclib (CDK4/6 inhibitor) with or without LHRH agonist | Experimental |
| |
| FWD1802 in combination with Everolimus (mTOR inhibitor) with or without LHRH agonist | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FWD1802 | Drug | orally QD with 28 days each cycle, treatment till disease progression or intolerable toxicity or withdraw for other reasons |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase Ib- Dose-Limiting Toxicity (DLT). | Approximately 1.5 years | |
| Phase Ib- Maximum Tolerated Dose (MTD). | Approximately 1.5 years | |
| Phase Ib- Recommended Phase II Dose (RP2D). | Approximately 1.5 years | |
| Incidence of Treatment-Emergent Adverse Events (TEAEs) | Number and proportion of participants experiencing any treatment-emergent adverse event during the study period. Assessment criteria: Events will be categorized as "related" or "unrelated" to study drug based on investigator's causality assessment. Reporting format: Frequency counts and percentages stratified by severity grade (Grade 1-5 as per NCI-CTCAE v5.0). | Approximately 2 years |
| Severity Grading of Adverse Events | Maximum severity grade of treatment-emergent adverse events experienced by participants. Assessment tool: National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Reporting format: Proportion of participants with events in each severity category (Grade 1=mild; Grade 2=moderate; Grade 3=severe; Grade 4=life-threatening; Grade 5=death). | Approximately 2 years |
| Clinically Significant Abnormalities in 12-Lead ECG Parameters | Number of participants with clinically significant changes in electrocardiogram parameters from baseline. Assessed parameters: QTc interval, PR interval, QRS duration, heart rate. | Approximately 2 years |
| Vital Sign Abnormalities |
| Measure | Description | Time Frame |
|---|---|---|
| Phase Ib- PK Assessment-Tmax | Time to Cmax (Tmax). | Approximately 1.5 years |
| Phase Ib- PK Assessment-Cmax | Maximum plasma concentration (Cmax) |
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Inclusion Criteria:
Subjects consent to provide blood samples for centralized laboratory testing of ESR1 mutation status and other biomarkers.
Histologically or cytologically confirmed ER-positive/HER2-negative locally advanced or metastatic breast cancer
Subjects must meet at least one of the following criteria: postmenopausal or prior bilateral oophorectomy, or postmenopausal or Premenopausal/perimenopausal women must agree to receive and maintain approved luteinizing hormone-releasing hormone (LHRH) agonist therapy during study treatment
Prior Therapy Requirements:Subjects must meet all of the following criteria:
Progression during/after, intolerance to, ineligibility for, or refusal of standard therapy
Endocrine therapy history:
Recurrence during or within 1 year after completing ≥2 years of adjuvant endocrine therapy;OR progression after ≥1 line of endocrine therapy for advanced breast cancer(ABC) with ≥6 months of maintenance therapy (no restriction on the number of prior endocrine therapy lines).
≤2 prior lines of chemotherapy for ABC
No prior SERD (selective estrogen receptor degrader) therapy except fulvestrant
Everolimus combination arm: Prior CDK4/6 inhibitor therapy requiredf) CDK4/6 inhibitor combination arm:Permitted ≤1 line of prior non-investigational CDK4/6 inhibitor therapy;If only received adjuvant CDK4/6 inhibitor therapy, recurrence must occur >12 months after treatment completion Note: Antibody-drug conjugates (ADCs) are classified as chemotherapy in this study.
Phase Ib: At least one evaluable lesion per RECIST v1.1, allowed subjects with osteolytic bone lesion(s) confirmed by CT/MRI.Phase II: At least one measurable lesion per RECIST v1.1.
Subject must have sufficient organ and bone marrow functions at screening.
Exclusion Criteria:
Leptomeningeal metastasis (carcinomatous meningitis);Spinal cord compression;Symptomatic or clinically unstable central nervous system (CNS) metastases;
History or any persistent chronic gastrointestinal disorders or other conditions of impaired absorption that may interfere with oral absorption of the investigational drug
Symptomatic visceral metastases , or clinically symptomatic and unstable effusions;Pleural effusion;Ascites;Pericardial effusion or Pulmonary lymphangitis carcinomatosa. Prior intracavitary infusion therapy should have more than 14 days of stabilization,
Prior therapy with any selective estrogen receptor degrader (SERD) or similar agents other than fulvestrant
Inadequate washout period for prior anticancer therapies.
Type 1 diabetes mellitus; Type 2 diabetes mellitus with poor glycemic control at screening(applies only to the everolimus combination arm).
Subjects will be excluded if they meet any of the following:
Uncontrolled hypertension despite antihypertensive therapy, defined as:Systolic blood pressure (SBP) >150 mmHg OR Diastolic blood pressure (DBP) >95 mmHg.
Active cardiac disease or history of cardiac dysfunction
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jinglin Xu | Contact | 18964533182 | xujl@forward-pharm.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center, Shanghai | Recruiting | Shanghai | China |
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| Palbociclib 125mg | Drug | Dose: 125 mg Route: Orally Frequency: Once daily (QD) Schedule: Administered for 21 consecutive days, followed by a 7-day treatment break (3-weeks-on/1-week-off), constituting a 28-day cycle |
|
| Ribociclib 200Mg Oral Tablet | Drug | Dose: 600 mg Route: Orally Frequency: Once daily (QD) Schedule: Administered for 21 consecutive days, followed by a 7-day treatment break, constituting a 28-day cycle |
|
| Abemaciclib 150 MG | Drug | Dose: 150 mg Route: Orally Frequency: BID Schedule: Everyday |
|
| Everolimus 10 mg | Drug | Dose: 10 mg Route: Orally Frequency: QD Schedule: Everyday |
|
Proportion of participants with clinically significant deviations in vital signs:
Parameters: Systolic/diastolic blood pressure (mmHg), heart rate (bpm), respiratory rate (breaths/min), body temperature (°C).
| Approximately 2 years |
| Serious Adverse Events (SAEs) Incidence | Approximately 2 years |
| Phase II- Investigator-assessed Objective Response Rate (ORR) based on RECIST v1.1. | Approximately 2 years |
| Approximately 1.5 years |
| Phase Ib- PK Assessment-AUC0-t | Area under the concentration versus time curve from time 0 to the last measurable concentration (AUC0-t) | Approximately 1.5 years |
| Phase Ib- PK Assessment-AUC0-inf | The area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC0-inf) | Approximately 1.5 years |
| Phase Ib- PK Assessment-t1/2 | elimination half-life time (t1/2) | Approximately 1.5 years |
| Efficacy Assessment-ORR | Tumor response assessments by the corresponding criteria by RECIST v1.1 to assess Objective response rate (ORR) | Approximately 2 years |
| Efficacy Assessment-CBR | Clinical benefit rate (CBR) | Approximately 2 years |
| Efficacy Assessment-DOR | Duration of response (DoR) | Approximately 2 years |
| Efficacy Assessment-DCR | Disease control rate (DCR) | Approximately 1.5 years |
| Efficacy Assessment-PFS | Progression-free survival (PFS) by IRC according to RECIST 1.1.PFS is defined as time from the first dose until disease progression or death from any cause, whichever occurs first. | Approximately 2 years |
| Efficacy Assessment-OS | Overall survival (OS).OS is defined as time from date of the first dose to date of death due to any cause. | Approximately 2 years |
| Pharmacokinetic (PK) Parameters:Plasma Concentration at Each Sampling Time Point. | Approximately 2 years |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C500026 | palbociclib |
| C000589651 | ribociclib |
| D013607 | Tablets |
| C000590451 | abemaciclib |
| D000068338 | Everolimus |
| ID | Term |
|---|---|
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |
| D020123 | Sirolimus |
| D018942 | Macrolides |
| D007783 | Lactones |
| D009930 | Organic Chemicals |
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