A Phase 1b Open-Label Multicenter Study of OP-1250 (Palazestrant) in Combination With the CDK4/6 Inhibitor Ribociclib, With the PI3K Inhibitor Alpelisib, With the mTOR Inhibitor Everolimus, or With CDK4 Inhibitor Atirmociclib in Adult Subjects With Advanced and/or Metastatic ER Positive, HER2 Negative Breast Cancer
Olema Pharmaceuticals, Inc.
Summary
This is a Phase 1b open-label, 2-part study in 3 treatment groups. The 3 treatment groups are as follows: Treatment Group 1: Palazestrant (OP-1250) in combination with ribociclib (KISQALI®, Novartis Pharmaceuticals Corporation). Treatment Group 2: Palazestrant (OP-1250) in combination with alpelisib (PIQRAY®, Novartis Pharmaceuticals Corporation). Treatment Group 3: Palazestrant (OP-1250) in combination with everolimus. Treatment Group 4: Palazestrant (OP-1250) in combination with atirmociclib.
Description
Part 1 (Dose Escalation): This part will evaluate the safety and pharmacokinetics of a range of doses of palazestrant administered orally (PO) daily to subjects in combination with 600 mg of ribociclib administered PO daily for 21 consecutive days followed by 7 days off treatment (Treatment Group 1) or with 300 mg or 250 mg of alpelisib administered PO daily (Treatment Group 2) or with everolimus 10 mg administered PO daily (Treatment Group 3) and determine the RP2D (Recommended Phase 2 Dose) for each treatment group. Part 1, for Treatment Group 4, will evaluate the safety and pharmacokinetics…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Female or male aged \>18 years. * Willing and able to participate and comply with all study requirements. * Histologically- or cytologically-confirmed advanced or metastatic Breast Cancer (mBC). * ER+/HER2- disease, as determined in the most recently obtained archival tumor tissue sample from a metastatic site, using locally accepted criteria by the local pathology report. * Evaluable disease with one of the following: Measurable disease, ie, at least 1 measurable lesion as per RECIST 1.1 (a lesion at a previously irradiated site may only be counted as a target lesion if…
Interventions
- DrugPalazestrant
Complete estrogen receptor antagonist (CERAN)
- DrugRibociclib
All subjects in Treatment Group 1 will receive palazestrant in combination with ribociclib.
- DrugAlpelisib
All subjects in Treatment Group 2 will receive palazestrant in combination with alpelisib.
- DrugEverolimus
All subjects in Treatment Group 3 will receive palazestrant in combination with everolimus.
- DrugAtirmociclib
All subjects in Treatment Group 4 will receive palazestrant in combination with atirmociclib.
Locations (16)
- Banner MD Anderson Cancer CenterGilbert, Arizona
- University of California San Francisco HealthSan Francisco, California
- University of Colorado Cancer CenterAurora, Colorado
- Advent Health Hematology and OncologyOrlando, Florida
- University of IowaIowa City, Iowa
- Dana Farber Cancer InstituteBoston, Massachusetts