A Study to Evaluate the Safety and Tolerability of Venetoclax Tablets in Combination With Capecitabine Tablets in Adult Participants With Hormone Receptor-Positive, HER2-Negative Locally Advanced or Metastatic Breast Cancer Who Had Disease Progression During or After CDK4/6 Inhibitor Therapy

NCT ID: NCT04274933

Last Updated: 2020-10-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

4 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-21

Study Completion Date

2020-10-08

Brief Summary

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Endocrine therapy is the initial treatment for most hormone receptor positive (HR+), human epidermal growth factor receptor 2 negative (HER2-) breast cancers. This study will evaluate the use of venetoclax in combination with capecitabine in adult participants with HR+, HER2-, metastatic breast cancer (MBC) who had disease progression following treatment that included a cyclin-dependent kinase 4/6 (CDK4/6) inhibitor.

Venetoclax is an investigational drug being developed for the treatment of breast cancer. This study is open-label meaning both the participants and study doctors will know what treatment is being given. The study includes two phases: dose escalation and dose expansion. In dose escalation, participants will receive various doses of venetoclax in combination with capecitabine. In dose expansion, participants will receive the recommended dose of venetoclax determined during dose escalation in combination with capecitabine. Adult participants with locally advanced or MBC that is not amenable to curative therapy will be enrolled. Around 42 participants will be enrolled at approximately 20 sites worldwide.

Venetoclax and capecitabine will be administered on a 21-day cycle. During dose escalation, participants will take various doses of venetoclax as a tablet by mouth once a day and capecitabine as a tablet by mouth twice per day on days 1 - 14 of each cycle for approximately 30 weeks. During dose expansion, participants will take venetoclax at the dose identified during dose escalation as a tablet by mouth once a day and capecitabine as a tablet by mouth twice per day on days 1 - 14 of each cycle for approximately 30 weeks.

There may be a higher burden for participants in this trial compared to standard of care. Participants will attend weekly visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, and evaluating for side effects.

Detailed Description

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Conditions

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Breast Cancer Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dose Escalation: Venetoclax and Capecitabine

Venetoclax at various doses will be administered in combination with capecitabine until a recommended dose is determined.

Group Type EXPERIMENTAL

Venetoclax

Intervention Type DRUG

Tablet; Oral

Capecitabine

Intervention Type DRUG

Tablet; Oral

Dose Expansion: Venetoclax and Capecitabine

Venetoclax at the dose identified in Dose Escalation administered in combination with capecitabine.

Group Type EXPERIMENTAL

Venetoclax

Intervention Type DRUG

Tablet; Oral

Capecitabine

Intervention Type DRUG

Tablet; Oral

Interventions

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Venetoclax

Tablet; Oral

Intervention Type DRUG

Capecitabine

Tablet; Oral

Intervention Type DRUG

Other Intervention Names

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Venclexta ABT-199

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of advanced or metastatic breast cancer that is hormone receptor positive (HR+) and HER2 negative (HER2-).
* Eastern Cooperative Oncology Group (ECOG) performance score of 0-1.
* Willing to provide tissue biopsy sample prior to start of study treatment, and in participants with measurable disease, at Day 1 of Cycle 3.

* Escalation cohort: Able to provide a tissue sample obtained at any time in disease history prior to start of study treatment.
* Expansion cohort: Able to provide a fresh tissue sample from either primary tumor or metastatic site; if fresh sample collection is deemed unsafe by the investigator, then an archival tissue block is acceptable if obtained at time of most recent progression and within 16 weeks of study treatment.
* Experienced disease progression during or after CDK4/6 inhibitor therapy administered in combination with endocrine therapy for a minimum of 8 weeks prior to progression.

Exclusion Criteria

* History of receiving systemic cytotoxic chemotherapy in the locally advanced or metastatic setting.
* Received anti-cancer therapy within the previous 21 days prior to the start of study drugs.
* No known uncontrolled metastases to the central nervous system (CNS). Participants with brain metastases are eligible provided they have shown positive clinical and radiographic stable disease for at least 4 weeks after definitive therapy and have not used steroids for at least 2 weeks prior to first dose of study drugs.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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AbbVie Inc.

Role: STUDY_DIRECTOR

AbbVie

Locations

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Joliet Oncology-Hematology Associates, LTD /ID# 215051

Joliet, Illinois, United States

Site Status

Massachusetts General Hospital /ID# 214833

Boston, Massachusetts, United States

Site Status

Dana-Farber Cancer Institute /ID# 214832

Boston, Massachusetts, United States

Site Status

Masonic Cancer Center /ID# 216101

Minneapolis, Minnesota, United States

Site Status

Memorial Sloan Kettering Cancer Center /ID# 214886

New York, New York, United States

Site Status

University of Pennsylvania /ID# 216357

Philadelphia, Pennsylvania, United States

Site Status

Greenville Health System Cance /ID# 216059

Greenville, South Carolina, United States

Site Status

Vanderbilt University Med Ctr /ID# 213852

Nashville, Tennessee, United States

Site Status

MD Anderson Cancer Center /ID# 214867

Houston, Texas, United States

Site Status

Utah Cancer Specialists /ID# 215375

Salt Lake City, Utah, United States

Site Status

Swedish Cancer Institute /ID# 216120

Seattle, Washington, United States

Site Status

Universitaetsklinik Heidelberg /ID# 214679

Heidelberg, Baden-Wurttemberg, Germany

Site Status

Universitaetsklinikum Ulm /ID# 214678

Ulm, Thuringia, Germany

Site Status

Charite Universitaetsmedizin Berlin /ID# 215287

Berlin, , Germany

Site Status

Universitatsklinikum Tubingen /ID# 217021

Tübingen, , Germany

Site Status

Aichi Cancer Center Hospital /ID# 224527

Nagoya, Aichi-ken, Japan

Site Status

Pan American Center for Oncology Trials, LLC /ID# 216862

Rio Piedras, , Puerto Rico

Site Status

GCM Medical Group PSC - Hato Rey /ID# 216904

San Juan, , Puerto Rico

Site Status

Countries

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United States Germany Japan Puerto Rico

Related Links

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https://www.rxabbvie.com/

This clinical study may be evaluating a usage that is not currently FDA approved. Please see US Prescribing Information for approved uses.

Other Identifiers

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2019-003452-36

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

M19-992

Identifier Type: -

Identifier Source: org_study_id