Trilaciclib, a CDK 4/6 Inhibitor, in Patients Receiving Gemcitabine and Carboplatin for Metastatic Triple-Negative Breast Cancer (TNBC)

NCT ID: NCT04799249

Last Updated: 2024-08-01

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

194 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-14

Study Completion Date

2024-05-24

Brief Summary

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This is a Phase 3, multicenter, randomized, double-blind, placebo-controlled study evaluating the safety and efficacy of trilaciclib versus placebo administered prior to gemcitabine and carboplatin in patients receiving first- or second-line treatment for locally advanced unresectable/metastatic TNBC.

Detailed Description

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This study will have two separate cohorts (Cohort 1 and Cohort 2). Both cohorts will follow the same general study conduct/design with similar primary and key secondary endpoints and identical treatment arms.

* Cohort 1 will evaluate patients receiving first-line therapy, regardless of programmed death-ligand 1 (PD-L1) status, who are programmed cell death protein 1 (PD-1)/PD-L1 inhibitor therapy naïve.
* Cohort 2 will evaluate PD-L1 positive patients receiving second-line therapy following prior PD-1/PD-L1 inhibitor therapy in the locally advanced unresectable/metastatic setting.

Conditions

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TNBC - Triple-Negative Breast Cancer Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Double-Blind Trial

Study Groups

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Trilaciclib + gemcitabine + carboplatin

Trilaciclib (240mg/m2) + gemcitabine (1000 mg/m2) and carboplatin (AUC 2)

Group Type EXPERIMENTAL

Trilaciclib

Intervention Type DRUG

Trilaciclib administered IV over 30mins prior to chemotherapy on Day 1 and Day 8 of each 21-day cycle.

Gemcitabine

Intervention Type DRUG

Gemcitabine administered IV on Day 1 and Day 8 of each 21-day cycle.

Carboplatin

Intervention Type DRUG

Carboplatin administered IV on Day 1 and Day 8 of each 21-day cycle.

Placebo + gemcitabine + carboplatin

The subjects in the placebo arm will follow the same schedule as the trilaciclib arm, but will receive placebo instead of trilaciclib.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo administered IV over 30mins prior to chemotherapy on Day 1 and Day 8 of each 21-day cycle.

Gemcitabine

Intervention Type DRUG

Gemcitabine administered IV on Day 1 and Day 8 of each 21-day cycle.

Carboplatin

Intervention Type DRUG

Carboplatin administered IV on Day 1 and Day 8 of each 21-day cycle.

Interventions

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Trilaciclib

Trilaciclib administered IV over 30mins prior to chemotherapy on Day 1 and Day 8 of each 21-day cycle.

Intervention Type DRUG

Placebo

Placebo administered IV over 30mins prior to chemotherapy on Day 1 and Day 8 of each 21-day cycle.

Intervention Type DRUG

Gemcitabine

Gemcitabine administered IV on Day 1 and Day 8 of each 21-day cycle.

Intervention Type DRUG

Carboplatin

Carboplatin administered IV on Day 1 and Day 8 of each 21-day cycle.

Intervention Type DRUG

Other Intervention Names

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G1T28 COSELA 0.9% normal saline 5 % Dextrose in water (D5W)

Eligibility Criteria

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Inclusion Criteria

1. Age \>/= 18 years of age with evaluable locally advanced unresectable or metastatic TNBC.
2. Documentation of triple negative breast cancer (estrogen and progesterone receptor \<1% and HER2-negative)
3. Prior systemic therapies (Cohort 1 only):

1. No prior systemic therapy in the locally advanced unresectable/metastatic setting including chemotherapy, targeted therapy, immunotherapy, or investigational agents.
2. Prior PD-1/PD-L1 inhibitor treatment is not permitted in any setting, including in the neoadjuvant setting.
3. Time between completion of last treatment with curative intent and first metastatic recurrence must be ≥ 6 months.
4. Prior systemic therapies (Cohort 2 only):

1. Documentation of PD-L1 positive status
2. Treated with a PD-1/PD-L1 inhibitor for a minimum duration of 4 months in the locally advanced unresectable/metastatic setting and as the most recent therapy.
5. Radiation therapy for metastatic disease is permitted. There is no required minimum washout period for radiation therapy. Patients should be recovered from the effects of radiation.
6. Archival tumor tissue must be available or a fresh biopsy must be obtained, unless approved by the Medical Monitor.
7. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
8. Adequate organ function as demonstrated by normal laboratory values

Exclusion Criteria

1. Prior treatment with gemcitabine in any setting.
2. Prior treatment with carboplatin in the locally advanced unresectable/metastatic setting.

Prior carboplatin in the (neo)adjuvant/curative setting is permitted as long as it was completed ≥ 6 months prior to the first metastatic recurrence.
3. Presence of central nervous system (CNS) metastases and/or leptomeningeal disease requiring immediate treatment with radiation therapy or steroids.
4. Receipt of any cytotoxic chemotherapy within 14 days prior to the first dose of study drugs.
5. QTcF interval \>480 msec at Screening (confirmed in triplicate). For patients with ventricular pacemakers, QTcF \>500 msec.
6. Known hypersensitivity to carboplatin or other platinum-containing compounds, or mannitol
7. Pregnant or lactating women
8. Prior hematopoietic stem cell or bone marrow transplantation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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G1 Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Contact

Role: STUDY_DIRECTOR

G1 Therapeutics, Inc.

Locations

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Banner M.D. Anderson Cancer Center

Gilbert, Arizona, United States

Site Status

Washington Cancer Institute at MedStar Washington Hospital Center - Oncology Research

Washington D.C., District of Columbia, United States

Site Status

Florida Cancer Specialists - North (SCRI)

St. Petersburg, Florida, United States

Site Status

Moffitt Cancer Center

Tampa, Florida, United States

Site Status

Maryland Oncology Hematology, P.A.

Clinton, Maryland, United States

Site Status

Saint Luke's Cancer Specialists

Kansas City, Missouri, United States

Site Status

Comprehensive Cancer Genetics of Nevada

Las Vegas, Nevada, United States

Site Status

Duke Cancer Center

Durham, North Carolina, United States

Site Status

UPC Pinnacle Health Cancer Institute

Pittsburgh, Pennsylvania, United States

Site Status

Tennessee Oncology Chattanooga

Chattanooga, Tennessee, United States

Site Status

Baptist Cancer Cancer - Oncology

Memphis, Tennessee, United States

Site Status

Tennessee Oncology (SCRI)

Nashville, Tennessee, United States

Site Status

Texas Oncology- Austin Central

Austin, Texas, United States

Site Status

Texas Oncology - Baylor Charles A. Sammons Cancer Center

Dallas, Texas, United States

Site Status

Texas Oncology P.A.

Tyler, Texas, United States

Site Status

Virginia Oncology Associates

Norfolk, Virginia, United States

Site Status

Chris O'Brien Lifehouse

Camperdown, New South Wales, Australia

Site Status

Sunshine Coast University Hospital

Birtinya, Queensland, Australia

Site Status

Peter MacCallum Cancer Centre - Oncology

East Melbourne, Victoria, Australia

Site Status

Cabrini Health

Malvern, Victoria, Australia

Site Status

Mater Hospital Sydney

North Sydney, , Australia

Site Status

Complex Oncology Center - Burgas

Burgas, , Bulgaria

Site Status

Medical Ctr Nadezhda Clinical

Sofia, , Bulgaria

Site Status

Cancer Hospital Chinese Academy of Medical Sciences

Chaoyang, Beijing Municipality, China

Site Status

The First Affiliated Hospital of Chongqing Medical University

Yuzhong, Chongqing Municipality, China

Site Status

Sun Yat-sen University Cancer Center

Yuexiucun, Guangzhou, China

Site Status

The Fourth Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

Anhui Provincial Hospital

Harbin, Heilongjiang, China

Site Status

First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status

Jilin Cancer Hospital

Changchun, Jilin, China

Site Status

The First Hospital of Jilin University

Changchun, Jilin, China

Site Status

Tianjin Cancer Hospital

Tianjin, Tianjin Municipality, China

Site Status

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

Site Status

Fudan University Shanghai Cancer Center

Shanghai, , China

Site Status

Centre Jean Bernard

Le Mans, Europe, France

Site Status

Centre Francois Baclesse

Caen, , France

Site Status

ICM-Val d'Aurelle

Montpellier, , France

Site Status

Centre Hospitalier de Poitiers

Poitiers, , France

Site Status

Pharmacie Essais Cliniques

Toulouse, , France

Site Status

Centre Leon Berard

Villejuif, , France

Site Status

High Technology Hospital MedCenter LTD

Batumi, Adjara, Georgia

Site Status

Acad.Fridon Todua Medical Center - Research Institute of Clinical Medicine

Tbilisi, , Georgia

Site Status

ARENSIA Exploratory Medicine Harmony Health

Tbilisi, , Georgia

Site Status

LTD Israeli-Georgian Medical Research Clinic Helsicore

Tbilisi, , Georgia

Site Status

LTD Multiprofile Clinic Consilium Medulla

Tbilisi, , Georgia

Site Status

TIM - Tbilisi Institute of Medicine LTD

Tbilisi, , Georgia

Site Status

Institute Of Clinical Oncology LTD

Tbilisi, , Georgia

Site Status

IMSP Institutul Oncologic, ARENSIA Exploratory Medicine

Chisinau, , Moldova

Site Status

Med-Polonia Sp. Z o.o.

Poznan, Greater Poland Voivodeship, Poland

Site Status

Pratia MCM Krakow

Krakow, Lesser Poland Voivodeship, Poland

Site Status

Instytut MSF Sp. z. o.o.

Lodz, , Poland

Site Status

Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Lodzi, Oddzial Chorob Rozrostowych

Lodz, , Poland

Site Status

Centrum Medyczne Pratia Poznan

Skorzewo, , Poland

Site Status

Narodowy Instytut Onkologii im. Marii Sklodowskiej - Curie - Panstwowy Instytut Badawczy

Warsaw, , Poland

Site Status

Saint-Petersburg State Budgetary Healthcare Institution "City Clinical Oncology Dispensary"

Moscow, Balashikha, Russia

Site Status

SAHI Republcx Clinical Oncology Dispensary of the Ministry of Healthcare of Tatarstan Republix

Kazan', , Russia

Site Status

FSBI Russian Scientific Center of Roentgenoradiology of the MoH of Russia

Moscow, , Russia

Site Status

State Budgetary Healthcare Institution of Moscow Region "Moscow Reginoal Oncology Dispensary"

Moscow, , Russia

Site Status

Budgetary Healthcare Institution of Omsk Region "Clinical Oncological Dispensary"

Omsk, , Russia

Site Status

Hospital General Universitario de Elche

Elche, Alicante, Spain

Site Status

Hospital Puerta de Hierro Majadahonda

Madrid, Majadahonda, Spain

Site Status

Hospital Universitario de Badajos

Badajoz, , Spain

Site Status

Hospital Universitario 12 de Octubre

Barcelona, , Spain

Site Status

Vall d'Hebrón University Hospital

Barcelona, , Spain

Site Status

Hospital Clìnic de Barcelona

Barcelona, , Spain

Site Status

Hospital Universitario Ramón y Cajal

Madrid, , Spain

Site Status

Yuri Prokopovich Spizhenko

Kapitanivka, Kyivska Oblast, Ukraine

Site Status

Komunalne nekomertsiine pidpryiemstvo Sumskoi oblasnoi rady Sumskyi oblasnyi onkolohichnyi dyspanser

Sumy, Sumska Oblast, Ukraine

Site Status

Komunalne nekomertsiine pidpryiemstvo Ternopilskyi oblasnyi klinichnyi onkolohichnyi dyspanser Ternopilskoi oblasnoi rady

Ternopil, Ternopil Oblast, Ukraine

Site Status

Volynskyi oblasnyi medychnyi tsentr onkolohii

Lutsk, Volyn Oblast, Ukraine

Site Status

Komunalne nekomertsiine pidpryiemstvo Miska klinichna likarnia No 4 Dniprovskoi miskoi rady

Dnipro, , Ukraine

Site Status

Countries

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United States Australia Bulgaria China France Georgia Moldova Poland Russia Spain Ukraine

References

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Goel S, Tan AR, Rugo HS, Aftimos P, Andric Z, Beelen A, Zhang J, Yi JS, Malik R, O'Shaughnessy J. Trilaciclib prior to gemcitabine plus carboplatin for metastatic triple-negative breast cancer: phase III PRESERVE 2. Future Oncol. 2022 Oct;18(33):3701-3711. doi: 10.2217/fon-2022-0773. Epub 2022 Sep 22.

Reference Type DERIVED
PMID: 36135712 (View on PubMed)

Other Identifiers

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2020-004930-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

G1T28-208

Identifier Type: -

Identifier Source: org_study_id

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