ARV-471 in Combination With Everolimus for the Treatment of Advanced or Metastatic ER+, HER2- Breast Cancer

NCT ID: NCT05501769

Last Updated: 2025-09-26

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

PHASE1

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-08

Study Completion Date

2025-08-25

Brief Summary

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A phase 1b study to assess the combination of ARV-471 and everolimus in participants with advanced or metastatic ER+/HER2- breast cancer.

Detailed Description

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This is a Phase 1b study to assess the safety and tolerability of ARV-471 in combination with everolimus in participants with estrogen receptor positive/human epidermal growth factor receptor 2 negative (ER+/HER2-) advanced or metastatic breast cancer, who have received a prior CDK4/6 inhibitor and endocrine therapy in the advanced/metastatic setting.

Conditions

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Breast Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ARV-471 and Everolimus

ARV-471 oral tablets in combination with everolimus administered daily in 28 day cycles

Group Type EXPERIMENTAL

ARV-471 in combination with Everolimus

Intervention Type DRUG

ARV-471 oral tablets in combination with everolimus administered daily in 28 day cycles

Interventions

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ARV-471 in combination with Everolimus

ARV-471 oral tablets in combination with everolimus administered daily in 28 day cycles

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed ER+ and HER2-advanced breast cancer (metastatic, recurrent, or unresectable)
* Women must be postmenopausal, or pre-/peri-menopausal women must be on ovarian suppression
* Measurable disease or non-measurable (evaluable) disease per RECIST v1.1
* Received a minimum of 1 and up to 3 lines of anti-cancer therapy in the advanced/metastatic setting: must have received and progressed on (or were intolerant to) a CDK 4/6 inhibitor, either alone or in combination; must have received at least one endocrine therapy, either alone or in combination; may have received up to one line of chemotherapy
* Must be willing to use dexamethasone mouthwash for the prevention of everolimus-induced stomatitis
* ECOG performance status of 0 or 1

Exclusion Criteria

* Untreated brain metastases or brain metastases requiring steroids above physiologic replacement doses
* Prior treatment with ARV-471
* Prior treatment targeting mTOR (e.g. everolimus)
* Prior anticancer or investigational drug treatment within 28 days (fulvestrant) or 14 days (tamoxifen or aromatase inhibitor, or CDK 4/6 inhibitor) before the first dose of study drug
* Prior anticancer or investigational anticancer drug therapy within 28 days or 5 half-lives (whichever is shorter) before the first dose of study drug, except as mentioned above
* Any of the following in the previous 12 months: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident, transient ischemic attack, symptomatic pulmonary embolism, or other clinically significant episode of thromboembolism
* Any of the following in the previous 6 months: congenital long QT syndrome, Torsade de Pointes, sustained ventricular tachyarrhythmia and ventricular fibrillation, left anterior hemiblock, ongoing cardiac arrythmias/dysrhythmias, atrial fibrillation
* Hypertension that cannot be controlled by medication (\>150/90 mmHg despite optimal medical therapy)
* Active, uncontrolled bacterial, fungal, or viral infection, including hepatitis B virus, hepatitis C virus, known human immunodeficiency virus (HIV), or acquired immunodeficiency syndrome (AIDS)-related illness
* Known history of drug-induced pneumonitis or other significant symptomatic deterioration of lung function
* Live vaccines within 14 days before the first dose of study drug
* Major surgery (as defined by the Investigator) within 4 weeks of first dose of study drug
* Radiation therapy within 4 weeks of first dose of study drug or prior irradiation to more than 25% of the bone marrow
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role collaborator

Arvinas Estrogen Receptor, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Clinical Trial Site

San Diego, California, United States

Site Status

Clinical Trial Site

Santa Monica, California, United States

Site Status

Clinical Trial Site

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

Site Status

Clinical Trial Site

Lake Mary, Florida, United States

Site Status

Clinical Trial Site

Ann Arbor, Michigan, United States

Site Status

Clinical Trial Site

Nashville, Tennessee, United States

Site Status

Clinical Trial Site

Barcelona, , Spain

Site Status

Clinical Trial Site

Madrid, , Spain

Site Status

Clinical Trial Site

Valencia, , Spain

Site Status

Countries

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United States Spain

Other Identifiers

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C4891020

Identifier Type: OTHER

Identifier Source: secondary_id

ARV-471-mBC-102

Identifier Type: -

Identifier Source: org_study_id

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