A Study of Samuraciclib and Elacestrant in Participants With Metastatic or Locally Advanced HR+/HER2-negative Breast Cancer

NCT ID: NCT05963997

Last Updated: 2026-01-16

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

49 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-09

Study Completion Date

2026-02-27

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This is an international, multisite, open-label, Phase 1b/2 study, to confirm safety and efficacy of samuraciclib in combination with elacestrant in adult participants with metastatic or locally advanced Hormone Receptor (HR) positive and Human Epidermal Growth Factor Receptor (HER)2-negative breast cancer.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This is a multiple cohort study, an initial dose escalation phase is designed to confirm the safe dose of samuraciclib in combination with elacestrant. A Safety Review Committee (SRC) will monitor the safety, tolerability, and PK data during this phase. Once ascertained, an expansion cohort will be opened to explore the efficacy of samuraciclib in combination with elacestrant.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Metastatic Breast Cancer Locally Advanced Breast Cancer Breast Cancer

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Cohort 1

Up to 6 evaluable participants will receive samuraciclib 240 mg in combination with elacestrant 300 mg in cycles of 28 days (Cycle 1 to 6), 56 days (Cycle 7 to 9) and up to 84 days (Cycles 10 onwards).

Group Type EXPERIMENTAL

Samuraciclib

Intervention Type DRUG

Samuraciclib capsules by mouth once a day

Elacestrant Dihydrochloride

Intervention Type DRUG

Elacestrant tablets by mouth once a day

Cohort 2

Up to 6 evaluable participants will receive samuraciclib in combination with elacestrant at the SRC recommended dose (anticipated 360mg samuraciclib, 300 mg elacestrant) in cycles of 28 days (Cycle 1 to 6), 56 days (Cycle 7 to 9) and up to 84 days (Cycles 10 onward).

Group Type EXPERIMENTAL

Samuraciclib

Intervention Type DRUG

Samuraciclib capsules by mouth once a day

Elacestrant Dihydrochloride

Intervention Type DRUG

Elacestrant tablets by mouth once a day

Cohort 3

Up to 6 evaluable participants will receive samuraciclib in combination with elacestrant at the SRC recommended dose (anticipated 360mg samuraciclib, 400 mg elacestrant) in cycles of 28 days (Cycle 1 to 6), 56 days (Cycle 7 to 9) and up to 84 days (Cycles 10 onward).

Group Type EXPERIMENTAL

Samuraciclib

Intervention Type DRUG

Samuraciclib capsules by mouth once a day

Elacestrant Dihydrochloride

Intervention Type DRUG

Elacestrant tablets by mouth once a day

Cohort 4 Expansion

Up to 30 evaluable participants will receive samuraciclib in combination with elacestrant at the SRC recommended dose (anticipated 360mg samuraciclib, 400 mg elacestrant) in cycles of 28 days (Cycle 1 to 6), 56 days (Cycle 7 to 9) and up to 84 days (Cycles 10 onward).

Group Type EXPERIMENTAL

Samuraciclib

Intervention Type DRUG

Samuraciclib capsules by mouth once a day

Elacestrant Dihydrochloride

Intervention Type DRUG

Elacestrant tablets by mouth once a day

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Samuraciclib

Samuraciclib capsules by mouth once a day

Intervention Type DRUG

Elacestrant Dihydrochloride

Elacestrant tablets by mouth once a day

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

ORSERDU

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Histologically confirmed diagnosis of ER-positive, HER2-negative locally advanced or metastatic breast cancer.
* Documented objective disease progression while on or within 6 months after the end of the most recent therapy.
* Received prior AI in combination with a CDK4/6i as the last therapy
* Known TP53 and ESR1 mutation status.
* Participants must have measurable disease or bone only disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
* Pre/peri-menopausal participants must have commenced treatment with a luteinizing hormone-releasing hormone (LHRH) agonist at least 4 weeks prior to first dose of study intervention.
* Eastern Cooperative Oncology Group (ECOG) performance status ≤1 with no deterioration over the past 2 weeks.
* Expected life expectancy of \>12 weeks in the judgement of the treating investigator.

Exclusion Criteria

* Inflammatory breast cancer.
* Participants with any other active malignancy within 3 years prior to enrollment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the cervix.
* More than 1 line of endocrine treatment for locally advanced or metastatic disease treatment.
* Inadequate hepatic, renal, and bone marrow function.
* Clinically significant cardiovascular disease.
* Any current or prior central nervous system metastases, carcinomatous meningitis, or leptomeningeal disease.
* Pregnant or breastfeeding women.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Berlin-Chemie AG Menarini Group

INDUSTRY

Sponsor Role collaborator

Carrick Therapeutics Limited

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Site 38 - Northwestern University, Feinberg School of Medicine, Northwestern University

Chicago, Illinois, United States

Site Status

Site 42 - Dana-Farber Cancer Institute, EDDC

Boston, Massachusetts, United States

Site Status

Site 35 - Cleveland Clinic, Taussig Cancer Institute

Cleveland, Ohio, United States

Site Status

Site 41 - The START Center for Cancer Care, South Texas Oncology and Hematology

San Antonio, Texas, United States

Site Status

Site 32 - Swedish Medical Center, Swedish Cancer Institute (SCI),Cherry Hill Campus

Seattle, Washington, United States

Site Status

Site 81 - Bergonie unicancer, Nouvelle-Aquitaine, L'Institut Bergonie

Bordeaux, , France

Site Status

Site 80 - Centre Jean Bernard, Clinique Victor Hugo

Le Mans, , France

Site Status

Site 83 - Institut Paoli Calmettes (IPC)

Marseille, , France

Site Status

Site 85 - Institut Curie

Paris, , France

Site Status

Site 82 - Institut de Cancerologie de Ouest (ICO)

Saint-Herblain, , France

Site Status

Site 65 - Complexo Hospitalario Universitario A Coruña

A Coruña, , Spain

Site Status

Site 64 - Hospital Clinic de Barcelona (Hospital Clinic i Provincial)

Barcelona, , Spain

Site Status

Site 68 -Hospital Universitario Vall d'Hebron

Barcelona, , Spain

Site Status

Site 61 - Institut Catala d'Oncologia (ICO), Hospital Duran i Reynals Location

L'Hospitalet de Llobregat, , Spain

Site Status

Site 62 - Universidad de Navarra, Clinica Universidad de Navarra (CUN)

Madrid, , Spain

Site Status

Site 63 - South Texas Accelerated Research Therapeutics, CIOCC, Hospital Madrid Norte-Sanchinarro

Madrid, , Spain

Site Status

Site 66 - Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Site 69 - Universidad de Navarra - Clinica Universidad de Navarra (CUN)

Pamplona, , Spain

Site Status

Site 60 - NEXT Oncology EU Hospital Universitario Quiron Salud Madrid

Pozuelo de Alarcón, , Spain

Site Status

Site 67 - Universidad de Sevilla, Hospital Universitario Virgen Macarena

Seville, , Spain

Site Status

Site 12 - Belfast City Hospital

Belfast, , United Kingdom

Site Status

Site 4 - The Christie NHS Foundation Trust

Manchester, , United Kingdom

Site Status

Site 2 - Oxford University Hospitals NHS Trust - Churchill Hospital

Oxford, , United Kingdom

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States France Spain United Kingdom

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2023-503846-30-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

2023-000072-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CT7001_003

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.