A Randomised Double-blind Phase IIa Study (With Combination Safety Run-in) to Assess the Safety and Efficacy of AZD4547 in Combination With Fulvestrant vs. Fulvestrant Alone in ER+ Breast Cancer Patients With FGFR1 Polysomy or Gene Amplification Who Have Progressed Following Treatment With Prior Endocrine Therapy (Adjuvant or First-line Metastatic) (GLOW)
Overview
- Phase
- Phase 1
- Intervention
- AZD4547
- Conditions
- FGFR Inhibition, Pharmacokinetics, Biomarkers
- Sponsor
- AstraZeneca
- Enrollment
- 127
- Locations
- 1
- Primary Endpoint
- Safety and Tolerability in Terms of Number of Patients With Adverse Events (Serious and Non-serious)
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
The purpose of this study is to assess the safety and effectiveness of AZD4547 in combination with fulvestrant vs. fulvestrant alone in ER+ breast cancer patients with FGFR1 polysomy (FISH4/5) or gene amplification (FISH 6)
Investigators
Eligibility Criteria
Inclusion Criteria
- •Post-menopausal women (either through bilateral oophorectomy or amenorrhoeic for 24 months)
- •Histological confirmation of Breast Cancer with documented ER+ receptor status
- •Safety run-in: Relapsing during/within 12 months of completion of a single regimen of adjuvant endocrine therapy with non-steroidal AI and/ tamoxifen or progression following 1st line endocrine therapy with non-steroidal AL
- •Rand phase IIa: Received at least 1 prior endocrine therapy in the metastatic setting or have relapsed during/ within 6 months of completion of adjuvant endocrine therapy (either non-steroidal AI or tamoxifen or a combination of both). Chemotherapy administered in the adjuvant setting is permitted.
- •Rand phase IIa: Mandatory provision of tumour sample to confirm FGFR1 polysomy or gene amplification. At least one measurable lesion that can be accurately assessed by CT/MRI/x-ray at baseline and follow up visits
Exclusion Criteria
- •Prior exposure to exemestane (safety run-in) / fulvestrant (randomized phase IIa), or any agent known to inhibit FGFRs.
- •More than 1 prior regimen of chemotherapy for breast cancer
- •ECG recordings that demonstrate significant abnormalities in cardiac rate, rhythm or conduction
- •History of hypersensitivity to active or inactive excipients of AZD4547 or exemestane (safety run-in ) or fulvestrant (Randomized phase), including castor oil, or drugs with a similar chemical structure or class to AZD4547 or exemestane or fulvestrant.
- •Randomized phase IIa: bleeding/blood clotting conditions that would prevent the administration of the fulvestrant injection into the buttocks
Arms & Interventions
AZD4547 + exemestane
Safety run-in: AZD4547 plus exemestane
Intervention: AZD4547
AZD4547 + exemestane
Safety run-in: AZD4547 plus exemestane
Intervention: Exemestane
AZD4547 + fulvestrant
A Randomised phase IIa: AZD4547 plus fulvestrant
Intervention: AZD4547
AZD4547 + fulvestrant
A Randomised phase IIa: AZD4547 plus fulvestrant
Intervention: Fulvestrant
Placebo + fulvestrant
Randomised phase IIa: Matching placebo plus fulvestrant
Intervention: Placebo
Placebo + fulvestrant
Randomised phase IIa: Matching placebo plus fulvestrant
Intervention: Fulvestrant
Outcomes
Primary Outcomes
Safety and Tolerability in Terms of Number of Patients With Adverse Events (Serious and Non-serious)
Time Frame: 3 years, 10 months (Adverse events recorded from patient screening to discontinuation plus 28 days safety follow-up).