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Clinical Trials/NCT01202591
NCT01202591
Completed
Phase 1

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)

AstraZeneca1 site in 1 country127 target enrollmentDecember 2010

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)

Registry
clinicaltrials.gov
Start Date
December 2010
End Date
October 2014
Last Updated
10 years ago
Study Type
Interventional
Study Design
Parallel
Sex
Female

Investigators

Responsible Party
Sponsor

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).

Study Sites (1)

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