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A clinical trial to compare the effectiveness and safety of giredestrant with a subcutaneous combination of pertuzumab and trastuzumab versus subcutaneous pertuzumab and trastuzumab alone in people with locally advanced or metastatic breast cancer, with HER2 and oestrogen receptor positivity.

Phase 1
Recruiting
Conditions
ocally-Advanced or Metastatic breast cancer (MBC)
MedDRA version: 23.0Level: LLTClassification code: 10070575Term: Estrogen receptor positive breast cancer Class: 10029104
MedDRA version: 23.0Level: PTClassification code: 10065430Term: HER2 positive breast cancer Class: 100000004864
Therapeutic area: Diseases [C] - Neoplasms [C04]
Registration Number
CTIS2022-500014-26-00
Lead Sponsor
F. Hoffmann-La Roche AG
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
812
Inclusion Criteria

Participants (females, regardless of menopausal status, and males) who are aged >=18 years at the time of signing Informed Consent Form, Histologically or cytologically confirmed and documented adenocarcinoma of the breast with metastatic or locally-advanced disease not amenable to curative resection, At least one measurable lesion and/or non-measurable disease evaluable according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, Disease-free interval from completion of adjuvant or neoadjuvant systemic nonhormonal treatment to recurrence of >=6 months, Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1, Left ventricular ejection fraction (LVEF) of at least 50% measured by echocardiogram (ECHO) or multiple-gated acquisition scan (MUGA)

Exclusion Criteria

Previous systemic non-hormonal anti-cancer therapy in the metastatic breast cancer (MBC) or advanced breast cancer (ABC) setting, Previous treatment with approved or investigative anti- human epidermal growth factor receptor 2 (HER2) agents, Non-resolution of all acute toxic effects of prior anti-cancer therapy or surgical procedures to National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI CTCAE v5.0) Grade 1 or better, Dyspnea at rest due to complications of advanced malignancy, or other disease requiring continuous oxygen therapy, History of persistent Grade >=2 (NCI-CTC, Version 5.0) hematological toxicity resulting from previous adjuvant or neo-adjuvant therapy, For pre- and perimenopausal women, and men: 1) Known hypersensitivity to luteinizing hormone-releasing hormone agonist (LHRHa) 2) Not willing to undergo and maintain treatment with approved LHRHa therapy for the duration of endocrine therapy (ET) that requires gonadal function suppression, Treatment with strong CYP3A4 inhibitors or inducers within 14 days or 5 drug elimination half-lives, whichever is longer, prior to initiation of giredestrant treatment in Arm B, Refrain from consumption of grapefruit or grapefruit juice, grapefruit supplements, or Seville oranges (potent CYP3A enzyme inhibitors) for at least 3 days prior to initiation of giredestrant in Arm B and throughout the maintenance phase

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
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