A Phase 1b, Single and Multiple Dose, Open-Label Trial of Intravenous GMI-1359 in HR+ Metastatic Breast Cancer Subjects
Overview
- Phase
- Phase 1
- Intervention
- GMI-1359
- Conditions
- HR+ Metastatic Breast Cancer
- Sponsor
- GlycoMimetics Incorporated
- Enrollment
- 4
- Locations
- 1
- Primary Endpoint
- Occurrences of dose-limiting toxicities (DLT) including protocol-defined adverse events (AEs)/serious adverse events (SAEs), and/or laboratory abnormalities will be assessed in order to determine recommended phase II dose (Safety and Tolerability)
- Status
- Terminated
- Last Updated
- 4 years ago
Overview
Brief Summary
This trial is being conducted to investigate the safety, tolerability, pharmacokinetics (the effect the body has on the drug), and pharmacodynamics (the effect the drug has on the body) of GMI-1359 when given with standard-of-care treatment to subjects with HR+ metastatic breast cancer.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Pathologically confirmed HR+ metastatic breast cancer, currently stable or minimally progressive on current endocrine-based therapy.
- •Continuing on current endocrine-based therapy with an aromatase inhibitor, selective estrogen receptor degrader, or selective estrogen receptor modulator; and must be medically eligible to remain on this therapy during the treatment period.
Exclusion Criteria
- •Uncontrolled acute life-threatening bacterial, viral, or fungal infection.
- •Subjects who are pregnant or breastfeeding
- •Concurrent treatment with any cytotoxic chemotherapy agent or other targeted therapies including HER2 targeting therapies
- •Currently receiving, or less than 28 days since ending treatment on another investigational drug.
- •Clinically significant cardiovascular disease.
- •Abnormal liver function.
- •Any medical, psychiatric, or other condition which, in the opinion of the investigator, is likely to interfere with trial completion, assessments, or interpretation of trial results, or otherwise would make the subject an inappropriate subject for this trial.
Arms & Interventions
Single Ascending Dose followed by Multiple Doses
Up to 3 single ascending doses of GMI-1359 followed by the highest tolerated dose given for 3 consecutive days.
Intervention: GMI-1359
Outcomes
Primary Outcomes
Occurrences of dose-limiting toxicities (DLT) including protocol-defined adverse events (AEs)/serious adverse events (SAEs), and/or laboratory abnormalities will be assessed in order to determine recommended phase II dose (Safety and Tolerability)
Time Frame: Up to 4 months
Secondary Outcomes
- Maximum plasma concentration [Cmax] of GMI-1359(Up to 16 weeks)
- Total plasma clearance [CL] of GMI-1359(Up to 16 weeks)
- Individual estimate of the terminal elimination rate constant [Λz] of GMI-1359(Up to 16 weeks)
- Area under the plasma concentration-time curve [AUC0-t and AUC0-∞] of GMI-1359(Up to 16 weeks)
- Time to reach maximum plasma concentration [tmax] of GMI-1359(Up to 16 weeks)
- Half-life [t1/2] of GMI-1359(Up to 16 weeks)
- Apparent volume of distribution estimated at the terminal phase [Vz] of GMI-1359(Up to 16 weeks)
- Pre-and post-dose CD34+ cell quantification to determine mobilization into peripheral blood [standard flow cytometry](Up to 16 weeks)
- Pre- and post-dose circulating tumor cells (CTC) enumeration to determine tumor cell mobilization [digital pathology assay](Up to 16 weeks)