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A clinical study to investigate the therapeutic benefit and safety of combining alpelisib and fulvestrant in the treatment of postmenopausal women with advanced breast cancer whose disease came back while on or after treatment with an aromatase inhibitor

Phase 1
Conditions
Hormone receptor positive, HER2-negative advanced breast cancer
MedDRA version: 18.0Level: LLTClassification code 10072737Term: Advanced breast cancerSystem Organ Class: 100000004864
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2015-000340-42-ES
Lead Sponsor
ovartis Farmacéutica, S.A.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
820
Inclusion Criteria

1. Patient is an adult ? 18 years old at the time of informed consent
2. Patient has adequate FFPE tumor tissue for the analysis of PIK3CA mutational status
3. Patient has identified PIK3CA status
4. If female, then the patient is postmenopausal
5. Patient has radiological or objective evidence of recurrence or progression
6. Patient has a histologically and/or cytologically confirmed diagnosis of ER+ and/or PgR+ breast cancer
7. Patient has HER2-negative breast cancer
8. Patient has either measurable disease (at least one measurable lesion as per RECIST 1.1) or at least one predominantly lytic bone lesion
9. Patient has advanced (loco regionally recurrent not amenable to curative therapy or metastatic) breast cancer
10. Patient has recurrence or progression of disease during or after AI therapy (i.e. letrozole, anastrozole, exemestane)

Further inclusion criteria and details are described in the protocol
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 246
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 574

Exclusion Criteria

1. Patient with symptomatic visceral disease or any prohibitive disease burden
2. Patient has received prior treatment with chemotherapy (except for neoadjuvant/ adjuvant chemotherapy), fulvestrant, any PI3K, mTOR or AKT inhibitor
3. Patient has a known hypersensitivity to any of the excipients of alpelisib or fulvestrant
4. Patient with inflammatory breast cancer at screening
5. Patient is concurrently using other anti-cancer therapy
6. Patient has had surgery within 14 days prior to starting study drug or has not recovered from major side effects
7. Patient has not recovered from all toxicities related to prior anticancer therapies except alopecia

Further exclusion criteria and details are described in the protocol

Study & Design

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