跳至主要内容
临床试验/NCT06790693
NCT06790693招募中3 期

A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Inavolisib Plus a CDK4/6 Inhibitor and Letrozole Versus Placebo Plus a CDK4/6 Inhibitor and Letrozole in Patients With Endocrine-Sensitive PIK3CA-Mutated, Hormone Receptor-Positive, HER2-Negative Advanced Breast Cancer

Hoffmann-La Roche402 个研究点 分布在 6 个国家目标入组 450 人开始时间: 2025年4月9日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
3 期
状态
招募中
入组人数
450
试验地点
402
主要终点
Progression-Free Survival (PFS)

研究概览

简要总结

This study will evaluate the efficacy and safety of the combination of inavolisib plus a cyclin-dependent kinase 4 and 6 inhibitor (CDK4/6i) and letrozole versus placebo plus a CDK4/6i and letrozole in the first-line setting in participants with endocrine-sensitive PIK3CA-mutated hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-), advanced breast cancer (ABC).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Women or men with histologically or cytologically confirmed carcinoma of the breast
  • Documented ER-positive and/or progesterone receptor-positive tumor according to American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guidelines
  • Documented HER2-negative tumor according to ASCO/CAP guidelines
  • De-novo HR+ , HER2- ABC, or, alternatively, relapsed HR+ , HER2- ABC after at least 2 years of standard neoadjuvant/adjuvant endocrine therapy without disease progression during that treatment and disease-free interval of at least 1 year since the completion of that treatment
  • Participants who have bilateral breast cancers which are both HR-positive and HER2-negative
  • Confirmation of biomarker eligibility
  • Consent to provide fresh or archival tumor tissue specimen
  • Measurable disease per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1)
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • Adequate hematologic and organ function within 14 days prior to initiation of study treatment

排除标准

  • Pregnant or breastfeeding, or intention of becoming pregnant during the study or within the time frame in which contraception is required
  • Metaplastic breast cancer
  • Any prior systemic therapy for locally advanced unresectable or metastatic breast cancer
  • Type 2 diabetes requiring ongoing systemic treatment at the time of study entry; or any history of Type 1 diabetes
  • Any history of leptomeningeal disease or carcinomatous meningitis
  • Known and untreated, or active CNS metastases. Participants with a history of treated CNS metastases are eligible
  • Active inflammatory or infectious conditions in either eye or history of idiopathic or autoimmune-associated uveitis in either eye
  • Symptomatic active lung disease
  • History of or active inflammatory bowel disease
  • Any active bowel inflammation
  • Prior hematopoietic stem cell or bone marrow transplantation
  • Treatment with strong cytochrome P450 (CYP) 3A4 inhibitors or strong CYP3A4 inducers within 4 weeks or 5 drug-elimination half-lives, prior to initiation of study treatment

研究组 & 干预措施

Placebo + Letrozole + CDK4/6i

Placebo Comparator

Participants will receive placebo, letrozole and CDK4/6i.

干预措施: Letrozole (Drug)

Placebo + Letrozole + CDK4/6i

Placebo Comparator

Participants will receive placebo, letrozole and CDK4/6i.

干预措施: Placebo (Drug)

Placebo + Letrozole + CDK4/6i

Placebo Comparator

Participants will receive placebo, letrozole and CDK4/6i.

干预措施: CDK4/6i (Drug)

Inavolisib + Letrozole + CDK4/6i

Experimental

Participants will receive inavolisib, letrozole and CDK4/6i.

干预措施: Letrozole (Drug)

Inavolisib + Letrozole + CDK4/6i

Experimental

Participants will receive inavolisib, letrozole and CDK4/6i.

干预措施: CDK4/6i (Drug)

Inavolisib + Letrozole + CDK4/6i

Experimental

Participants will receive inavolisib, letrozole and CDK4/6i.

干预措施: Inavolisib (Drug)

结局指标

主要结局

Progression-Free Survival (PFS)

时间窗: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 7 years)

次要结局

  • Overall Survival (OS)(From randomization to death from any cause (up to 7 years))
  • Investigator-assessed Objective Response Rate (ORR)(Up to 7 years)
  • Investigator-assessed Duration of Response (DOR)(From the first occurrence of a confirmed objective response to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 7 years))
  • Investigator-assessed Clinical Benefit Rate (CBR)(Up to 7 years)
  • Time to Confirmed Deterioration (TTCD) in Pain(From baseline until end of follow-up (up to 7 years))
  • TTCD in Physical Function(From baseline until end of follow-up (up to 7 years))
  • TTCD in Role Function(From baseline until end of follow-up (up to 7 years))
  • TTCD in Global Health Status(From baseline until end of follow-up (up to 7 years))
  • Percentage of Participants with Adverse Events(From baseline until end of follow-up (up to 7 years))
  • Number of Participants Reporting Presence, Frequency, Severity, and/or Degree of Interference with Daily Function of Symptomatic Treatment Toxicities Assessed by NCI Patient-Reported Outcomes Common Terminology Criteria for Adverse Events (PRO-CTCAE)(Up to 7 years)
  • Number of Participants Reporting Each Response Option for Treatment Side-effect Bother Single-item General Population, Question 5 (GP5) from the Functional Assessment of Cancer Therapy-General Questionnaire; (FACT-G)(Up to 7 years)
  • Change from Baseline in Symptomatic Treatment Toxicities as Assessed Through use of the PRO-CTCAE(Baseline up to 7 years)
  • Change from Baseline in Treatment Side-effect Bother as Assessed Through use of the FACT-G GP5 Item(Baseline up to 7 years)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (402)

Loading locations...

相似试验