A Phase 2 Study of Alisertib in Combination With Endocrine Therapy in Patients With HR+, HER2-negative Recurrent or Metastatic Breast Cancer
Summary
PUMA-ALI-1201 is a randomized, dose optimization, multicenter, Phase 2 study of alisertib administered in combination with endocrine therapy in participants with pathology-confirmed HR-positive/HER2-negative metastatic breast cancer (MBC) following progression on or after at least two prior lines of endocrine therapy in the recurrent or metastatic setting. This study is intended to evaluate the optimal alisertib dose administered in combination with the selected endocrine therapy. The study is also planned to evaluate the efficacy, safety, and pharmacokinetics of alisertib in combination with endocrine and to identify the biomarker-defined subgroup(s) that may benefit most from combined alisertib and endocrine therapy.
Arms & interventions
- DrugAlisertib
Alisertib enteric-coated tablets will be taken by mouth twice daily on days 1-3, 8-10, and 15-17 of each 28-day cycle.
- DrugEndocrine therapy
Investigator selected endocrine therapy will be taken in 28-day dosing cycles according to the approved prescribing information. 1 mg of anastrozole tablet by mouth once daily or 2.5 mg of letrozole tablet by mouth once daily or 25 mg of exemestane tablet by mouth once daily or 20 mg of tamoxifen tablet by mouth once daily or 500 mg of fulvestrant intramuscular injection on Study Day 1, 15, 29, and once every 28 days thereafter
Outcome measures
Primary
Objective Response Rate (ORR) Within Dose Subgroup
Objective response rate is defined as the percentage of participants demonstrating a confirmed objective response during the study.
Time frame: From date of randomization to first confirmed Complete or Partial Response, whichever came earlier, assessed up to 48 months
Duration of Response (DOR) Within Dose Subgroup
Duration of response is measured from the time at which measurement criteria are first met for Complete Response (CR) or Partial Response (PR) (whichever status is recorded first) until the first date of recurrence or progressive disease (PD) or death is objectively documented.
Time frame: From start date of response (after date of randomization) to first PD, assessed up to 48 months
Disease Control Rate (DCR) Within Dose Subgroup
Disease control rate is the proportion of participants who achieve overall tumor response (confirmed CR or PR) or Stable Disease (SD) lasting for at least 24 weeks from randomization.
Time frame: From date of randomization to first confirmed Complete or Partial Response, whichever came earlier, assessed up to 48 months
Progression Free Survival (PFS) Within Dose Subgroup
Progression Free Survival (PFS) is measured in months and based on the local tumor assessment. The time interval from the date of randomization until the first date on which recurrence, progression, or death due to any cause, is documented.
Time frame: From date of randomization to date of recurrence, progression or death, assessed up to 48 months
Overall Survival (OS) Within Dose Subgroup
Overall survival (OS) is defined as the time from randomization to death due to any cause, censored at the last date known alive on or prior to the data cutoff employed for the analysis, whichever was earlier.
Time frame: From date of randomization to death, assessed up to 48 months
Percentage of Participants With Treatment-Emergent Adverse Events (Adverse Events and Serious Adverse Events) in the Enrolled Population
Treatment emergent adverse events are those events reported on or after the first dose of investigational product and up to 28 days after last dose.
Time frame: From date of first dose through last dose plus 28 days, assessed up to 48 months
Secondary
Objective Response Rate (ORR) Within Biomarker-Defined Subgroup
Time frame: From date of randomization to first confirmed Complete or Partial Response, whichever came earlier, assessed up to 48 months
Duration of Response (DOR) Within Biomarker-Defined Subgroup
Time frame: From start date of response (after date of randomization) to first PD, assessed up to 48 months
Disease Control Rate (DCR) Within Biomarker-Defined Subgroup
Time frame: From date of randomization to first confirmed Complete or Partial Response, whichever came earlier, assessed up to 48 months
Progression Free Survival (PFS) Within Biomarker-Defined Subgroup
Time frame: From date of randomization to date of recurrence, progression or death, assessed up to 48 months
Overall Survival (OS) Within Biomarker-Defined Subgroup
Time frame: From date of randomization to death, assessed up to 48 months
Eligibility criteria
Study locations (35)
Alabama Oncology
Birmingham, Alabama, 34235
Mayo Clinic Hospital
Phoenix, Arizona, 85054
Beverly Hills Cancer Center
Beverly Hills, California, 90211
MemorialCare Orange Coast Medical Center
Fountain Valley, California, 92708
City of Hope at Orange County Lennar Foundation Cancer Center
Irvine, California, 92618
LA Cancer Network
Los Angeles, California, 90017
UCLA Department of Medicine - Hematology/Oncology
Los Angeles, California, 90095
University of California San Francisco (UCSF) Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94158
University of Colorado School of Medicine
Aurora, Colorado, 80045
Yale University, Yale Cancer Center
New Haven, Connecticut, 06520
Mayo Clinic Florida
Jacksonville, Florida, 32224
Cancer Specialists of North Florida
Jacksonville, Florida, 32256
Moffitt Cancer Center
Tampa, Florida, 33612
Winship Cancer Institute, Emory University
Atlanta, Georgia, 30322
University of Illinois Cancer Center
Chicago, Illinois, 60612
The University of Chicago
Chicago, Illinois, 60637
Massachusetts General Hospital
Boston, Massachusetts, 02114
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
University of Minnesota, Masonic Cancer Center
Minneapolis, Minnesota, 55455
Mayo Clinic
Rochester, Minnesota, 55905
Missouri Cancer Associates
Columbia, Missouri, 65201
Saint Luke's Cancer Institute
Kansas City, Missouri, 64111
Oncology Hematology Associates
Springfield, Missouri, 65807
Washington University School of Medicine
St Louis, Missouri, 63110
Cancer Care Specialists
Reno, Nevada, 89511
University of Rochester Medical Center
Rochester, New York, 14642
UNC Hospitals, University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27514
The Ohio State University, Stefanie Spielman Comprehensive Breast Center
Columbus, Ohio, 43212
Taylor Cancer Research Center
Maumee, Ohio, 43537
Alliance Cancer Specialists
Horsham, Pennsylvania, 19044
University of Pennsylvania, Abramson Cancer Center, Perelman Center for Advanced Medicine
Philadelphia, Pennsylvania, 19104
University of Pittsburgh (UPMC)
Pittsburgh, Pennsylvania, 15213
Tennessee Oncology, Greco-Hainsworth Center for Research
Nashville, Tennessee, 37203
Texas Oncology
Dallas, Texas, 75246
Virginia Cancer Institute
Richmond, Virginia, 23229