An Open-label, Multi-center, Phase I/II Study of GVV858 as a Single Agent and in Combination With Endocrine Therapy in Patients With Advanced Hormone Receptor Positive, HER2- Negative Breast Cancer and Other Advanced Solid Tumors
Summary
Phase I: Characterize safety and tolerability of GVV858 as a single agent and in combination with fulvestrant or letrozole. Identify dose range for optimization/recommended dose for further clinical evaluation. Phase II: Further characterize the safety and tolerability of GVV858 in combination with fulvestrant in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced breast cancer.
Detailed description
This is a first-in-human, open-label, phase I/II, multi-center study consisting of a GVV858 single agent treatment arm in patients with advanced HR+/HER2- breast cancer, other advanced solid tumors harboring CCNE1 amplification, and metastatic castration-resistant prostate cancer, and a combination treatment arm of GVV858 with fulvestrant or letrozole in patients with advanced HR+/HER2- breast cancer. Single agent escalation may be followed by an expansion part stratified by disease indication. The escalation of the fulvestrant combination arm may continue into a randomized, open label, Phase II with optional dose optimization in advanced HR+/HER2- breast cancer patients.
Arms & interventions
- DrugGVV858
Experimental
- DrugFulvestrant
Approved medication
- DrugLetrozole
Approved medication
Outcome measures
Primary
Phase I: Incidence and severity of dose-limiting toxicities (DLTs)
Number of participants with DLTs. A DLT is defined as an adverse event or abnormal laboratory value of Common Terminology Criteria for Adverse Events (CTCAE) grade 3 or higher, unless clearly and inconvertibly assessed as due to disease progression, inter-current illness/injury, concomitant medications, or extraneous causes, that occurs within the first 28 days of treatment in the Phase 1 part. Other clinically significant toxicities may be considered to be DLTs, even if not CTCAE grade 3 or higher.
Time frame: 28 days
Phase I and phase II: Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)
Number of participants with AEs and SAEs, including changes in vital signs, electrocardiograms (ECGs) and laboratory values qualifying and reported as AEs.
Time frame: Up to approximately 2 years
Phase I and phase II: Frequency of dose interruptions, reductions and discontinuations
Number of participants with dose adjustments (reductions, interruption, or permanent discontinuation) as a measure of tolerability.
Time frame: Up to approximately 2 years
Phase I and phase II: Dose intensity
The dose intensity of each study drug is computed as the ratio of actual cumulative dose received and actual duration of exposure.
Time frame: Up to approximately 2 years
Secondary
Phase I and II: Peak plasma concentration (Cmax) of GVV858
Time frame: Cycle 1 Day 1 and/or Day 21: From pre-dose up to maximum 24 hours post dose. The duration of one cycle is 28 days.
Phase I and II: Time to reach peak plasma concentration (Tmax) of GVV858
Time frame: Cycle 1 Day 1 and/or Day 21: From pre-dose up to maximum 24 hours post dose. The duration of one cycle is 28 days.
Phase I and II: Area under the plasma concentration-time curve (AUC) of GVV858
Time frame: Cycle 1 Day 1 and/or Day 21: From pre-dose up to maximum 24 hours post dose. The duration of one cycle is 28 days.
Phase I and Phase II: Overall response rate (ORR)
Time frame: Up to approximately 2 years
Phase I and Phase II: Best overall response (BOR)
Time frame: Up to approximately 2 years
Phase I and Phase II: Disease control rate (DCR)
Time frame: Up to approximately 2 years
Phase I and Phase II: Clinical benefit rate (CBR)
Time frame: Up to approximately 2 years
Phase I and Phase II: Progression free survival (PFS)
Time frame: Up to approximately 2 years
Phase II: Duration of response (DOR)
Time frame: Up to approximately 2 years
Eligibility criteria
Study locations (1)
Tennessee Oncology PLLC
Nashville, Tennessee, 37203