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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05508906
Registration number
NCT05508906
Ethics application status
Date submitted
16/08/2022
Date registered
19/08/2022
Titles & IDs
Public title
Phase 1b Combo w/ Ribociclib and Alpelisib
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Scientific title
A Phase 1b Open-Label Multicenter Study of OP-1250 in Combination With the CDK4/6 Inhibitor Ribociclib or With the PI3K Inhibitor Alpelisib in Adult Subjects With Advanced and/or Metastatic HR Positive, HER2 Negative Breast Cancer
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Secondary ID [1]
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OP-1250-003
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metastatic Breast Cancer
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Advanced Breast Cancer
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HR-positive Breast Cancer
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HER2-negative Breast Cancer
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Condition category
Condition code
Cancer
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - OP-1250
Treatment: Drugs - Ribociclib
Treatment: Drugs - Alpelisib
Experimental: OP-1250 with Ribociclib - Treatment Group 1: OP-1250 in combination with ribociclib (KISQALI®, Novartis Pharmaceuticals Corporation).
Experimental: OP-1250 with Alpelisib - Treatment Group 2: OP-1250 in combination with alpelisib (PIQRAY®, Novartis Pharmaceuticals Corporation)
Treatment: Drugs: OP-1250
OP-1250 is a small molecule and a CERAN being developed for the treatment of patients with advanced or metastatic HR+ and HER2- breast cancer.
Treatment: Drugs: Ribociclib
All subjects in Treatment Group 1 will receive OP-1250 in combination with ribociclib.
Treatment: Drugs: Alpelisib
All subjects in Treatment Group 2 will receive OP-1250 in combination with alpelisib.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Dose Limiting Toxicities (DLTs)
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Assessment method [1]
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To determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of OP-1250 when administered with ribociclib (Treatment Group 1) or alpelisib (Treatment Group 2), the incidence of DLTs will be assessed in the Dose Escalation part (Part 1) of the study.
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Timepoint [1]
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The first 28 days of treatment
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Primary outcome [2]
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Characterize the incidence, nature and severity of treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) of OP-1250 when administered with ribociclib (Treatment Group 1) or alpelisib (Treatment Group 2)
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Assessment method [2]
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Characterize the incidence, nature and severity of TEAEs and SAEs of OP-1250 when administered with ribociclib (Treatment Group 1) or alpelisib (Treatment Group 2) according to NCI-CTCAE version 5.0.
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Timepoint [2]
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Up to 35 days after end of treatment
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Primary outcome [3]
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Pharmacokinetics (PK) of OP-1250 when administered with ribociclib (Treatment Group 1) or alpelisib (Treatment Group 2)
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Assessment method [3]
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To assess the PK of OP-1250 in combination with ribociclib or alpelisib, plasma levels of OP-1250 (and potential metabolites) and ribociclib (Treatment Group 1) and plasma levels of OP-1250 (and potential metabolites) and alpelisib (Treatment Group 2) will be assessed at predefined intervals.
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Timepoint [3]
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Every 28 days
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Secondary outcome [1]
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Preliminarily assess the anti-tumor activity of OP-1250 when administered with ribociclib (Treatment Group 1) or alpelisib (Treatment Group 2)
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Assessment method [1]
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Tumor response will be evaluated in patients with measurable or evaluable disease using RECISTv1.1 guidelines.
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Timepoint [1]
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Up to 1 year
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Secondary outcome [2]
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Evaluate clinical benefit rate (CBR) of OP-1250 when administered with ribociclib (Treatment Group 1) or alpelisib (Treatment Group 2)
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Assessment method [2]
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CBR will be assessed as proportion of subjects achieving complete response (CR), partial response (PR), or stable disease (SD) with duration of at least 24 weeks.
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Timepoint [2]
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Up to 1 year
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Secondary outcome [3]
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Evaluate duration of response (DOR) of OP-1250 when administered with ribociclib (Treatment Group 1) or alpelisib (Treatment Group 2)
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Assessment method [3]
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DOR will be calculated as the number of days from the start date of PR or CR (whichever response is achieved first) to the first date that progressive disease is documented.
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Timepoint [3]
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Up to 1 year
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Eligibility
Key inclusion criteria
* Female or male aged >18 years.
* Willing and able to participate and comply with all study requirements
* Histologically- or cytologically-confirmed advanced or MBC
* HR+/HER2- disease, as determined in the most recently obtained archival tumor tissue sample from a metastatic site, using locally accepted criteria by the local pathology report
* Evaluable disease (measurable and non-measurable): Measurable disease, ie, at least 1 measurable lesion as per RECIST 1.1 (a lesion at a previously irradiated site may only be counted as a target lesion if there is clear sign of progression since the irradiation).-Subject must have received at least 6 months of a prior continuous endocrine therapy for locally advanced or metastatic breast cancer
* Life expectancy =6 months, as judged by the investigator
* Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1
* Has received no more than 1 prior hormonal regimen (Treatment Group 1). Has received no more than 2 prior hormonal regimens (Treatment Group 2) for advanced or metastatic disease. Prior hormonal regimens in combination with CDK4/6 inhibitors are allowed.
* Has received no more than 1 prior chemotherapy (which includes antibody drug conjugates) for locally advanced or metastatic breast cancer.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior or concurrent malignancy whose natural history or treatment may interfere with the safety or efficacy assessment of the investigational regimen
* Clinically significant, uncontrolled heart disease and/or cardiac repolarization abnormality
* History of cerebral vascular disease within 6 months prior to the first administration of study drug dose
* History of a pulmonary embolism, or deep venous thrombosis within the last 6 months, or subject has an increased risk of thrombosis as determined by the investigator
* History of pneumonitis or interstitial lung disease
* Leptomeningeal disease or spinal cord compression
* Medical history or ongoing gastrointestinal disorders that could affect absorption of oral therapeutics
* Known human immunodeficiency virus infection
* Known clinically significant history of liver disease consistent with Child-Pugh Class B or C, including active viral or other hepatitis (eg, hepatitis B or hepatitis C virus), current alcohol abuse, or cirrhosis
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
31/08/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/08/2024
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Actual
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Sample size
Target
90
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Breast Cancer Research Center- Western Australia - Nedlands
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Recruitment hospital [2]
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Macquarie Health - New South Wales
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Recruitment postcode(s) [1]
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6009 - Nedlands
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Recruitment postcode(s) [2]
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2109 - New South Wales
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Arizona
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United States of America
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State/province [2]
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California
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United States of America
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State/province [3]
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Colorado
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Country [4]
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United States of America
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Florida
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Country [5]
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United States of America
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State/province [5]
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Iowa
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Country [6]
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United States of America
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State/province [6]
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Massachusetts
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Country [7]
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United States of America
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State/province [7]
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Michigan
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Country [8]
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United States of America
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State/province [8]
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Minnesota
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Country [9]
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United States of America
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State/province [9]
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Missouri
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United States of America
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State/province [10]
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New York
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Country [11]
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United States of America
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State/province [11]
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North Carolina
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Country [12]
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United States of America
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State/province [12]
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Tennessee
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United States of America
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State/province [13]
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Texas
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United States of America
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State/province [14]
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Washington
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Olema Pharmaceuticals, Inc.
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Novartis
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase 1b open-label, 2-part study in 2 treatment groups. The 2 treatment groups are as follows: Treatment Group 1: OP-1250 in combination with ribociclib (KISQALI®, Novartis Pharmaceuticals Corporation). Treatment Group 2: OP-1250 in combination with alpelisib (PIQRAY®, Novartis Pharmaceuticals Corporation).
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Trial website
https://clinicaltrials.gov/study/NCT05508906
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Mark Shilkrut, M.D.
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Address
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Olema Pharmaceuticals, Inc.
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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There may be multiple sites in this clinical trial OP-1250-003 Study
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Address
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Country
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Phone
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415 651 7206
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05508906