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Closed (no longer recruiting)Last updated: 22 April 2024

IPATunity150: This phase Ib/III trial is examining the effectiveness and safety of using a novel targeted therapy (Ipatasertib) in combination with another targeted therapy (Palbociclib) and chemotherapy (Fulvestrant) to treat advanced unresectable or metastatic breast cancerA phase Ib/III study of Ipatasertib plus Palbociclib and Fulvestrant versus placebo plus Palbociclib and Fulvestrant in hormone receptor positive and HER2 negative locally advanced unresectable or metastatic breast cancer

Clinical summary

Summary

This trial will consist of two parts: a phase Ib section and a phase III section. Eligible patients in the phase Ib section will receive single oral daily doses of Ipatasertib for a run-in period of 5-7 days, and then for Day 1-21 of the first 28-day cycle. Doses will increase to twice per day for Day 1-21 in the second cycle. Palbociclib and Fulvestrant will also be received during the phase Ib part, as per the details below. During the phase III part eligible patients will receive either Ipatasertib or a placebo to be orally administered once per day on Days 1-21 of each 28 day cycle, at the dose identified in the part Ib phase. Patients will also receive Palbociclib to be orally administered once per day on Days 1-21 of each 28-day cycle and injections of Fulvestrant on Day 1 and 15 of the first cycle and Day 1 for all other cycles.

Conditions

This trial is treating patients with locally advanced inoperable or metastatic breast cancer.

Cancer

Breast Cancers Breast

Age

People18+

Phase

III

Trial Acronym

IPATunity150

More information

Trial Identifiers

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Trial sponsor

Hoffmann-La Roche

Scientific Title

A phase Ib/III study of Ipatasertib plus Palbociclib and Fulvestrant versus placebo plus Palbociclib and Fulvestrant in hormone receptor positive and HER2 negative locally advanced unresectable or metastatic breast cancer

Eligibility

Inclusion

  • HR+ HER2- adenocarcinoma of the breast that is locally advanced unresectable or metastatic
  • For women of childbearing potential: agreement to remain abstinent or use contraception, and agreement to refrain from donating eggs
  • For men: agreement to remain abstinent or use contraceptive methods, and agreement to refrain from donating sperm
  • Radiologic/objective relapse during adjuvant endocrine therapy or disease progression during the initial 12 months of 1L endocrine therapy in locally advanced unresectable or metastatic breast cancer
  • At least one measurable lesion via Response Evaluation Criteria in Solid Tumors, Version 1.1
  • Phase III only: Tumor specimen from the most recently collected, available tumor tissue

Exclusion

  • Pregnant or breastfeeding, or intending to become pregnant
  • Prior treatment with fulvestrant or other selective estrogen receptor down-regulator
  • Prior treatment with PI3K inhibitor, mTOR inhibitor or AKT inhibitor
  • Phase III only: Prior treatment with CDK4/6 inhibitor for locally advanced unresectable or metastatic breast cancer
  • Prior treatment with a cytotoxic chemotherapy regimen for metastatic breast cancer
  • History of Type I or Type II diabetes mellitus requiring insulin
  • History of or active inflammatory bowel disease or active bowel inflammation
  • Lung disease: pneumonitis, interstitial lung disease, idiopathic pulmonary fibrosis, cystic fibrosis, Aspergillosis, active tuberculosis, or history of opportunistic infections

Inclusion

  • Your cancer has spread to other parts of the body.
  • Your cancer has not spread to other parts of the body.
  • You are able to swallow medication by mouth.

Exclusion

  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
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