ClinicalTrials.gg
CompletedNCT02684032Updated Jul 27, 2022

A Study To Assess The Tolerability And Clinical Activity Of Gedatolisib In Combination With Palbociclib/Letrozole Or Palbociclib/Fulvestrant In Women With Metastatic Breast Cancer

A Phase 1 interventional study of Gedatolisib and Palbociclib in Breast Cancer, sponsored by Celcuity Inc. Completed at 41 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-07-27.

Sponsored by Celcuity Inc · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
141
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This is a multicenter, open label, Phase 1b study in patients with mBC. This study will have a dose escalation to identify the maximum tolerated dose (MTD) of the combination of gedatolisib plus palbociclib/fulvestrant and gedatolisib plus palbociclib/letrozole and expansion to estimate the objective response rate (OR) of the combination of gedatolisib plus palbociclib/letrozole or palbociclib/fulvestrant.

Read the detailed description

This is a multicenter, open label, continuous Phase 1b study in patients with MBC. This study will have a dose escalation and expansion. The dose escalation will identify the maximum tolerated dose (MTD) of the combination of gedatolisib plus palbociclib/fulvestrant and gedatolisib plus palbociclib/letrozole. The expansion will estimate the objective response rate (OR) of the combination of gedatolisib plus palbociclib/letrozole and the combination of gedatolisib plus palbociclib/fulvestrant.

02

Conditions studied

  • Breast Cancer

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Keywords

  • PI3K (phosphoinositide 3-kinase)
  • mTOR (mechanistic target of rapamycin)
  • PI3K/mTOR
  • metastatic breast cancer (MBC)
  • ER+ (estrogen receptor positive)
  • HER2- (human epidermal growth factor receptor 2 negative)
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's enrollment of 141 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Celcuity Inc is the lead sponsor of 5 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women 18 years of age or older, who are either: or Pre/perimenopausal women with medically-induced menopause by treatment with agents to induce chemical menopause.
  • or cytologically proven diagnosis of breast cancer with evidence of .
  • Documentation of estrogen receptor positive ((ER+), human epidermal growth factor receptor 2 ( negative (HER2-)) tumor.
  • Dose Escalation Portion: Patients must satisfy one of the following criteria:

    • Letrozole combination cohort (L): metastatic breast cancer (MBC) with progression who are candidates for a letrozole-containing regimen, with palbociclib.
    • Fulvestrant combination cohort (F): MBC with progression who are candidates for a fulvestrant containing regimen, with palbociclib.
  • Dose Expansion Portion: Patients must satisfy one of the following criteria:

    • Arm A: MBC with progression and no prior endocrine based systemic therapy in the metastatic setting;
    • Arm B: MBC with progression during or following one prior endocrine based systemic therapy in the metastatic setting, with no prior therapy with any cyclin-dependent kinase (CDK) inhibitor;
    • Arm C/Arm D: MBC with progression during or following one or two prior endocrine based systemic therapies in the metastatic setting, and following prior therapy with a CDK inhibitor.
  • as defined by (RECIST) version 1.1.
  • Bone only patients during dose escalation portion.
  • Availability of archival tumor sample or willing to provide fresh biopsy if not available.
  • [ECOG] performance must be 0 or 1.
  • Adequate bone marrow, renal and liver function.

Exclusion criteria

Exclusion Criteria:

  • Prior treatment with a mechanistic target of rapamycin (mTOR) inhibitor or phosphoinositide 3-kinase (PI3K) inhibitor.
  • More than 1 in the treatment of or locally advanced/recurrent disease.
  • Bone only patients during expansion/efficacy portion.
  • Patients with advanced/metastatic disease who have symptomatic visceral spread, and who have life threatening complications needing immediate therapy, such as massive uncontrolled effusions [pleural, pericardial, peritoneal], pulmonary lymphangitis, and over 50% liver replacement with tumor.
  • Known active uncontrolled or symptomatic Central Nervous System (CNS) metastases.
  • Active bacterial, fungal or viral infection.
  • Uncontrolled or significant cardiovascular disease.
  • Radiation therapy within 4 weeks of product.
  • Cytotoxic chemotherapy within 4 weeks of investigational product (6 weeks for mitomycin C or nitrosoureas) if immediate prior regimen was administered on an every 3 4 week schedule or 2 weeks of investigational product if immediate prior regimen consisted of weekly therapy.
  • Any other anti cancer agents (eg, hormonal, biological, investigational) within 5 times the half life prior to investigational product.
  • Impairment of gastro intestinal (GI) function or GI disease.
  • Pregnant female patients; breastfeeding female patients; and female patients of who are unwilling or unable to use 2 highly effective methods of as outlined in this protocol for the duration of the study and for 90 days.
Terms in these criteria, in plain language(12)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
141 participants (actual)

Study arms

  • Experimental
    Letrozole Cohort

    Letrozole combination cohort in dose escalation

    Drug: Gedatolisib · Drug: Palbociclib · Drug: Letrozole

  • Experimental
    Fulvestrant cohort

    Fulvestrant combination cohort in dose escalation

    Drug: Gedatolisib · Drug: Palbociclib · Drug: Fulvestrant

  • Experimental
    ARM A

    Gedatolisib + palbociclib + letrozole in dose expansion

    Drug: Gedatolisib · Drug: Palbociclib · Drug: Letrozole

  • Experimental
    ARM B

    Gedatolisib + palbociclib + fulvestrant in dose expansion

    Drug: Gedatolisib · Drug: Palbociclib · Drug: Fulvestrant

  • Experimental
    ARM C

    Gedatolisib + palbociclib + fulvestrant in dose expansion

    Drug: Gedatolisib · Drug: Palbociclib · Drug: Fulvestrant

  • Experimental
    Arm D

    Gedatolisib (3:1) + palbociclib + fulvestrant in dose expansion

    Drug: Fulvestrant

Interventions

  • Gedatolisib weekly intravenous starting at 180 mg/week in a 4 week cycle.

  • Palbociclib initiated at 125 mg daily: 3 out of 4 weeks in a 4 week cycle.

  • Letrozole at 2.5 mg daily

  • Fulvestrant administered intramuscularly at 500 mg on Day 1, 15 and 28 and then every 28 days.

06

What researchers measure

Primary outcomes

  1. Number of participants with dose limiting toxicities

    Time frame: up to 28 days

  2. Objective response rate observed in patients in the dose expansion portion

    Number of patients for each response category, objective response rate (number of patients with a complete response (CR)) relative to the number of response evaluable patients

    Time frame: 16 weeks

  3. Objective response rate observed in patients in the dose expansion portion

    Number of patients for each response category, objective response rate (number of patients with a partial response (PR)) relative to the number of response evaluable patients)

    Time frame: 16 weeks

Secondary outcomes

  1. Tumor response observed in patients in the dose escalation portion

    Time frame: 16 weeks

  2. Duration of response

    Time frame: 16 weeks

  3. QTc interval (corrected QT interval)

    The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the heart's electrical cycle.

    Time frame: Screening up to 6 months

  4. Maximum observed plasma concentration

    Time frame: Day 1: 0, 0.5 hours, 1 hour, 2 hours, 4 hours, 6 hours, 24, 72 and 168 hours. Cycle 2 Day 1: 0, 0.5 hours, 1 hour, 2 hours, 4 hours, 6 hours, 24, 72 and 168 hours

  5. Progression free survival

    Time frame: 16 weeks

07

Study locations

41 sites
  • University of Alabama at Birmingham
    Birmingham, Alabama 35233, United States
  • University of Alabama at Birmingham
    Birmingham, Alabama 35249, United States
  • Compassionate Care Research Group Inc. at Compassionate Cancer Care Medical Group, Inc.
    Corona, California 92879, United States
  • Compassionate Care Research Group Inc. at Compassionate Cancer Care Medical Group, Inc.
    Fountain Valley, California 92708, United States
  • Keck Hospital of USC - Norris Healthcare Center (HC3)
    Los Angeles, California 90033, United States
  • Keck Hospital of USC
    Los Angeles, California 90033, United States
  • LAC+USC Medical Center
    Los Angeles, California 90033, United States
  • USC/Norris Comprehensive Cancer Center / Investigational Drug Services
    Los Angeles, California 90033, United States
  • USC/Norris Comprehensive Cancer Center
    Los Angeles, California 90033, United States
  • Compassionate Care Research Group Inc. at Compassionate Cancer Care Medical Group, Inc.
    Riverside, California 92501, United States
  • UCSF - Helen Diller Family Comprehensive Cancer Center
    San Francisco, California 94115, United States
  • UCSF - Helen Diller Family Comprehensive Cancer Center
    San Francisco, California 94158, United States
  • University of Colorado Hospital - Anschutz Inpatient Pavilion (AiP)
    Aurora, Colorado 80045, United States
  • University of Colorado Hospital - Anschutz Outpatient Pavilion (AOP)
    Aurora, Colorado 80045, United States
  • University of Colorado Hospital - Clinical Trials Office (CTO)
    Aurora, Colorado 80045, United States
  • University of Colorado Hospital- Anschutz Cancer Pavilion (ACP)
    Aurora, Colorado 80045, United States
  • Moffitt Cancer Center Richard M Schulze Family Foundation Outpatient Center at McKinley Campus
    Tampa, Florida 33612, United States
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
  • Emory University Hospital Midtown
    Atlanta, Georgia 30308, United States
  • Emory University Hospital
    Atlanta, Georgia 30322, United States
  • The Emory Clinic
    Atlanta, Georgia 30322, United States
  • Winship Cancer Institute
    Atlanta, Georgia 30322, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Karmanos Cancer Institute
    Farmington Hills, Michigan 48334, United States
  • UNC Cancer Hospital Infusion Pharmacy
    Chapel Hill, North Carolina 27514, United States
  • UNC Hospitals, The University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27514, United States
  • Ohio State University Comprehensive Cancer Center
    Columbus, Ohio 43210, United States
  • The Ohio State University Wexner Medical Center James Cancer Hospital
    Columbus, Ohio 43210, United States
  • Stefanie Spielman Comprehensive Breast Cancer
    Columbus, Ohio 43212, United States
  • Thomas Jefferson University - Clinical and Regulatory
    Philadelphia, Pennsylvania 19107, United States
  • Thomas Jefferson University
    Philadelphia, Pennsylvania 19107, United States
  • Vanderbilt Breast Center at One Hundred Oaks
    Nashville, Tennessee 37204, United States
  • Henry-Joyce Cancer Clinic
    Nashville, Tennessee 37232, United States
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • U.T. MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Virginia Cancer Specialists, PC
    Fairfax, Virginia 22031, United States
  • Seattle Cancer Care Alliance (SCCA) Investigational Drug Services
    Seattle, Washington 98109, United States
  • Seattle Cancer Care Alliance
    Seattle, Washington 98109, United States
  • University of Washington Medical Center
    Seattle, Washington 98195, United States
08

References and documents

Individual participant data

Plan to share: No — Celcuity will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02684032
Lead sponsor
Celcuity Inc
Responsible party
Sponsor
First posted
Feb 17, 2016
Start date
Jun 14, 2016
Primary completion
Jan 19, 2022
Completion
Jan 19, 2022
Last update
Jul 27, 2022

Study contacts

Igor Gorbatchevsky, MD
study director · Celcuity Inc

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Gedatolisib

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