A Phase 1 interventional study of GSK525762 and Placebo in Neoplasms, sponsored by GlaxoSmithKline. Terminated at 38 sites in 7 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-29.
Sponsored by GlaxoSmithKline · Phase 1, Interventional, and Treatment
This is a combination Phase I and Phase II study, with an aim to evaluate the combination of GSK525762 and fulvestrant in women with HR+/HER2- advanced or metastatic breast cancer, who have disease that has progressed after prior treatment with at least one line of endocrine therapy. The objectives of the study are to first identify, in open-label single-arm Phase I, a recommended Phase II dose of GSK525762 that may be combined safely with fulvestrant. Phase I will follow a modified toxicity probability interval (mTPI) design, and a sentinel group will be evaluated first for dose-limiting toxicity and further expanded to collect additional safety data. This will be followed by a double-blind, randomized controlled Phase II, to identify the clinical activity of the two study treatments when given in combination. The composition of Phase II will be selected at the end of Phase I.
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Exclusion Criteria:
Recent prior therapy, defined as: a. Any investigational or approved non-biologic anti-cancer drug within 14 days or five half-life (whichever is greater) prior to the first dose of GSK525762 and fulvestrant. b. Any nitrosoureas or mitomycin C within 42 days prior to the first dose of GSK525762 and fulvestrant c. Any anti-cancer biologic agents within 42 days prior to the first dose of GSK525762 and fulvestrant. d. Any radiotherapy within 14 days prior to the first dose of GSK525762 and fulvestrant. If the participant received radiotherapy \<90 days prior to study treatment, the irradiated lesion cannot be the only lesion used for evaluating response.
e. Any major surgery within 28 days prior to the first dose of GSK525762 and fulvestrant
Drug: GSK525762 · Drug: Fulvestrant
Drug: GSK525762 · Drug: Fulvestrant
Drug: Placebo · Drug: Fulvestrant
GSK525762 will be administered.
Placebo will be administered.
Fulvestrant will be administered.
Phase I: Number of Participants With Non-serious Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, any other situation such as important medical events according to medical or scientific judgement or is associated with liver injury and impaired liver function. Any other adverse event apart from SAE is considered as non-SAE.
Time frame: Up to 3 year and 8 months
Phase I: Number of Participants With Dose Limiting Toxicities (DLTs)
An event was considered DLT if it occurred within first 28 days of treatment and met one of following DLT criteria: Grade3 or greater neutropenia for \>=5 days, febrile neutropenia, Grade4 anemia of any duration, Grade4 thrombocytopenia of any duration or Grade3 thrombocytopenia with bleeding, alanine aminotransferase (ALT) \>3 times (x) upper limit of normal (ULN)+bilirubin \>=2x ULN (\>35 % direct) or ALT between 3-5xULN with bilirubin \<2xULN but with hepatitis symptoms or rash, Grade3 nausea,vomiting or diarrhea that did not improve within 72hour despite appropriate supportive treatment(s), Grade4 nausea,vomiting,or diarrhea, Grade3 hypertension (uncontrolled despite addition of upto 2 antihypertensive medications), Grade4 hypertension, other Grade3 or greater clinically significant non-hematologic toxicity (including QT duration corrected for heart rate by Fridericia's formula (QTcF), ejection fraction \<lower limit of normal (LLN) with an absolute decrease of \>10% from Baseline.
Time frame: Up to 28 days
Phase I: Number of Participants With Dose Reductions and Dose Interruption/Delays
Number of participants with dose reductions and dose interruption or delay due to any reason is presented.
Time frame: Up to 3 year and 8 months
Phase I: Objective Response Rate-Investigator Assessment
Objective Response Rate is defined as the percentage of participants who demonstrate a Best Response of confirmed complete response (CR) or partial response (PR), as assessed by the investigator per response evaluation criteria in solid tumors (RECIST) version (v) 1.1 criteria.
Time frame: Up to 3 year and 8 months
Phase I: Plasma Concentration of GSK525762
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of GSK525762.
Time frame: Day 1: Pre-dose, 0.5, 1, 3 hours on Weeks 1 and 3; Day 1: Pre-dose, 0.5-1, 4-8 hours on Week 5; Day 1: Pre-dose, 0.5-1 hour on Weeks 9, 17, 25
Phase II: Progression Free Survival (PFS)
PFS is defined as the time (in months) from the date of first dose until the date of first documented progressive disease (PD), as assessed by the investigator per RECIST v1.1 criteria, or date of death due to any cause, whichever occurs first. PD is defined as at least a 20% increase in the sum of the diameters of target lesions taking as a reference the smallest sum of diameters for this study.
Time frame: Up to 3 year and 8 months
Phase I: Number of Participants Who Withdrew Due to Toxicity and Changes in Safety Assessment
Number of participants who withdrew due to toxicity and changes in safety assessment including laboratory parameters and vital signs have been presented.
Time frame: Up to 4 year and 4 months
Phase I: Disease Control Rate (DCR)
DCR is defined as the percentage of participants in the population with a confirmed complete response (CR), confirmed partial response (PR), or stable disease (SD) lasting \>=6 months, as assessed by the investigator per RECIST v1.1 criteria.
Time frame: Up to 3 year and 8 months
Phase I: Duration of Response (DoR)
DoR is defined as the time (in months) from date of first documented evidence of confirmed CR or PR to the date of first documented PD, as assessed by the investigator per RECIST v1.1 criteria, or to the date of death due to any cause among participants with a Best overall response (BOR) of confirmed CR or PR.
Time frame: Up to 3 year and 8 months
Phase I: Progression-free Survival (PFS)
PFS is defined as the time (in months) from the date of first dose until the date of first documented PD, as assessed by the investigator per RECIST v1.1 criteria, or date of death due to any cause, whichever occurs first. PD is defined as at least a 20% increase in the sum of the diameters of target lesions taking as a reference the smallest sum of diameters for this study.
Time frame: Up to 3 year and 8 months
Phase I: Plasma Concentration of GSK3529246
Blood samples were collected at indicated time points for PK analysis of GSK3529246. GSK3529246 is an active metabolite of GSK525762.
Time frame: Day 1: Pre-dose, 0.5, 1, 3 hours on Weeks 1 and 3; Day 1: Pre-dose, 0.5-1, 4-8 hours on Week 5, Day 1: pre-dose, 0.5-1 hour on Weeks 9, 17, 25
Phase I: Plasma Concentration of Fulvestrant
Blood samples were collected at indicated time points for PK analysis of Fulvestrant.
Time frame: Day 1: Pre-dose on Weeks 1, 3, 5, 9, 17, 25
Phase II: Overall Survival (OS)
OS is defined as the interval of time (in months) between the date of first dose and the date of death due to any cause.
Time frame: Up to 3 year and 8 months
Phase II: Overall Response Rate (ORR)
ORR is defined as the percentage of participants in the population who demonstrate a BOR of confirmed CR or PR, as assessed by the investigator per RECIST v1.1 criteria.
Time frame: Up to 3 year and 8 months
Phase II: Disease Control Rate (DCR)
DCR is defined as the percentage of participants in the population with a confirmed CR, confirmed PR, or SD lasting \>=6 months, as assessed by the investigator per RECIST v1.1 criteria.
Time frame: Up to 3 year and 8 months
Phase II: Plasma Concentration of GSK525762 and GSK3529246
Blood samples were planned to be collected for PK analysis of GSK525762 and GSK3529246. GSK3529246 is metabolite of GSK525762.
Time frame: Day 1: Pre-dose, 0.5, 1, 3 hours on Weeks 1 and 3; Day 1: Pre-dose, 0.5-1, 4-8 hours on Week 5, Day 1: Pre-dose, 0.5-1 hour on Weeks 9, 17, 25
Phase II: Plasma Concentration of Fulvestrant
Blood samples were planned to be collected for PK analysis of fulvestrant.
Time frame: Day 1: Pre-dose on Weeks 1, 3, 5, 9, 17, 25
Phase I: Number of Participants With Non-serious Adverse Events (AEs) and Serious Adverse Events (SAEs) Until End of the Study
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, any other situation such as important medical events according to medical or scientific judgement or is associated with liver injury and impaired liver function. Any other adverse event apart from SAE is considered as non-SAE. Number of participants with non-serious AEs and SAEs collected from start of the treatment until end of the study were reported.
Time frame: Up to 4 year and 4 months
Phase I: Number of Participants With Dose Reductions and Dose Interruption/Delays Until End of the Study
Number of participants with dose reductions and dose interruption or delay due to any reason is presented. Number of participants with dose reductions and dose interruption or delay due to any reason from start of the treatment until end of the study were reported.
Time frame: Up to 4 year and 4 months
This was a Phase I/II study of GSK525762 in combination with fulvestrant in participants with hormone receptor-positive/HER2-negative (HR+/HER2-)advanced/metastatic breast cancer. Out of 124 participants enrolled in the study, 1 participant was not treated.
| Milestone | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) | Phase II-GSK525762+FUL | Phase II-Placebo+FUL |
|---|---|---|---|---|---|---|---|---|
| Started | 33 | 12 | 42 | 7 | 18 | 11 | 0 | 0 |
| Completed | 7 | 1 | 17 | 1 | 2 | 3 | 0 | 0 |
| Not completed | 26 | 11 | 25 | 6 | 16 | 8 | 0 | 0 |
| Withdrew: Protocol specified withdrawal criteria met | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Study terminated by sponsor | 9 | 1 | 9 | 3 | 3 | 2 | 0 | 0 |
| Withdrew: Other | 3 | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Death | 11 | 9 | 12 | 2 | 10 | 5 | 0 | 0 |
| Withdrew: Withdrawal by subject | 1 | 0 | 1 | 1 | 0 | 1 | 0 | 0 |
| Withdrew: Physician decision | 2 | 0 | 3 | 0 | 1 | 0 | 0 | 0 |
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, any other situation such as important medical events according to medical or scientific judgement or is associated with liver injury and impaired liver function. Any other adverse event apart from SAE is considered as non-SAE.
| Participants | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Non-serious AEs | 33 | 12 | 42 | 7 | 18 | 11 |
| SAEs | 5 | 1 | 10 | 3 | 6 | 2 |
An event was considered DLT if it occurred within first 28 days of treatment and met one of following DLT criteria: Grade3 or greater neutropenia for \>=5 days, febrile neutropenia, Grade4 anemia of any duration, Grade4 thrombocytopenia of any duration or Grade3 thrombocytopenia with bleeding, alanine aminotransferase (ALT) \>3 times (x) upper limit of normal (ULN)+bilirubin \>=2x ULN (\>35 % direct) or ALT between 3-5xULN with bilirubin \<2xULN but with hepatitis symptoms or rash, Grade3 nausea,vomiting or diarrhea that did not improve within 72hour despite appropriate supportive treatment(s), Grade4 nausea,vomiting,or diarrhea, Grade3 hypertension (uncontrolled despite addition of upto 2 antihypertensive medications), Grade4 hypertension, other Grade3 or greater clinically significant non-hematologic toxicity (including QT duration corrected for heart rate by Fridericia's formula (QTcF), ejection fraction \<lower limit of normal (LLN) with an absolute decrease of \>10% from Baseline.
| Participants | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Phase I: Number of Participants With Dose Limiting Toxicities (DLTs) | 2 | 0 | 1 | 1 | 0 | 2 |
Number of participants with dose reductions and dose interruption or delay due to any reason is presented.
| Participants | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Dose reduction | 9 | 3 | 14 | 3 | 7 | 8 |
| Dose interruption/delay | 23 | 9 | 23 | 4 | 15 | 9 |
Objective Response Rate is defined as the percentage of participants who demonstrate a Best Response of confirmed complete response (CR) or partial response (PR), as assessed by the investigator per response evaluation criteria in solid tumors (RECIST) version (v) 1.1 criteria.
| Percentage of participants | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Phase I: Objective Response Rate-Investigator Assessment | 21 (9.0 to 38.9) | 0 (0.0 to 26.5) | 12 (4.0 to 25.6) | 0 (0.0 to 41.0) | 17 (3.6 to 41.4) | 9 (0.2 to 41.3) |
Blood samples were collected at indicated time points for pharmacokinetic (PK) analysis of GSK525762.
| Nanograms per milliliter | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Week 1 Day 1, Pre-dose, n=30,11,41,7,17,11 | NA ± NA | NA ± NA | NA ± NA | NA ± NA | NA ± NA | NA ± NA |
| Week 1 Day 1, 0.5 hour, n=31,11,40,7,17,10 | 895.466 ± 520.7900 | 814.364 ± 465.7197 | 824.081 ± 605.1745 | 646.251 ± 537.3585 | 969.265 ± 659.5862 | 1155.300 ± 329.8983 |
| Week 1 Day 1, 1 hour, n=31,10,40,7,18,10 | 855.734 ± 374.3789 | 828.800 ± 216.0544 | 947.343 ± 443.7234 | 634.300 ± 331.3116 | 1061.722 ± 397.9207 | 1069.400 ± 269.4864 |
| Week 1 Day 1, 3 hours, n=31,10,39,6,17,10 | 637.097 ± 220.5013 | 526.400 ± 106.3591 | 717.769 ± 293.5412 | 732.833 ± 394.3660 | 831.176 ± 293.0363 | 782.600 ± 191.9283 |
| Week 3 Day 1, Pre-dose, n=29,12,31,5,16,8 | 7.046 ± 8.2049 | 15.797 ± 20.7736 | 8.598 ± 13.2639 | 150.410 ± 295.0514 | 11.371 ± 17.8450 | 6.799 ± 5.7108 |
| Week 3 Day 1, 0.5 hour, n=28,11,29,4,13,7 | 766.179 ± 330.0370 | 680.936 ± 435.2668 | 504.516 ± 342.6658 | 730.250 ± 410.6356 | 808.846 ± 548.7639 | 917.714 ± 498.7183 |
| Week 3 Day 1, 1 hour, n=28,11,30,5,13,7 | 737.536 ± 310.4540 | 576.427 ± 298.5082 | 581.073 ± 273.6803 | 596.800 ± 134.6540 | 875.077 ± 343.5570 | 895.286 ± 358.3172 |
| Week 3 Day 1, 3 hours, n=28,10,29,5,13,7 | 423.500 ± 190.6163 | 447.700 ± 179.1889 | 369.179 ± 171.4981 | 422.800 ± 120.6512 | 471.154 ± 160.2908 | 523.714 ± 207.9308 |
| Week 5 Day 1, Pre-dose, n=26,9,34,5,14,10 | 5.804 ± 7.7777 | 15.251 ± 18.1145 | 66.527 ± 198.8847 | 15.814 ± 21.5282 | 14.603 ± 17.0653 | 77.465 ± 217.4469 |
| Week 5 Day 1, 0.5-1 hour, n=24,7,26,3,11,7 | 640.700 ± 380.5152 | 463.854 ± 476.0195 | 555.237 ± 336.1938 | 705.667 ± 208.2218 | 685.773 ± 446.6621 | 457.229 ± 301.9096 |
| Week 5 Day 1, 4-8 hours, n=6,1,9,1,5,0 | 306.900 ± 153.8008 | 145.000 ± NA | 303.000 ± 177.1489 | 431.000 ± NA | 352.400 ± 98.5890 | — |
| Week 9 Day 1, Pre-dose, n=17,2,23,2,10,4 | 7.257 ± 11.2876 | 5.055 ± 0.7142 | 9.000 ± 13.3106 | 3.265 ± NA | 16.469 ± 23.7102 | 6.640 ± 7.0298 |
| Week 9 Day 1, 0.5-1 hour, n=13,1,17,2,6,3 | 607.408 ± 528.6891 | 69.400 ± NA | 445.291 ± 388.9562 | 817.000 ± 287.0854 | 621.867 ± 440.4829 | 309.627 ± 375.4223 |
| Week 17 Day 1, Pre-dose, n=11,2,8,2,6,3 | 9.401 ± 13.0880 | 1.365 ± NA | 3.591 ± NA | 16.850 ± 2.0506 | 7.217 ± 10.1456 | 7.270 ± NA |
| Week 17 Day 1, 0.5-1 hour, n=9,2,9,2,4,1 | 372.778 ± 214.7812 | 32.100 ± 30.2642 | 521.241 ± 404.3103 | 270.000 ± 354.9676 | 640.000 ± 273.7846 | 214.000 ± NA |
| Week 25 Day 1, Pre-dose, n=9,1,5,2,4,1 | 34.847 ± 92.3723 | NA ± NA | 10.198 ± 10.4909 | 10.740 ± 9.1358 | 1.560 ± NA | NA ± NA |
| Week 25 Day 1, 0.5-1 hour, n=5,0,6,2,2,1 | 418.000 ± 173.5439 | — | 380.483 ± 338.1430 | 251.350 ± 225.7792 | 314.000 ± 90.5097 | 186.000 ± NA |
PFS is defined as the time (in months) from the date of first dose until the date of first documented progressive disease (PD), as assessed by the investigator per RECIST v1.1 criteria, or date of death due to any cause, whichever occurs first. PD is defined as at least a 20% increase in the sum of the diameters of target lesions taking as a reference the smallest sum of diameters for this study.
No measurements were reported for this outcome.
Number of participants who withdrew due to toxicity and changes in safety assessment including laboratory parameters and vital signs have been presented.
| Participants | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Phase I: Number of Participants Who Withdrew Due to Toxicity and Changes in Safety Assessment | 6 | 0 | 6 | 2 | 1 | 2 |
DCR is defined as the percentage of participants in the population with a confirmed complete response (CR), confirmed partial response (PR), or stable disease (SD) lasting \>=6 months, as assessed by the investigator per RECIST v1.1 criteria.
| Percentage of participants | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Phase I: Disease Control Rate (DCR) | 36 (20.4 to 54.9) | 0 (0.0 to 26.5) | 17 (7.0 to 31.4) | 14 (0.4 to 57.9) | 28 (9.7 to 53.5) | 9 (0.2 to 41.3) |
DoR is defined as the time (in months) from date of first documented evidence of confirmed CR or PR to the date of first documented PD, as assessed by the investigator per RECIST v1.1 criteria, or to the date of death due to any cause among participants with a Best overall response (BOR) of confirmed CR or PR.
| Months | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Phase I: Duration of Response (DoR) | 13.1 (6.5 to 26.3) | — | 5.8 (5.7 to NA) | — | 14.0 (5.4 to 16.4) | 4.3 (NA to NA) |
PFS is defined as the time (in months) from the date of first dose until the date of first documented PD, as assessed by the investigator per RECIST v1.1 criteria, or date of death due to any cause, whichever occurs first. PD is defined as at least a 20% increase in the sum of the diameters of target lesions taking as a reference the smallest sum of diameters for this study.
| Months | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Phase I: Progression-free Survival (PFS) | 5.6 (3.5 to 14.1) | 1.7 (1.6 to 2.1) | 2.1 (1.7 to 7.1) | 7.2 (3.7 to NA) | 4.0 (1.8 to 9.4) | 1.8 (1.7 to 3.6) |
Blood samples were collected at indicated time points for PK analysis of GSK3529246. GSK3529246 is an active metabolite of GSK525762.
| Nanograms per milliliter | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Week 1 Day 1, Pre-dose, n=30,11,41,7,17,11 | NA ± NA | NA ± NA | NA ± NA | NA ± NA | NA ± NA | NA ± NA |
| Week 1 Day 1, 0.5 hour, n=31,11,39, 7,17,10 | 174.474 ± 143.3693 | 126.818 ± 84.5894 | 135.012 ± 128.9738 | 115.419 ± 108.8723 | 202.224 ± 225.2895 | 186.970 ± 108.3133 |
| Week 1 Day 1, 1 hour, n=31,11,41,7,18,10 | 249.793 ± 128.5670 | 205.364 ± 70.6856 | 228.597 ± 118.1550 | 175.197 ± 154.0632 | 327.072 ± 186.8822 | 299.100 ± 92.9043 |
| Week 1 Day 1, 3 hours, n=31,11,39,6,17,10 | 276.516 ± 67.1798 | 216.364 ± 50.0685 | 262.044 ± 91.2467 | 243.517 ± 136.5840 | 365.059 ± 130.8231 | 300.000 ± 95.1595 |
| Week 3 Day 1, Pre-dose, n=29,12,31,5,16,8 | 37.972 ± 31.9814 | 58.708 ± 64.1009 | 42.213 ± 30.7403 | 121.820 ± 190.5127 | 48.013 ± 39.6626 | 49.230 ± 40.3798 |
| Week 3 Day 1, 0.5 hour, n=28,11,30,4,13,7 | 290.482 ± 155.8106 | 243.736 ± 130.5650 | 195.037 ± 147.9176 | 192.275 ± 149.9568 | 256.669 ± 173.4439 | 288.671 ± 166.5404 |
| Week 3 Day 1, 1 hour, n=28,11,30,5,13,7 | 414.143 ± 118.8203 | 294.573 ± 102.1516 | 323.767 ± 169.5878 | 271.200 ± 145.3227 | 511.692 ± 196.3468 | 441.571 ± 140.2353 |
| Week 3 Day 1, 3 hours, n=28,10,29,5,13,7 | 369.821 ± 85.0124 | 341.500 ± 95.5118 | 321.404 ± 131.8554 | 252.000 ± 96.1587 | 438.692 ± 91.5946 | 403.571 ± 96.7348 |
| Week 5 Day 1, Pre-dose, n=26,9,34,5,14,10 | 37.480 ± 32.2441 | 41.600 ± 24.1873 | 56.659 ± 70.2933 | 36.620 ± 26.8511 | 52.243 ± 44.0710 | 54.231 ± 57.2752 |
| Week 5 Day 1, 0.5-1 hour, n=24,7,26,3,11,7 | 270.979 ± 153.7445 | 237.614 ± 211.1272 | 211.846 ± 171.4081 | 170.800 ± 66.2851 | 295.518 ± 235.4897 | 203.486 ± 111.2642 |
| Week 5 Day 1, 4-8 hours, n=6,1,9,1,5,0 | 263.833 ± 52.9619 | 208.000 ± NA | 322.778 ± 166.2354 | 292.000 ± NA | 382.400 ± 98.2588 | — |
| Week 9 Day 1, Pre-dose, n=17,2,23,2,10,4 | 31.041 ± 28.3504 | 33.850 ± 19.4454 | 39.323 ± 40.8779 | 22.700 ± NA | 58.890 ± 62.2330 | 69.625 ± 53.3875 |
| Week 9 Day 1, 0.5-1 hour, n=13,1,17,2,6,3 | 244.162 ± 189.0153 | 36.000 ± NA | 178.914 ± 148.8777 | 228.000 ± 140.0071 | 283.667 ± 177.1211 | 161.367 ± 113.1437 |
| Week 17 Day 1, Pre-dose, n=11,2,8,2,6,3 | 41.445 ± 35.8541 | 21.450 ± 5.4447 | 21.214 ± 27.8382 | 72.450 ± 55.9321 | 44.483 ± 48.7589 | 84.600 ± 74.6129 |
| Week 17 Day 1, 0.5-1 hour, n=9,2,9,2,4,1 | 189.422 ± 146.0021 | 71.800 ± 66.7509 | 183.671 ± 149.1568 | 129.050 ± 135.6938 | 322.500 ± 237.0787 | 301.000 ± NA |
| Week 25 Day 1, Pre-dose, n=9,1,5,2,4,1 | 65.756 ± 125.0011 | 30.100 ± NA | 49.700 ± 26.2679 | 64.500 ± 60.1041 | 20.508 ± 29.5669 | NA ± NA |
| Week 25 Day 1, 0.5-1 hour, n=5,0,6,2,2,1 | 203.160 ± 192.2849 | — | 220.367 ± 195.6110 | 204.950 ± 164.1195 | 121.300 ± 90.0854 | 76.300 ± NA |
Blood samples were collected at indicated time points for PK analysis of Fulvestrant.
| Nanograms per milliliter | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Week 1 Day 1, Pre-dose, n=30,11,40,6,17,11 | NA ± NA | NA ± NA | NA ± NA | NA ± NA | NA ± NA | NA ± NA |
| Week 3 Day 1, Pre-dose, n=30,11,32,7,16,10 | 13.32481 ± 6.603131 | 9.42742 ± 3.584881 | 12.44415 ± 5.669148 | 11.34839 ± 2.085675 | 12.41568 ± 4.873113 | 10.25047 ± 3.121508 |
| Week 5 Day 1, Pre-dose, n=25,9,31,5,16,10 | 19.82642 ± 6.917439 | 14.72467 ± 3.338039 | 16.51574 ± 5.957079 | 15.35394 ± 5.395372 | 16.87293 ± 8.018589 | 13.83940 ± 4.449118 |
| Week 9 Day 1, Pre-dose, n=19,3,19,1,10,5 | 16.33764 ± 5.719390 | 13.05750 ± 4.266495 | 13.98242 ± 4.138764 | 20.43840 ± NA | 11.10370 ± 2.864192 | 11.84244 ± 4.615995 |
| Week 17 Day 1, Pre-dose, n=15,2,6,1,6,3 | 16.70103 ± 5.826390 | 20.63475 ± 7.753497 | 13.62853 ± 1.536930 | 12.59940 ± NA | 12.81337 ± 3.550671 | 16.33830 ± 4.410823 |
| Week 25 Day 1, Pre-dose, n=10,1,4,1,4,1 | 18.07473 ± 5.933472 | 14.21220 ± NA | 18.60548 ± 5.300211 | 19.05100 ± NA | 16.05110 ± 2.384935 | 12.24970 ± NA |
OS is defined as the interval of time (in months) between the date of first dose and the date of death due to any cause.
No measurements were reported for this outcome.
ORR is defined as the percentage of participants in the population who demonstrate a BOR of confirmed CR or PR, as assessed by the investigator per RECIST v1.1 criteria.
No measurements were reported for this outcome.
DCR is defined as the percentage of participants in the population with a confirmed CR, confirmed PR, or SD lasting \>=6 months, as assessed by the investigator per RECIST v1.1 criteria.
No measurements were reported for this outcome.
Blood samples were planned to be collected for PK analysis of GSK525762 and GSK3529246. GSK3529246 is metabolite of GSK525762.
No measurements were reported for this outcome.
Blood samples were planned to be collected for PK analysis of fulvestrant.
No measurements were reported for this outcome.
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, any other situation such as important medical events according to medical or scientific judgement or is associated with liver injury and impaired liver function. Any other adverse event apart from SAE is considered as non-SAE. Number of participants with non-serious AEs and SAEs collected from start of the treatment until end of the study were reported.
| Participants | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Non-serious AEs | 33 | 12 | 42 | 7 | 18 | 11 |
| SAEs | 5 | 1 | 10 | 3 | 6 | 2 |
Number of participants with dose reductions and dose interruption or delay due to any reason is presented. Number of participants with dose reductions and dose interruption or delay due to any reason from start of the treatment until end of the study were reported.
| Participants | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) |
|---|---|---|---|---|---|---|
| Dose reduction | 9 | 3 | 14 | 3 | 7 | 8 |
| Dose interruption/delay | 23 | 9 | 23 | 4 | 15 | 9 |
Collected over All-cause mortality, serious and non-serious adverse events were collected up to 4 year and 4 months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Phase I- GSK525762 60mg+FUL 500mg (AI Failure) | 11/33 (33.3%) | 5/33 (15.2%) | 33/33 (100%) |
| Phase I-GSK525762 60mg+FUL 500mg (CDK4/6+AI Failure < 12M) | 9/12 (75%) | 1/12 (8.3%) | 12/12 (100%) |
| Phase I-GSK525762 60mg+FUL 500mg (CDK4/6+AI Failure >=12M) | 12/42 (28.6%) | 10/42 (23.8%) | 42/42 (100%) |
| Phase I-GSK525762 60mg+FUL 500mg (CDK4/6+AI Failure >=12M Bone Only Disease | 2/7 (28.6%) | 3/7 (42.9%) | 7/7 (100%) |
| Phase I-GSK525762 80mg+FUL 500mg (AI Failure) | 10/18 (55.6%) | 6/18 (33.3%) | 18/18 (100%) |
| Phase I-GSK525762 80mg+FUL 500mg (CDK4/6+AI Failure) | 5/11 (45.5%) | 2/11 (18.2%) | 11/11 (100%) |
| Phase II-GSK525762 +FUL | — | — | — |
| Phase II-Placebo+FUL | — | — | — |
| Event | Phase I- GSK525762 60mg+FUL 500mg (AI Failure) | Phase I-GSK525762 60mg+FUL 500mg (CDK4/6+AI Failure < 12M) | Phase I-GSK525762 60mg+FUL 500mg (CDK4/6+AI Failure >=12M) | Phase I-GSK525762 60mg+FUL 500mg (CDK4/6+AI Failure >=12M Bone Only Disease | Phase I-GSK525762 80mg+FUL 500mg (AI Failure) | Phase I-GSK525762 80mg+FUL 500mg (CDK4/6+AI Failure) | Phase II-GSK525762 +FUL | Phase II-Placebo+FUL |
|---|---|---|---|---|---|---|---|---|
| Catheter site haematomaGeneral disorders | 0/33 | 0/12 | 0/42 | 1/7 | 0/18 | 0/11 | — | — |
| Herpes zosterInfections and infestations | 0/33 | 0/12 | 0/42 | 1/7 | 0/18 | 0/11 | — | — |
| HypertriglyceridaemiaMetabolism and nutrition disorders | 0/33 | 0/12 | 0/42 | 1/7 | 0/18 | 0/11 | — | — |
| Supraventricular tachycardiaCardiac disorders | 0/33 | 0/12 | 0/42 | 1/7 | 0/18 | 0/11 | — | — |
| Decreased appetiteMetabolism and nutrition disorders | 0/33 | 0/12 | 1/42 | 0/7 | 0/18 | 1/11 | — | — |
| GastritisGastrointestinal disorders | 0/33 | 0/12 | 0/42 | 0/7 | 0/18 | 1/11 | — | — |
| Microangiopathic haemolytic anaemiaBlood and lymphatic system disorders | 0/33 | 1/12 | 0/42 | 0/7 | 0/18 | 0/11 | — | — |
| Acute kidney injuryRenal and urinary disorders | 0/33 | 0/12 | 3/42 | 0/7 | 0/18 | 0/11 | — | — |
| Abdominal pain upperGastrointestinal disorders | 0/33 | 0/12 | 0/42 | 0/7 | 1/18 | 0/11 | — | — |
| Acute coronary syndromeCardiac disorders | 0/33 | 0/12 | 0/42 | 0/7 | 1/18 | 0/11 | — | — |
| Event | Phase I- GSK525762 60mg+FUL 500mg (AI Failure) | Phase I-GSK525762 60mg+FUL 500mg (CDK4/6+AI Failure < 12M) | Phase I-GSK525762 60mg+FUL 500mg (CDK4/6+AI Failure >=12M) | Phase I-GSK525762 60mg+FUL 500mg (CDK4/6+AI Failure >=12M Bone Only Disease | Phase I-GSK525762 80mg+FUL 500mg (AI Failure) | Phase I-GSK525762 80mg+FUL 500mg (CDK4/6+AI Failure) | Phase II-GSK525762 +FUL | Phase II-Placebo+FUL |
|---|---|---|---|---|---|---|---|---|
| DiarrhoeaGastrointestinal disorders | 13/33 | 4/12 | 20/42 | 6/7 | 10/18 | 4/11 | — | — |
| NauseaGastrointestinal disorders | 12/33 | 7/12 | 30/42 | 5/7 | 11/18 | 9/11 | — | — |
| FatigueGeneral disorders | 19/33 | 4/12 | 25/42 | 1/7 | 9/18 | 7/11 | — | — |
| DysgeusiaNervous system disorders | 14/33 | 2/12 | 25/42 | 4/7 | 10/18 | 7/11 | — | — |
| Blood bilirubin increasedInvestigations | 5/33 | 2/12 | 8/42 | 4/7 | 10/18 | 2/11 | — | — |
| ThrombocytopeniaBlood and lymphatic system disorders | 8/33 | 4/12 | 8/42 | 4/7 | 3/18 | 1/11 | — | — |
| ConstipationGastrointestinal disorders | 3/33 | 1/12 | 6/42 | 4/7 | 3/18 | 4/11 | — | — |
| Decreased appetiteMetabolism and nutrition disorders | 14/33 | 2/12 | 18/42 | 3/7 | 9/18 | 6/11 | — | — |
| HyperglycaemiaMetabolism and nutrition disorders | 13/33 | 3/12 | 16/42 | 3/7 | 6/18 | 2/11 | — | — |
| AnaemiaBlood and lymphatic system disorders | 4/33 | 1/12 | 15/42 | 3/7 | 6/18 | 2/11 | — | — |
The interim analysis failed to demonstrate clinically meaningful activity, hence Phase II was not initiated.
| Age, Continuous(Years) | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) | Phase II-GSK525762+FUL | Phase II-Placebo+FUL | Total |
|---|---|---|---|---|---|---|---|---|---|
| Mean | 60.6 ± 9.40 | 53.3 ± 8.48 | 55.7 ± 9.82 | 58.7 ± 7.97 | 54.4 ± 8.45 | 51.5 ± 12.04 | — | — | 56.4 ± 9.80 |
| Sex: Female, Male(Participants) | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) | Phase II-GSK525762+FUL | Phase II-Placebo+FUL | Total |
|---|---|---|---|---|---|---|---|---|---|
| Female | 33 | 12 | 42 | 7 | 18 | 11 | 0 | 0 | 123 |
| Male | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Race/Ethnicity, Customized(Participants) | Phase I-GSK525762 60 mg+FUL 500 mg (AI Failure) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+AI Failure <12M) | Phase I-GSK525762 60 mg+FUL 500 mg (CDK4/6+ AI Failure >= 12M) | Phase I-GSK525762 60+FUL500mg CDK4/6+AI Failure>=12M Bone Only Disease | Phase I-GSK525762 80mg + FUL 500 mg (AI Failure) | Phase I-GSK525762 80 mg + FUL 500 mg (CDK4/6+AI Failure) | Phase II-GSK525762+FUL | Phase II-Placebo+FUL | Total |
|---|---|---|---|---|---|---|---|---|---|
| Central south Asian Heritage | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 |
| East Asian Heritage | 7 | 2 | 8 | 1 | 6 | 2 | 0 | 0 | 26 |
| Japanese Heritage | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| South East Asian Heritage | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 2 |
| Black or African American | 2 | 1 | 2 | 1 | 1 | 1 | 0 | 0 | 8 |
| Arabic/North African Heritage | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 3 |
| White/Caucasian/European Heritage | 19 | 8 | 28 | 5 | 11 | 7 | 0 | 0 | 78 |
| Multiple | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 2 |
| Missing | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 2 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — GSK will assess requests from qualified researchers for anonymized individual patient-level data (IPD) and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/About_GSK_Patient_Level_Data_Sharing_Final_13July2023.pdf
Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report
Time frame: Anonymized IPD is made available within 6 months of publication of primary, key secondary and safety results for studies in product with approved indication(s) or terminated asset(s) across all indications.
Access criteria: Anonymized IPD is shared with researchers whose proposals are approved by an Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension may be granted, when justified, for up to 6 months.
Data sharing details ↗ · www.gsk-studyregister.com
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Studies of the drug tested here: Molibresib