ClinicalTrials.gg
CompletedNCT03455270Updated Sep 21, 2026

G1T48, an Oral SERD, Alone and in Combination With Palbociclib in ER-Positive, HER2-Negative Advanced Breast Cancer

A Phase 1 interventional study of G1T48 and Palbociclib in Carcinoma, Ductal, Breast, Breast Cancer Female and Breast Neoplasm, sponsored by G1 Therapeutics, Inc.. Completed at 15 sites in 7 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by G1 Therapeutics, Inc. (part of Pharmacosmos A/S) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2022, 4 years 1 month ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
107
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 50 studies in Carcinoma, Ductal, Breast with a site in United States — 4 open to participants now, 9 under way, 2 of them phase 3. Carcinoma, Ductal, Breast · United States.

Enrollment
13th of 42
107 · median 48
Started
2018
with 1 other
Phase 1
8 of 50
none open now
Registered
43rd of 50
by date

Among the 50 studies in Carcinoma, Ductal, Breast with a site in United States, this one is the 13th largest by enrollment of the 42 interventional ones that give a count, is one of 2 that started in 2018, is one of 8 in phase 1, and was the 43rd registered.

Carcinoma, Ductal, Breast

86 studies on the registry are indexed under Carcinoma, Ductal, Breast; 7 are open to participants now.

Browse Carcinoma, Ductal, Breast studies →

Open to participants now

4 of the 50 studies in Carcinoma, Ductal, Breast with a site in United States are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 7 Carcinoma, Ductal, Breast studies recruiting now, 5 set no upper age limit and 2 stop at 75 or younger; none take children under 18; none take healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 50 studies in Carcinoma, Ductal, Breast with a site in United States, or all of them as a file.
02

Study summary

This is a study to investigate the potential clinical benefit of G1T48 as an oral selective estrogen receptor degrader (SERD) alone and in combination with palbociclib, a cyclin dependent kinase 4/6 (CDK 4/6) inhibitor, in patients with estrogen receptor-positive, HER2-negative metastatic breast cancer.

The study is an open-label design, consisting of 3 parts: dose-finding portion including food effect (Part 1), G1T48 monotherapy expansion portion (Part 2), and G1T48 in combination with palbociclib expansion portion (Part 3). All parts include 3 study phases: Screening Phase, Treatment Phase, and Survival Follow-up Phase. The Treatment Phase begins on the day of first dose with study treatment and completes at the Post-Treatment Visit. Approximately, 184 patients may be enrolled in the study.

03

Conditions studied

  • Carcinoma, Ductal, Breast
  • Breast Cancer Female
  • Breast Neoplasm
  • Breast Cancer
  • Metastatic Breast Cancer
  • Advanced Breast Cancer
  • Stage IV Breast Cancer

Keywords

  • Breast Cancer
  • Oral SERD
  • SERD
  • HER2-Negative
  • ER-Positive
  • ER+
  • HER2-
  • HER2 -ve
  • ER +ve
  • CDK 4/6 Inhibitor
  • Rintodestrant
  • G1T48
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

  • For Part 1, women only
  • For Parts 2 and 3, any menopausal status
  • Confirmed diagnosis of ER-positive, -negative advanced breast cancer, not amenable to curative therapy
  • For Part 1, prior treatment with less than 4
  • For Part 2, prior treatment with less than 2 prior line of chemotherapy
  • For Part 3, prior treatment with no more than 1 prior line of chemotherapy
  • For Parts 1 and 2, prior treatment with less than 4 prior endocrine therapies for breast cancer
  • For Part 3, prior treatment with no more than 1 prior line of endocrine therapies for metastatic breast cancer
  • For Parts 1 and 2, patients must satisfy 1 of the following criteria for prior therapy:

    • Progressed during treatment or within 12 months of completion of therapy with an aromatase inhibitor
    • Progressed after the end of prior aromatase inhibitor therapy for advanced/metastatic breast cancer
  • For Part 3, patients must satisfy 1 of the following criteria for prior therapy:

    • Received ≥ 24 months of endocrine therapy in the adjuvant setting prior to recurrence or progression
    • Received ≥ 6 months of endocrine therapy in the advanced/metastatic setting prior to progression
  • For Part 1, evaluable or
  • For Parts 2 and 3, evaluable (approximately 25%) or measurable disease (approximately 75%) as defined by , Version 1.1 including bone-only disease
  • performance status 0 to 1
  • Adequate organ function

Exclusion criteria

Exclusion Criteria:

  • For Part 3, prior treatment with CDK4/6 inhibitor, oral SERDs or SERCAs in any setting
  • Active uncontrolled/symptomatic , carcinomatous meningitis, or
  • Anticancer therapy within 14 days of first G1T48 dose or within 28 days for antibody-based therapy
  • Concurrent radiotherapy, radiotherapy within 14 days of first G1T48 dose, previous radiotherapy to the target lesion sites, or prior radiotherapy to > 25% of bone marrow
  • Prior hematopoietic stem cell or bone marrow transplantation
Terms in these criteria, in plain language(11)

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).

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.

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.

Metastases

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

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

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.

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.

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.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

05

Study design

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

Study arms

  • Experimental
    Part 1: Dose Escalation (G1T48)

    Patients in Part 1 will receive a single oral dose of G1T48 on Cycle 1 Day -3 and will begin once-daily dosing on Cycle 1 Day 1. The initial dose cohort shall receive an identified starting dose and subsequent cohorts shall receive higher doses based on the safety and PK (pharmacokinetic(s)) data obtained from the previous dose levels.

    Drug: G1T48

  • Experimental
    Part 1: Food Effect Cohort (G1T48)

    In Part 1, additional G1T48 cohort(s) of 8 patients may be enrolled to assess the effect of different fat content meals (eg, high fat, moderate fat, or low-fat) on the rate and extent of the absorption of G1T48. Patients will receive a single oral dose of G1T48 on Cycle 1 Day -10 and on Cycle 1 Day -3. Patients will begin G1T48 once-daily dosing on Cycle 1 Day 1.

    Drug: G1T48

  • Experimental
    Part 2: Monotherapy Dose Expansion (G1T48)

    Patients in Part 2 will receive G1T48 once-daily at the dose determined in Part 1.

    Drug: G1T48

  • Experimental
    Part 3: Combination Dose Expansion (G1T48+palbociclib)

    Patients in Part 3 will receive G1T48 once-daily at the dose determined in Part 2 in combination with palbociclib once-daily on Days 1 to 21 of each 28-day cycle.

    Drug: G1T48 · Drug: Palbociclib

Interventions

  • DrugG1T48

    oral SERD

    Also known as: Rintodestrant

  • CDK 4/6 Inhibitor

    Also known as: Ibrance

06

What researchers measure

Primary outcomes

  1. Dose Limiting Toxicity

    Time frame: Cycle 1 Day -3 to Cycle 1 Day 28

  2. Recommended Phase 2 dose

    G1T48 alone and in combination with palbociclib; progression-free survival (PFS)

    Time frame: 12 months

  3. Number of Treatment Related Adverse Event, including Abnormal Laboratory Events

    All AEs, including clinical laboratory, vitals signs, physical examinations and ECGs will be analyzed in all patients receiving study drug(s) from the signing of the informed consent until 30 days after the last dose of study medication(s).

    Time frame: 21 months

Secondary outcomes

  1. Tumor response based on RECIST, Version 1.1

    G1T48 alone and in combination with palbociclib;

    Time frame: 21 months

  2. Effect of food on bioavailability of G1T48

    Time frame: Part 1, Cycle 1 Day -10 to Cycle 1 Day 1.

  3. Pharmacokinetics of G1T48 and metabolites: Maximum Plasma Concentration (Cmax)

    Time frame: Part 1, Cycle 1 Day -3 to Cycle 2 Day 1. Part 2, Cycle 2 Day 1 to Cycle 3 Day 1. Part 3, Cycle 2 Day 1 to Cycle 3 Day 1.

  4. Pharmacokinetics of G1T48 and metabolites: Area under Curve - plasma concentration (AUC)

    Time frame: Part 1, Cycle 1 Day -3 to Cycle 2 Day 1. Part 2, Cycle 2 Day 1 to Cycle 3 Day 1. Part 3, Cycle 2 Day 1 to Cycle 3 Day 1.

  5. Pharmacokinetics of G1T48 and metabolites: Plasma: terminal half life (T1/2)

    Time frame: Part 1, Cycle 1 Day -3 to Cycle 2 Day 1. Part 2, Cycle 2 Day 1 to Cycle 3 Day 1. Part 3, Cycle 2 Day 1 to Cycle 3 Day 1.

  6. Pharmacokinetics of G1T48 and metabolites: Plasma - Volume of distribution

    Time frame: Part 1, Cycle 1 Day -3 to Cycle 2 Day 1. Part 2, Cycle 2 Day 1 to Cycle 3 Day 1. Part 3, Cycle 2 Day 1 to Cycle 3 Day 1.

  7. Pharmacokinetics of palbociclib: Plasma - Trough concentration

    Time frame: Part 3, Cycle 2 Day 1 to Cycle 3 Day 1.

07

Study locations

15 sites
  • Beverly Hills Cancer Center
    Beverly Hills, California 90211, United States
  • Stanford Women Cancer Center
    Stanford, California 94305, United States
  • Northwestern University - Feinberg School of Medicine
    Chicago, Illinois 60611, United States
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27599-7305, United States
  • Stephenson Cancer Center
    Oklahoma City, Oklahoma 73104, United States
  • Sarah Cannon Research Institute at Tennessee Oncology
    Nashville, Tennessee 37203, United States
  • Institut Jules Bordet
    Brussels, 1000, Belgium
  • UZ Leuven
    Leuven, 3000, Belgium
  • MHAT for Womens Health - Nadezhda OOD
    Sofia, 1330, Bulgaria
  • ARENSIA Exploratory Medicine LLC
    Tbilisi, 0112, Georgia
  • ARENSIA Exploratory Medicine Phase I Unit, The Institute of Oncology
    Chisinau, 2025, Moldova
  • VU University Medical Center
    Amsterdam, 1081 HV, Netherlands
  • University Medical Center Groningen
    Groningen, 9713 GZ, Netherlands
  • Erasmus Medical Center
    Rotterdam, 3015 GD, Netherlands
  • Spizhenko Clinic
    Kiev, 08112, Ukraine
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2018 to primary completion in Sep 2022, 52 months.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 28, 2018
First posted
Mar 6, 2018
StartActual
May 9, 2018
Primary completionActual
Sep 29, 2022
CompletionActual
Sep 29, 2022
Last update
Sep 21, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03455270
Responsible party
Sponsor
First posted
Mar 6, 2018
Start date
May 9, 2018
Primary completion
Sep 29, 2022
Completion
Sep 29, 2022
Last update
Sep 21, 2026

Study contacts

Clinical Contact
study director · G1 Therapeutics, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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