ClinicalTrials.gg
CompletedNCT04483505ROGABREASTUpdated Dec 28, 2023

Rogaratinib, Palbociclib y Fulvestrant in Patients With Breast Cancer.

A Phase 1 interventional study of Combination, Rogaratinib + palbociclib + fulvestrant in Breast Cancer Metastatic and Hormone Receptor Positive Malignant Neoplasm of Breast, sponsored by Fundacion CRIS de Investigación para Vencer el Cáncer. Completed at 8 sites in Spain. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-28.

Sponsored by Fundacion CRIS de Investigación para Vencer el Cáncer · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 905 studies in Breast Neoplasms with a site in Spain — 164 open to participants now, 286 under way, 84 of them phase 3. Breast Neoplasms · Spain.

Enrollment
793rd of 805
9 · median 151
Started
2020
with 58 others
Phase 1
104 of 905
17 open now
Registered
576th of 905
by date

Among the 905 studies in Breast Neoplasms with a site in Spain, this one is the 793rd largest by enrollment of the 805 interventional ones that give a count, is one of 59 that started in 2020, is one of 104 in phase 1, and was the 576th registered.

Breast Neoplasms

14,829 studies on the registry are indexed under Breast Neoplasms; 3,318 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

164 of the 905 studies in Breast Neoplasms with a site in Spain are open now. Recruiting first, the newest first:

159 more — sign in →

All 164 open studies →

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

Who these studies take

Of the 2,398 Breast Neoplasms studies recruiting now, 1,569 (65%) set no upper age limit and 592 (25%) stop at 75 or younger; 103 take children under 18; 215 take healthy volunteers.

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

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 905 studies in Breast Neoplasms with a site in Spain, or all of them as a file.
02

Study summary

This study is an open, multicenter, prospective phase I dose escalation clinical trial followed by an expansion cohort. The aim of this study is to asses the Recommended Phase 2 Dose (R2PD) and the safety profile, among other efficacy, in FGFR1/2/3 positive, hormone receptor-positive breast cancer (HRPBC) patients with metastatic disease after progression to the combination of an aromatase inhibitor plus palbociclib, abemaciclib or ribociclib, according RECIST 1.1 criteria.

03

Conditions studied

  • Breast Cancer Metastatic
  • Hormone Receptor Positive Malignant Neoplasm of Breast

Browse trials for

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

  1. Women ≥18 years-old.
  2. Diagnostic of or locally advanced non-resectable breast cancer.
  3. Ability to understand and signing of the PIS/ICF for FGFR testing. FGFR testing will be performed centrally at CNIO (RNAscope and FISH).
  4. Ability to understand and signing the written PIS/ICF for study treatment eligibility.
  5. Availability of fresh tumor specimen for FGFR1/3 mRNA expression and FISH testing.
  6. Hormone-receptor positivity defined by at least 5% positivity of ER and/or PR (no central laboratory testing is required).
  7. Positivity of FGFR1/2/3 by RNA-scope and/or FISH.
  8. Patients must have undergone a previous hormonal treatment line for metastatic disease, with anastrozole, letrozole or exemestane, plus a cell cycle inhibitor (palbociclib, ribociclib or abemaciclib).
  9. Recovery of toxicities from previous regimens to equal or below tolerable grade II.
  10. -negativity (Herceptest 0+, 1+ or 2+ with negative FISH/CISH/SISH).
  11. performance status of 0/1.
  12. of >24 weeks.
  13. Adequate bone marrow, liver and renal function as assessed by laboratory requirements:

    1. (ANC) ≥ 1,500/mm3
    2. ≥ 10 g/dL (without transfusion or erythropoietin .
    3. count ≥ 100,000/mm3
    4. Total ≤ 1.5 × the (ULN).
    5. (ALT) and aspartate aminotransferase (AST) ≤ 2.5 × ULN
    6. Alkaline phosphatase ≤ 2.5 times ULN
    7. Lipase and amylase ≤ 2 × ULN.
    8. Serum albumin ≥ 2.5 g/dl.
    9. (GFR) ≥ 60 mL/min/1.73 m2
  14. ≤ 1.5 × ULN and PTT or activated PTT (aPTT) ≤ 1.5 × ULN.
  15. Negative serum pregnancy test in women of .
  16. Women of must agree to use highly effective when sexually active.
  17. Evaluable disease according to 1.1 criteria.

Exclusion criteria

Exclusion Criteria:

  1. Involvement in the planning and/or conduct the study.
  2. Previous enrollment in the present study.
  3. Previous or concurrent cancer except:

    1. Cervical carcinoma in situ.
    2. Treated basal-cell carcinoma or squamous cell skin cancer.
    3. Any other cancer curatively treated > 3 years before the first study drug administration.
  4. Receipt the last dose of anticancer therapy at least 21 days prior to the first dose of study drug.
  5. Acute toxic effects of previous anticancer chemotherapy or immunotherapy have to be normalized completely
  6. Anti-cancer therapy is defined as any agent or combination of agents with clinically proven anti-tumor activity
  7. Previous treatment with anti-FGFR directed therapies.
  8. Irradiation of single bony lesions with risk of fracture. Zoledronic acid or denosumab started prior to trial registration is allowed.
  9. Symptomatic brain or meningeal tumors.
  10. History or current condition of an uncontrolled cardiovascular disease including any of the following conditions:

    1. Congestive heart failure, unstable angina (symptoms of angina at rest) or
    2. New-onset angina
    3. Myocardial infarction (MI).
    4. Unstable cardiac arrhythmias requiring anti-arrhythmic therapy.
    5. Patients with known coronary artery disease, congestive heart failure not meeting the above criteria, must be on a stable medical regimen.
  11. Known (HIV) infection.
  12. Active virus or infection requiring treatment.

    1. Patients with past HBV infection or resolved HBV infection are eligible if HBV DNA is negative.
    2. Patients positive for hepatitis C virus are eligible only if polymerase chain reaction is negative for HCV RNA.
  13. Any condition that in the opinion of the investigator would interfere with evaluation of study treatment or interpretation of patient safety or study results, or inability to comply with the study and follow-up procedures.
  14. Previous or concomitant participation in another clinical study with medicinal products.
  15. Active tuberculosis.
  16. Clinically active infections.
  17. Treatment with therapeutic oral or i.v. antibiotics.
  18. Patients receiving prophylactic antibiotics are eligible.
  19. Seizure disorder requiring medication.
  20. History of organ allograft.
  21. Evidence or history of bleeding diathesis or coagulopathy.
  22. Any hemorrhage / bleeding event v.5.0 ≥ Grade 3.
  23. Serious, non-healing wound, ulcer or bone fracture.
  24. Known to any of the study drugs, study drug classes, or in the formulation.
  25. Any malabsorption condition.
  26. Current diagnosis of any retinal disorders including retinal detachment, retinal pigment epithelial detachment (RPED), serous retinopathy or retinal vein occlusion.
  27. Peripheral sensory neuropathy of CTCAE v.5.0 Grade 2 or higher.
  28. Current evidence of endocrine alteration of calcium phosphate homeostasis.
  29. Concomitant therapies that are known to increase serum phosphate levels.
  30. Any condition that is unstable or could jeopardize the safety of the patient and their compliance in the study.
  31. Breast-feeding.
  32. Use of strong inhibitors of and strong inducers of CYP3A4.
  33. bone marrow transplant or stem cell rescue.
  34. Major surgery, open or significant traumatic injury.
  35. Renal failure requiring peritoneal dialysis or hemodialysis.
  36. Systolic/diastolic blood pressure ≤ 100/60 mmHg and concurrent heart rate ≥ 100/min.
  37. Inability to swallow oral tablets.
  38. Close affiliation with the investigational site; e.g. a close relative of the investigator or a dependent person.
  39. Substance abuse, medical, psychological or social conditions that may interfere with the patient's participation in the study or evaluation of the study results.
  40. Arterial or venous thrombotic events or embolic events such as cerebrovascular accident, deep vein thrombosis or pulmonary embolism.
Terms in these criteria, in plain language(26)

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.

Metastases

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

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.

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.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask 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.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    Rogaratinib + palbociclib + fulvestrant

    Drug: Combination, Rogaratinib + palbociclib + fulvestrant

Interventions

  • DrugCombination, Rogaratinib + palbociclib + fulvestrant

    Patients will receive rogaratinib, palbociclib and fulvestrant in cycles of 28 days. Escalation Dose will follow a classic 3+3 schedule.The planned dose-levels are as follows: * Level 1: Rogaratinib 400 mg PO BID + standard fulvestrant 500 mg every 2nd weeks until the start of the 2nd cycle, becoming every 4 weeks + palbociclib 100 mg PO per day until day 22 followed by a 7-day rest, escalable to 125 mg per day in cycle 2 (N = 3 patients). * Level 2: Rogaratinib 600 mg PO BID + fulvestrant 500 mg IM every 2nd weeks until the start of the 2nd cycle, becoming every 4 weeks + palbociclib 100 mg PO per day until day 22 followed by a 7-day rest, escalable to 125 mg per day in cycle 2 (N = 6 patients). Treatment will continue until disease progression.

This study also gives Palbociclib, Fulvestrant. No intervention listed here names it: that was found by reading the record.

06

What researchers measure

Primary outcomes

  1. Recommended Phase 2 Dose

    Highest dose at which \<1 out of 6 patients experience a DLT.

    Time frame: 2 months

  2. Incidence of Treatment-Emergent Adverse Event

    Percentage of patients with each adverse event.

    Time frame: 2 years

Secondary outcomes

  1. Progression free survival

    Time from the date of first dose of study treatment to the date of progression or death (from any cause).

    Time frame: 2 years

  2. Pharmacokinetic interactions of fulvestrant and palbociclib over rogaratinib metabolism.

    Plasmatic levels of fulvestrant, palbociclib and rogaratinib

    Time frame: 2 years

  3. Pharmacodynamic markers levels of FGFR1 Blockade

    Plasma levels of phosphate and FGF23.

    Time frame: 2 years

  4. Response rate

    Percentage of patients that achieve response according to RECIST 1.1 criteria.

    Time frame: 1 year

07

Study locations

8 sites
  • Institut Català d'oncologia - Hospital Duran I Reynals
    Hospitalet de Llobregat, Barcelona 08908, Spain
  • Hospital Universitario de Fuenlabrada
    Fuenlabrada, Madrid 28942, Spain
  • Hospital Quirónsalud Madrid
    Pozuelo De Alarcón, Madrid 28223, Spain
  • Hospital Universitari Arnau de Vilanova de Lleida
    Lleida, 25198, Spain
  • Hospital Ramon y Cajal
    Madrid, 28034, Spain
  • Hospital Clinico San Carlos
    Madrid, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, Spain
  • Hospital Clínico Universitario de Valencia
    Valencia, Spain
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2020 to primary completion in Apr 2023, 28 months.

Of 372 non-industry phase 1 interventional studies under Breast Neoplasms, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 77. This study's 28 months is below that.

Counting every sponsor, half of 761 studies reached it within 44 months; a quarter within 25 and three quarters within 65.

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

Registered
Jul 20, 2020
First posted
Jul 23, 2020
StartActual
Nov 25, 2020
Primary completionActual
Apr 4, 2023
CompletionActual
Apr 4, 2023
Last update
Dec 28, 2023
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 Dec 28, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04483505
Lead sponsor
Fundacion CRIS de Investigación para Vencer el Cáncer
Collaborators
Bayer, Pfizer, Apices Soluciones S.L.
Responsible party
Sponsor
First posted
Jul 23, 2020
Start date
Nov 25, 2020
Primary completion
Apr 4, 2023
Completion
Apr 4, 2023
Last update
Dec 28, 2023

Study contacts

Miguel Ángel Quintela-Fandino
principal investigator · Centro Nacional de Investigaciones Oncológicas
Luis Manso, MD
principal investigator · Hospital Universitario 12 de Octubre
Ramón Colomer i Bosch
principal investigator · Fundación de Investigación Biomédica - Hospital Universitario de La Princesa

Oversight

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

Not currently enrolling

This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion