Study of Abemaciclib and Elacestrant for Patients with Brain Metastasis from ER+/HER-2- Breast Cancer
Sponsor: Stemline Therapeutics, Inc.
ClinicalTrials ID:NCT05386108
This clinical trial is exploring a new treatment combination of Abemaciclib and Elacestrant for patients with brain metastases from estrogen receptor-positive, HER-2 negative breast cancer. The study aims to determine the best dose and evaluate the treatment's effectiveness.
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Program Overview
This global study is testing a combination of two drugs, Abemaciclib and Elacestrant, in patients with brain metastases from ER-positive, HER-2 negative breast cancer. The study is divided into two phases: Phase 1b, which focuses on finding the best dose, and Phase 2, which evaluates the treatment's effectiveness in patients with active brain metastases.
Eligibility Criteria
Inclusion Criteria
- Signed informed consent before any study activities.
- Women or men aged 18 years or older.
- Women can be postmenopausal or pre/perimenopausal.
- Must have ER-positive, HER-2 negative breast cancer confirmed by lab tests.
- In Phase 2, must have at least one active and measurable brain metastasis.
- Stable or decreasing corticosteroid dose for at least 7 days before starting the study.
- Stable neurological symptoms for at least 2 weeks before starting the study.
- Previous treatment in the metastatic setting must include at least one endocrine therapy and up to two chemotherapy regimens.
- Documented progression or recurrence of cancer.
- ECOG performance status of 0 to 2.
- Adequate bone marrow and organ function based on specific lab tests.
- Willingness to follow study visit schedule and requirements.
Exclusion Criteria
- Immediate need for CNS-specific treatment.
- Imminent organ failure or visceral crisis.
- Leptomeningeal metastases.
- No prior treatment for advanced/metastatic breast cancer.
- Previous use of Abemaciclib in the metastatic setting.
- Previous use of Elacestrant or similar investigational drugs.
- Another cancer within 3 years, except for certain skin or cervical cancers.
- Participation in another breast cancer study.
- Recent anti-cancer treatment within specified timeframes.
- Uncontrolled infections or significant medical conditions.
- Major surgery within 4 weeks of starting the study.
- Inability to take oral medication or gastrointestinal issues.
- Women of childbearing potential not using effective contraception.
- Men not using effective contraception with partners of childbearing potential.
- Pregnant or breastfeeding women.
- Known intolerance to study drugs.
- Recent use of certain medications or herbal supplements.
- Recent vaccination, including COVID-19, within 7 days before starting the study.
- Severe medical or psychiatric conditions that may affect participation.
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