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| Sponsor: | Sanofi-Aventis |
|---|---|
| Information provided by (Responsible Party): | Sanofi-Aventis |
| ClinicalTrials.gov Identifier: | NCT01082068 |
Purpose
Phase 1 of this study will evaluate the maximum tolerated dose (MTD) of XL147 when given in combination with letrozole (Femara) and of XL765 when given in combination with letrozole. After the MTD is established for each combination (Phase 2), subjects will be enrolled to evaluate the preliminary efficacy and safety of these combinations in subjects with breast cancer refractory to a non-steroidal aromatase inhibitor that is ER+/PGR+ and HER2-. Letrozole is used in the treatment of different types of breast cancer, but patients can develop resistance.
Upregulation of PI3K activity is one of the most common characteristics of human cancer cells, including breast tumor cells. Activation of PI3K results in stimulation of AKT and mTOR kinases, resulting in the promotion of tumor cell proliferation and survival. Preclinical and retrospective clinical data suggest that aberrant activation of the PI3K pathway may play a role in aromatase inhibitor resistance in patients with ER+, HER2- breast cancer. XL147 is a potent inhibitor of PI3K, and XL765 is a potent dual inhibitor of PI3K and mTOR; therefore either of these compounds in combination with letrozole warrants clinical investigation.
| Condition | Intervention | Phase |
|---|---|---|
|
Breast Cancer |
Drug: XL147 (SAR245408) Drug: XL765 (SAR245409) Drug: letrozole (Femara) |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase 1/2 Dose-Escalation Study of XL147 (SAR245408) or XL765 (SAR245409) in Combination With Letrozole in Subjects With Hormone Receptor-Positive and HER2-Negative Breast Cancer Refractory to a Nonsteroidal Aromatase Inhibitor |
| Estimated Enrollment: | 124 |
| Study Start Date: | June 2010 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Arm 1
XL147 (SAR245408) + letrozole
|
Drug: XL147 (SAR245408)
given orally once daily as tablets
Drug: letrozole (Femara)
given orally once daily as tablets
|
|
Experimental: Arm 2
XL765 + letrozole
|
Drug: XL765 (SAR245409)
given orally twice daily as capsules
Drug: letrozole (Femara)
given orally once daily as tablets
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| Contact: For site information, send an email with site number to | Contact-Us@sanofi-aventis.com |
| United States, California | |
| Investigational Site Number 1537 | Recruiting |
| Los Angeles, California, United States, 90033 | |
| United States, Colorado | |
| Investigational Site Number | Recruiting |
| Denver, Colorado, United States, 80262 | |
| United States, Florida | |
| Investigational Site Number 1238 | Recruiting |
| Fort Meyers, Florida, United States, 33901 | |
| United States, Illinois | |
| Investigational Site Number 1441 | Recruiting |
| Chicago, Illinois, United States, 60611 | |
| United States, Massachusetts | |
| Investigational Site Number 1138 | Recruiting |
| Boston, Massachusetts, United States, 02115 | |
| United States, Michigan | |
| Investigational Site Number 1331 | Recruiting |
| Ann Arbor, Michigan, United States, 48109 | |
| Investigational Site Number 1330 | Recruiting |
| Detroit, Michigan, United States, 48201 | |
| United States, North Carolina | |
| Investigational Site Number 1252 | Recruiting |
| Durham, North Carolina, United States, 27710 | |
| United States, Tennessee | |
| Investigational Site Number 1214 | Recruiting |
| Nashville, Tennessee, United States, 37203 | |
| France | |
| Investigational Site Number 3321 | Recruiting |
| Nantes Saint Herblain, France, 44805 | |
| Investigational Site Number 3324 | Recruiting |
| Paris Cedex 05, France, 75231 | |
| Investigational Site Number 1141 | Recruiting |
| Villejuif, France, 94805 | |
| Spain | |
| Investigational Site Number 3413 | Recruiting |
| Madrid, Spain, 28041 | |
| Investigational Site Number 3420 | Recruiting |
| Madrid, Spain, 28050 | |
| Study Director: | Clinical Sciences & Operations | Sanofi-Aventis |
More Information
| Responsible Party: | Sanofi-Aventis |
| ClinicalTrials.gov Identifier: | NCT01082068 History of Changes |
| Other Study ID Numbers: | ARD11437, XL147-202 |
| Study First Received: | March 4, 2010 |
| Last Updated: | April 30, 2012 |
| Health Authority: | United States: Food and Drug Administration France: Afssaps - French Health Products Safety Agency Spain: Agencia Española de Medicamentos y Productos Sanitarios |
|
HER2 negative Hormone Receptor Positive Breast Neoplasms |
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases Letrozole |
Aromatase Inhibitors Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |