Status:

COMPLETED

Trilaciclib, a CDK 4/6 Inhibitor, in Patients Receiving Gemcitabine and Carboplatin for Metastatic Triple-Negative Breast Cancer (TNBC)

Lead Sponsor:

G1 Therapeutics, Inc.

Conditions:

TNBC - Triple-Negative Breast Cancer

Breast Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

This is a Phase 3, multicenter, randomized, double-blind, placebo-controlled study evaluating the safety and efficacy of trilaciclib versus placebo administered prior to gemcitabine and carboplatin in...

Detailed Description

This study will have two separate cohorts (Cohort 1 and Cohort 2). Both cohorts will follow the same general study conduct/design with similar primary and key secondary endpoints and identical treatme...

Eligibility Criteria

Inclusion

  • Age \>/= 18 years of age with evaluable locally advanced unresectable or metastatic TNBC.
  • Documentation of triple negative breast cancer (estrogen and progesterone receptor \<1% and HER2-negative)
  • Prior systemic therapies (Cohort 1 only):
  • No prior systemic therapy in the locally advanced unresectable/metastatic setting including chemotherapy, targeted therapy, immunotherapy, or investigational agents.
  • Prior PD-1/PD-L1 inhibitor treatment is not permitted in any setting, including in the neoadjuvant setting.
  • Time between completion of last treatment with curative intent and first metastatic recurrence must be ≥ 6 months.
  • Prior systemic therapies (Cohort 2 only):
  • Documentation of PD-L1 positive status
  • Treated with a PD-1/PD-L1 inhibitor for a minimum duration of 4 months in the locally advanced unresectable/metastatic setting and as the most recent therapy.
  • Radiation therapy for metastatic disease is permitted. There is no required minimum washout period for radiation therapy. Patients should be recovered from the effects of radiation.
  • Archival tumor tissue must be available or a fresh biopsy must be obtained, unless approved by the Medical Monitor.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate organ function as demonstrated by normal laboratory values

Exclusion

  • Prior treatment with gemcitabine in any setting.
  • Prior treatment with carboplatin in the locally advanced unresectable/metastatic setting.
  • Prior carboplatin in the (neo)adjuvant/curative setting is permitted as long as it was completed ≥ 6 months prior to the first metastatic recurrence.
  • Presence of central nervous system (CNS) metastases and/or leptomeningeal disease requiring immediate treatment with radiation therapy or steroids.
  • Receipt of any cytotoxic chemotherapy within 14 days prior to the first dose of study drugs.
  • QTcF interval \>480 msec at Screening (confirmed in triplicate). For patients with ventricular pacemakers, QTcF \>500 msec.
  • Known hypersensitivity to carboplatin or other platinum-containing compounds, or mannitol
  • Pregnant or lactating women
  • Prior hematopoietic stem cell or bone marrow transplantation

Key Trial Info

Start Date :

May 14 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 24 2024

Estimated Enrollment :

194 Patients enrolled

Trial Details

Trial ID

NCT04799249

Start Date

May 14 2021

End Date

May 24 2024

Last Update

August 1 2024

Active Locations (71)

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Page 1 of 18 (71 locations)

1

Banner M.D. Anderson Cancer Center

Gilbert, Arizona, United States, 85234

2

Washington Cancer Institute at MedStar Washington Hospital Center - Oncology Research

Washington D.C., District of Columbia, United States, 20010

3

Florida Cancer Specialists - North (SCRI)

St. Petersburg, Florida, United States, 33705

4

Moffitt Cancer Center

Tampa, Florida, United States, 33612