NCT01202591

Brief Summary

The purpose of this study is to assess the safety and effectiveness of AZD4547 in combination with fulvestrant vs. fulvestrant alone in ER+ breast cancer patients with FGFR1 polysomy (FISH4/5) or gene amplification (FISH 6)

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
127

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Dec 2010

Longer than P75 for phase_1

Geographic Reach
8 countries

21 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 14, 2010

Completed
2 days until next milestone

First Posted

Study publicly available on registry

September 16, 2010

Completed
3 months until next milestone

Study Start

First participant enrolled

December 1, 2010

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2014

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2014

Completed
1.4 years until next milestone

Results Posted

Study results publicly available

February 11, 2016

Completed
Last Updated

February 11, 2016

Status Verified

January 1, 2016

Enrollment Period

3.8 years

First QC Date

September 14, 2010

Results QC Date

September 7, 2015

Last Update Submit

January 13, 2016

Conditions

Keywords

Breast CancerER+FGFR1ExemestaneAZD4547Fulvestrant

Outcome Measures

Primary Outcomes (1)

  • Safety and Tolerability in Terms of Number of Patients With Adverse Events (Serious and Non-serious)

    3 years, 10 months (Adverse events recorded from patient screening to discontinuation plus 28 days safety follow-up).

Study Arms (3)

AZD4547 + exemestane

EXPERIMENTAL

Safety run-in: AZD4547 plus exemestane

Drug: AZD4547Drug: Exemestane

AZD4547 + fulvestrant

EXPERIMENTAL

A Randomised phase IIa: AZD4547 plus fulvestrant

Drug: AZD4547Drug: Fulvestrant

Placebo + fulvestrant

PLACEBO COMPARATOR

Randomised phase IIa: Matching placebo plus fulvestrant

Drug: PlaceboDrug: Fulvestrant

Interventions

Tablet oral twice daily

AZD4547 + exemestaneAZD4547 + fulvestrant

Tablet oral once daily

AZD4547 + exemestane

Tablet oral twice daily

Placebo + fulvestrant

A monthly intramuscular injection of a depot formulation with a loading dose 14 days after initial administration

AZD4547 + fulvestrantPlacebo + fulvestrant

Eligibility Criteria

Age18 Years - 99 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Post-menopausal women (either through bilateral oophorectomy or amenorrhoeic for 24 months)
  • Histological confirmation of Breast Cancer with documented ER+ receptor status
  • Safety run-in: Relapsing during/within 12 months of completion of a single regimen of adjuvant endocrine therapy with non-steroidal AI and/ tamoxifen or progression following 1st line endocrine therapy with non-steroidal AL
  • Rand phase IIa: Received at least 1 prior endocrine therapy in the metastatic setting or have relapsed during/ within 6 months of completion of adjuvant endocrine therapy (either non-steroidal AI or tamoxifen or a combination of both). Chemotherapy administered in the adjuvant setting is permitted.
  • Rand phase IIa: Mandatory provision of tumour sample to confirm FGFR1 polysomy or gene amplification. At least one measurable lesion that can be accurately assessed by CT/MRI/x-ray at baseline and follow up visits

You may not qualify if:

  • Prior exposure to exemestane (safety run-in) / fulvestrant (randomized phase IIa), or any agent known to inhibit FGFRs.
  • More than 1 prior regimen of chemotherapy for breast cancer
  • ECG recordings that demonstrate significant abnormalities in cardiac rate, rhythm or conduction
  • History of hypersensitivity to active or inactive excipients of AZD4547 or exemestane (safety run-in ) or fulvestrant (Randomized phase), including castor oil, or drugs with a similar chemical structure or class to AZD4547 or exemestane or fulvestrant.
  • Randomized phase IIa: bleeding/blood clotting conditions that would prevent the administration of the fulvestrant injection into the buttocks

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (21)

Research Site

Leuven, Belgium

Location

Research Site

Namur, Belgium

Location

Research Site

Brno, Czechia

Location

Research Site

Prague, Czechia

Location

Research Site

Villejuif, France

Location

Research Site

Erlangen, Germany

Location

Research Site

München, Germany

Location

Research Site

Rostock, Germany

Location

Research Site

Budapest, Hungary

Location

Research Site

Kaposvár, Hungary

Location

Research Site

Nyíregyháza, Hungary

Location

Research Site

Szeged, Hungary

Location

Research Site

Genova, Italy

Location

Research Site

Lido di Camaiore, Italy

Location

Research Site

Roma, Italy

Location

Research Site

Cluj-Napoca, Romania

Location

Research Site

Dundee, United Kingdom

Location

Research Site

London, United Kingdom

Location

Research Site

Manchester, United Kingdom

Location

Research Site

Oxford, United Kingdom

Location

Research Site

Sutton, United Kingdom

Location

MeSH Terms

Conditions

Breast Neoplasms

Interventions

AZD4547exemestaneFulvestrant

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

EstradiolEstrenesEstranesSteroidsFused-Ring CompoundsPolycyclic CompoundsEstradiol CongenersGonadal Steroid HormonesGonadal HormonesHormonesHormones, Hormone Substitutes, and Hormone Antagonists

Limitations and Caveats

Enrolment to the Part B was terminated on 27 March 2014. Slow recruitment led to concerns that enrolment would not be completed in a realistic timeframe. This led to a business decision to terminate the enrolment.

Results Point of Contact

Title
Richard Mather
Organization
Astrazeneca

Study Officials

  • Donal Landers

    AstraZeneca

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
LTE60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 14, 2010

First Posted

September 16, 2010

Study Start

December 1, 2010

Primary Completion

September 1, 2014

Study Completion

October 1, 2014

Last Updated

February 11, 2016

Results First Posted

February 11, 2016

Record last verified: 2016-01

Locations