Gene Therapy Clinical Trials

TACTIVE-U: A Study to Learn About the Study Medicine (Vepdegestrant) When Given With Other Medicines in People With Advanced or Metastatic Breast Cancer (Sub-Study A)

The purpose of this clinical trial is to learn about the safety and effects of the study medicine (called ARV-471) when given together with other medicines for the potential treatment of advanced or metastatic breast cancer.

This study is seeking participants who have breast cancer that:

- is advanced, may have spread to other organs (metastatic) and cannot be fully treated by surgery or radiation therapy

- is sensitive to hormonal therapy (it is called estrogen receptor positive); and

- is no longer responding to previous treatments This study is divided into separate sub-studies.

For Sub-Study A:

All participants will receive ARV-471 and a medicine called abemaciclib. ARV-471 will be given by mouth, at home, 1 time a day. Abemaciclib will be given by mouth, at home, 2 times a day. We will examine the experiences of people receiving the study medicines. This will help us determine if the study medicines are safe and effective.

Participants will continue to take ARV-471 and abemaciclib until their cancer is no longer responding, or side effects become too severe. They will have visits at the study clinic about every 4 weeks.

Stanford is currently accepting patients for this trial.

Stanford Investigator(s):

Intervention(s):

  • drug: ARV-471
  • drug: Abemaciclib

Eligibility


Inclusion Criteria:

   - histological or cytological diagnosis of ER+ and HER2- advanced/metastatic breast
   cancer that is not amendable to surgical resection with curative intent (≥1% ER+
   stained cells on the most recent tumor biopsy).

   - prior anticancer therapies: at least 1 and no more than 2 lines of prior therapies for
   advanced/metastatic disease; 1 line of any CDK4/6 inhibitor-based regimen is required
   (independent of the setting eg, adjuvant or advanced/metastatic)

   - at least 1 measurable lesion as defined by RECIST v1.1.

   - ECOG PS ≤1.

Exclusion Criteria:

   - visceral crisis at risk of life-threatening complications in the short term

   - known history of drug-induced pneumonitis or other significant symptomatic
   deterioration of lung functions.

   - newly diagnosed brain metastases, or symptomatic CNS metastases, carcinomatous
   meningitis, or leptomeningeal disease. Participants with a history of CNS metastases
   or cord compression are eligible if they have been definitively treated, clinically
   stable and discontinued anti-seizure medications and corticosteroids for at least 14
   days prior to enrollment in the study.

   - history of any other tumor malignancies within the past 3 years, except for the
   following: (1) adequately treated basal or squamous cell carcinoma of the skin; (2)
   curatively treated in situ carcinoma of the cervix.

   - inflammatory breast cancer

   - impaired cardiovascular function or clinically significant cardiovascular diseases

   - concurrent administration of medications, food, or herb supplements that are strong
   inhibitors and strong/moderate inducers of CYP3A and drugs known to predispose to
   Torsade de Pointes or QT interval prolongation.

   - renal impairment, not adequate liver function and/or bone marrow function

   - known active infection

Ages Eligible for Study

18 Years - N/A

Genders Eligible for Study

All

Now accepting new patients

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Annabel (Grace) Castaneda
1 650-498-7977
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