RecruitingPhase 1Phase 2NCT05953350

A Phase Ib/II Study Confirmed Inhibition of Autophagy Synergizes Anti-tumor Effect of High Dose CDK4/6i

A Phase Ib/II Study Confirmed Inhibition of Autophagy Synergizes Anti-tumor Effect of High Dose CDK4/6i with Manageable Safety in HR+HER2-breast Cancer Patients


Sponsor

Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

Enrollment

29 participants

Start Date

Nov 7, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

In order to explore the safety and antitumor efficacy of different doses of CDK4/6 inhibitor Palbociclib in combination with the autophagy inhibitor hydroxychloroquine (HCQ) , a phase Ib/II study was conducted. This study will adopt a 3+3 design and include three predefined dose groups of palbociclib: 100mg QD, 150mg QD, and 200mg QD. Initially, 600mg bid dose of hydroxychloroquine group will be administered in combination. The trial will use the first cycle (28 days) as the observation period for tolerability, observing and evaluating the occurrence of DLTs after medication and determining the maximum tolerated dose/maximum administered dose (MTD/MAD) and recommended phase 2 dose (RP2D) of the combination therapy. This study improves the efficacy of CDK4/6 inhibitors in the treatment of solid tumors by reversing DTP status through the use of HCQ.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether combining high-dose CDK4/6 inhibitor therapy with a drug that blocks a cellular recycling process (autophagy) can improve outcomes in people with advanced solid tumors — including breast cancer and liposarcoma — whose cancer has progressed on standard CDK4/6 inhibitor treatment. **You may be eligible if...** - You are 18 or older with confirmed advanced or metastatic solid tumors (including breast cancer or liposarcoma) - Your cancer has previously been treated with CDK4/6 inhibitors and stopped responding - You have at least one measurable tumor on imaging - Your overall health (ECOG 0-2) and organ function are adequate **You may NOT be eligible if...** - You have had major surgery within 4 weeks before starting treatment - You have had prior treatment with two or more CDK4/6 inhibitors for advanced disease - You have symptomatic brain or spinal fluid spread of cancer - You are pregnant or breastfeeding - You are HIV positive, have active hepatitis B, or positive hepatitis C antibodies - You have a retinal vascular disease that makes the study drug hydroxychloroquine unsafe - You have serious cardiovascular disease Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUG600mg bid dose of hydroxychloroquine combined with three predefined dose groups of palbociclib

hydroxychloroquine group of 600mg bid combined with three predefined dose groups of palbociclib: 100mg QD, 150mg QD, and 200mg QD, separately.

DRUGRP2D dose of 600mg bid of hydroxychloroquine combined with palbociclib was selected for phase II clinical trial.

After the exploration of 600mg bid dose of hydroxychloroquine combined with palbociclib, and the maximal tolerated dose (MTD) was determined, then RP2D dose of 600mg bid dose of hydroxychloroquine combined with palbociclib was selected for phase II clinical trial.


Locations(1)

Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

Guangzhou, Guangdong, China

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NCT05953350