RecruitingPhase 1Phase 2NCT06247995

A Phase I/II, Dose Finding and Optimization Study of [177Lu]Lu-NeoB in Combination With Capecitabine in Patients With GRPR+, ER+, HER2- Metastatic Breast Cancer After Progression on Previous Endocrine Therapy in Combination With a CDK4/6 Inhibitor.

A Phase I/II, Open-label, Multi-center Trial of [177Lu]Lu-NeoB in Combination With Capecitabine in Adult Patients With Gastrin Releasing Peptide Receptor Positive, Estrogen Receptor-positive, Human Epidermal Growth Factor Receptor-2 Negative Metastatic Breast Cancer After Progression on Previous Endocrine Therapy in Combination With a CDK4/6 Inhibitor.


Sponsor

Novartis Pharmaceuticals

Enrollment

58 participants

Start Date

Aug 14, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

In the phase I part, to determine the recommended doses (RD) and dosing regimens of \[177Lu\]Lu-NeoB in combination with capecitabine in adult patients with gastrin releasing peptide receptor positive, estrogen receptor-positive, human epidermal growth factor receptor-2 negative metastatic breast cancer after progression on previous endocrine therapy in combination with a CDK4/6 inhibitor. In the phase II part, to evaluate the preliminary anti-tumor activity of two different doses/regimens of \[177Lu\]Lu-NeoB in combination with capecitabine (dose optimization).


Eligibility

Min Age: 18 YearsMax Age: 100 Years

Plain Language Summary

Simplified for easier understanding

This study tests a new combination treatment for women with a specific type of advanced breast cancer that is hormone receptor-positive (ER+), HER2-negative, and has a protein called GRPR on its surface. The treatment combines a radioactive drug called [177Lu]Lu-NeoB with a chemotherapy pill called capecitabine, for patients whose cancer progressed after hormone therapy and a CDK4/6 inhibitor. **You may be eligible if...** - You are 18 or older - You have ER+ (estrogen receptor-positive), HER2-negative metastatic breast cancer - Your tumor tests positive for a protein called GRPR - Your cancer has progressed after hormone therapy plus a CDK4/6 inhibitor (like palbociclib or ribociclib) - You are in adequate overall health with good organ function **You may NOT be eligible if...** - Your cancer is HER2-positive - Your tumor does not have the GRPR protein - You have not yet tried CDK4/6 inhibitor-based therapy - You have significant kidney, liver, or bone marrow problems 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

DRUG[68Ga]Ga-NeoB

68Ga\]Ga-NeoB serves as a radioactive imaging compound to be used for PET imaging for localization of GRPR positive lesions.

DRUG[177Lu]Lu-NeoB

\[177Lu\]Lu-NeoB is a radioligand therapy drug.

DRUGCapecitabine

Capecitabine is a chemotherapy drug.


Locations(32)

UCLA Medical Center

Los Angeles, California, United States

Hoag Memorial Hospital Presbyterian

Newport Beach, California, United States

Mayo Clinic - Rochester

Rochester, Minnesota, United States

Uni Of TX MD Anderson Cancer Cntr

Houston, Texas, United States

University Of Wisconsin

Madison, Wisconsin, United States

Novartis Investigative Site

Darlinghurst, New South Wales, Australia

Novartis Investigative Site

Malvern, Victoria, Australia

Novartis Investigative Site

Toronto, Ontario, Canada

Novartis Investigative Site

Montreal, Quebec, Canada

Novartis Investigative Site

Guangzhou, China

Novartis Investigative Site

Tianjin, China

Novartis Investigative Site

Bordeaux, France

Novartis Investigative Site

Grenoble, France

Novartis Investigative Site

Saint-Herblain, France

Novartis Investigative Site

Strasbourg, France

Novartis Investigative Site

Villejuif, France

Novartis Investigative Site

Erlangen, Germany

Novartis Investigative Site

Essen, Germany

Novartis Investigative Site

Tübingen, Germany

Novartis Investigative Site

Meldola, FC, Italy

Novartis Investigative Site

Reggio Emilia, RE, Italy

Novartis Investigative Site

Delft, South Holland, Netherlands

Novartis Investigative Site

Porto, Portugal

Novartis Investigative Site

Singapore, Singapore

Novartis Investigative Site

Seoul, South Korea

Novartis Investigative Site

Seoul, South Korea

Novartis Investigative Site

L'Hospitalet de Llobregat, Barcelona, Spain

Novartis Investigative Site

Barcelona, Spain

Novartis Investigative Site

Madrid, Spain

Novartis Investigative Site

Seville, Spain

Novartis Investigative Site

London, United Kingdom

Novartis Investigative Site

Sheffield, United Kingdom

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NCT06247995


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