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Breast CancerPhase 1NCT05504213

A Phase Ib Study of HS-10352 Plus Fulvestrant in Patients With Advanced Breast Cancer

A Phase 1 study testing HS-10352 combined with fulvestrant (Stage 1) and HS-10352 combined with fulvestrant (Stage 2) in people with Breast Cancer, run by Jiangsu Hansoh Pharmaceutical Co., Ltd. at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

HS-10352 is a highly potent and selective small molecule inhibitor of phosphoinositide 3-kinase (p110α). The purpose of this study is to assess the safety, tolerability, pharmacokinetics (PK), and efficacy of HS-10352 plus fulvestrant in patients with hormone receptor (HR) positive, human epidermal growth factor 2… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Breast Cancer
What is being tested?
HS-10352 combined with fulvestrant (Stage 1) and HS-10352 combined with fulvestrant (Stage 2)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
224 participants
Where
1 siteChina
Study dates
12 Jan 2022to 31 Dec 2025
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men or women aged more than or equal to (≥) 18 years
  • HR+ HER2- breast cancer confirmed by histology or cytology.
  • Locally advanced disease not amenable to curative treatment by surgery or metastatic disease.
  • Have adequate tumor tissue for the analysis of PIK3CA mutational status. At dose expansion stage, participants should be identified as PIK3CA-mutation positive before enrollment.
  • Females should have postmenopausal status due to either surgical/natural menopause or ovarian suppression with a luteinizing hormone releasing hormone (LHRH) agonist before enrollment. Males should be pre-treated with a LHRH agonist.
  • Have either measurable disease per RECIST v1.1 criteria or at least one predominantly lytic bone lesion must be present.
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  • ECOG performance status was 0-1 and did not deteriorate in the previous 2 weeks.
  • Estimated life expectancy for at least three months
  • Females should be using adequate contraceptive measures and should not be breastfeeding at the time of screening, during the study and until 6 months after completion of the study; and have negative results of blood pregnancy test prior to C1D1.
  • Males should be using adequate contraceptive measures at the time of screening, during the study and until 6 months after completion of the study.
  • Have signed Informed Consent Form
  • Dose escalation stage-Cohort 1: subjects resistant to endocrine therapy Dose expansion stage-Cohort 2: subjects resistant to endocrine therapy Dose expansion stage-Cohort 3: endocrine therapy-sensitive or endocrine-naive subjects

Who cannot join

  • Participant with symptomatic visceral disease or any disease burden that makes the participant ineligible for endocrine therapy per the investigator's best judgment
  • Treatment with any of the following:
  • Previous or current treatment with PI3K, AKT or mTOR inhibitors
  • For expansion stage, prior treatment with fulvestrant
  • Any cytotoxic chemotherapy, investigational agents within 21 days of the first dose of study drug; anticancer drugs which have been received within 14 days before the first administration.
  • Radiotherapy with a limited field of radiation for palliation within 2 weeks of the first dose of study drug, or patients received more than 30% of the bone marrow irradiation, or large-scale radiotherapy within 4 weeks of the first dose.
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  • Major surgery (including craniotomy, thoracotomy, or laparotomy, etc.) within 4 weeks of the first dose of study drug.
  • With inflammatory breast cancer at screening.
  • Inadequate bone marrow reserve or organ function.
  • Uncontrolled pleural effusion or ascites or pericardial effusion.
  • Known and untreated, or active central nervous system metastases.
  • History of primary or secondary diabetes.
  • History of acute or chronic pancreatitis
  • Refractory nausea, vomiting, or chronic gastrointestinal diseases, or inability to swallow the study drug that would preclude adequate absorption of HS-10352 or fulvestrant.
  • History of hypersensitivity to any active or inactive ingredient of HS-10352/ fulvestrant or to drugs with a similar chemical structure or class to HS-10352.
  • Judgment by the investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions, and requirements.
  • Any disease or condition that, in the opinion of the investigator, would compromise the safety of the patient or interfere with study assessments.

Trial locations and contacts

1 site in 1 country.

China1 site, 1 recruiting
  • Fudan University Shanghai Cancer Center

    Shanghai, Shanghai Municipality, 200032

    Xichun Hu, PhD, 021-64175590, xchu2009@hotmail.com

    Jian Zhang, PhD, 021-64175590 ext. 86500, syner2000@163.com

    Recruiting

Other trials in China

About this study

Official title: A Phase Ib, Open-label, Multicenter Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Efficacy of HS-10352 in Combination With Fulvestrant in Patients With Hormone Receptor (HR) Positive, Human Epidermal Growth Factor 2 (HER2)-Negative, PIK3CA Mutation, Locally Advanced or Metastatic Breast Cancer

HS-10352 is a highly potent and selective small molecule inhibitor of phosphoinositide 3-kinase (p110α). The purpose of this study is to assess the safety, tolerability, pharmacokinetics (PK), and efficacy of HS-10352 plus fulvestrant in patients with hormone receptor (HR) positive, human epidermal growth factor 2 (HER2)-negative, advanced breast cancer (ABC) harboring PIK3CA mutations.

Read the detailed description

This is a Phase Ib open-label, 2-Part, multi-center study in China. The study will be conducted in two stages: Stage 1 is the dose-escalation part, which is designed to evaluate the safety, tolerability, PK and efficacy, as well as to determine the maximum tolerable dosage (MTD) or maximum applicable dose (MAD) of HS-10352 in combination with fulvestrant. Stage 2 is the dose-expansion part, which is aimed to further assess the efficacy, safety, tolerability and PK, and to establish the recommended phase 2 dose (RP2D) of HS-10352 in combination with fulvestrant.

All participants will be carefully monitored for adverse events (AE) during the study treatment and for 28 days after the last dose of study drug. The PK characteristics of HS-10352 and fulvestrant will be evaluated from C1 to C6. Subjects of this study will be assessed for progression once every 8 weeks until objective disease progression or withdrawal from the trial. As the disease progresses, survival follow-up is recommended bimonthly.

Conditions
Breast Cancer
Being tested
HS-10352 combined with fulvestrant (Stage 1), HS-10352 combined with fulvestrant (Stage 2)
Keywords
dose-escalation, dose-expansion, advanced breast cancer, hormone receptor positive, PIK3CA gene mutation
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • HS-10352 combined with fulvestrant (Stage 1)Drug

    Drug: HS-10352 HS-10352 will be administered at escalating doses orally once daily on a continuous dosing schedule starting on Cycle 1 Day 1 (C1D1) in a 28 day cycle.

    Drug: Fulvestrant Fulvestrant is administered at a dose of 500 mg intramuscular on Cycle 1 Day 1, Day 15, and Day 1 of every cycle thereafter (where a cycle is 28 days).

  • HS-10352 combined with fulvestrant (Stage 2)Drug

    Drug: HS-10352 participants will be enrolled into Cohort 2 (endocrine therapy-resistant) and Cohort 3 (endocrine therapy-sensitive or naïve) respectively and HS-10352 will be administered at the recommended dose identified in Part 1.

    Drug: Fulvestrant Fulvestrant is administered at a dose of 500 mg intramuscular on Cycle 1 Day 1, Day 15, and Day 1 of every cycle thereafter (where a cycle is 28 days).

Study groups in NCT05504213
Study groupRoleWhat they receive
Cohort 1: Endocrine therapy-resistant (Stage 1)ExperimentalParticipants who are endocrine therapy pre-treated will be administrated at escalating doses orally of HS-10352 in combination with fulvestrant (500 mg, intramuscular).
Receives: Drug: HS-10352 combined with fulvestrant (Stage 1)
Cohort 2: Endocrine therapy-resistant (Stage 2)ExperimentalParticipants who are endocrine therapy-resistant will be treated with HS-10352 orally at the MTD/MAD identified in Stage 1 or/and lower dose in combination with fulvestrant (500 mg, intramuscular)
Receives: Drug: HS-10352 combined with fulvestrant (Stage 2)
Cohort 3: Endocrine therapy-sensitive or endocrine-naïve (Stage 2)ExperimentalParticipants who are endocrine therapy-sensitive or naïve will be treated with HS-10352 orally at MTD/MAD or/and lower dose identified in Stage 1 in combination with fulvestrant (500 mg, intramuscular)
Receives: Drug: HS-10352 combined with fulvestrant (Stage 2)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. [Stage 1] Maximum tolerated dose (MTD) of HS-10352 in combination with fulvestrant

    MTD is defined as the previous dose level at which 2 or more out of 2~6 subjects experienced a DLT.

    Measured: Cycle 1 (28 days)

  2. [Stage 1] Maximum applicable dose (MAD) of HS-10352 in combination with fulvestrant

    MAD is defined as follows: a) based on PK data, it is anticipated that at this dose level, the dose-exposure plateau has been reached, b) based on existing safety data, it is judged that dose escalation following this dose level will have a large safety risk or subject intolerance, or c) based on the PK-PD model, it suggested that the optimal target concentration of safety and efficacy has been explored.

    Measured: Cycle 1 (28 days)

  3. [Stage 2] Objective response rate (ORR) of HS-10352 in combination with fulvestrant

    ORR is defined as the proportion of participants with best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR) based on assessment per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1).

    Measured: From the date of first dose until the date of disease progression or withdrawal from study, approximately 3 years

Secondary outcomes (20)
  1. [Stage 1 and Stage 2] Incidence and severity of treatment-emergent adverse events

    Assessed by number and severity of adverse events as evaluated according to NCI CTCAE v5.0.

    Measured: From Cycle 1 Day 1 (C1D1) until 28 days after the final dose. A cycle is 28 days.

  2. [Stage 1 and Stage 2] PK parameters: the maximum concentration (Cmax) of HS-10352

    Defines as the maximum plasma drug concentration of HS-10352

    Measured: Cycle 1 Day 1 (C1D1),at the first day of Cycle 1 (each cycle is 28 days)

  3. [Stage 1] PK parameters: the maximum concentration (Cmax) of fulvestrant

    Defines as the maximum plasma drug concentration of fulvestrant

    Measured: Cycle 1 (28 days)

  4. [Stage 1 and Stage 2] PK parameters: time of the maximum concentration (Tmax) of HS-10352

    Defined as the time to reach maximum plasma concentration following drug administration of HS-10352

    Measured: Cycle 1 Day 1 (C1D1),at the first day of Cycle 1 (each cycle is 28 days)

  5. [Stage 1] PK parameters: time of the maximum concentration (Tmax) of fulvestrant

    Defined as the time to reach maximum plasma concentration following drug administration of fulvestrant

    Measured: Cycle 1 (28 days)

  6. [Stage 1 and Stage 2] PK parameters: elimination half life (t1/2) of HS-10352

    Defines as the time measured for the concentration to decrease by one half.

    Measured: Cycle 1 Day 1 (C1D1),at the first day of Cycle 1 (each cycle is 28 days)

  7. [Stage 1 and Stage 2] PK parameters: area under the concentration-time curve over 24 hours (AUC0-24) of HS-10352

    Defines as area under the plasma concentration versus time curve from time zero to the 24-hour sampling time.

    Measured: Cycle 1 Day 1 (C1D1),at the first day of Cycle 1 (each cycle is 28 days)

  8. [Stage 1 and Stage 2] PK parameters: area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration (AUC0-t) of HS-10352

    Defines as area under the plasma concentration versus time curve from time zero to the last sampling time t at which the concentration was at or above the lower limit of quantification (LLOQ).

    Measured: Cycle 1 Day 1 (C1D1),at the first day of Cycle 1 (each cycle is 28 days)

  9. [Stage 1] PK parameters: area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration (AUC0-t) of fulvestrant

    Defines as area under the plasma concentration versus time curve from time zero to the last sampling time t at which the concentration was at or above the lower limit of quantification (LLOQ).

    Measured: From Cycle 1 to Cycle 2, each cycle is 28 days

  10. [Stage 1 and Stage 2] PK parameters: the maximum concentration at steady-state (Css,max) of HS-10352

    Defines as the maximum plasma drug concentration of HS-10352 at steady-state

    Measured: Cycle 2 Day 1 (C2D1),at the first day of Cycle 2 (each cycle is 28 days) each cycle is 28 days

  11. [Stage 1] PK parameters: the maximum concentration at steady-state (Css,max) of fulvestrant

    Defines as the maximum plasma drug concentration of fulvestrant at steady-state

    Measured: Cycle 2 (28 days)

  12. [Stage 1 and Stage 2] PK parameters: time of the maximum concentration at steady state (Tss,max) of HS-10352

    Defined as the time to reach maximum plasma concentration following drug administration of HS-10352 at steady-state

    Measured: Cycle 2 Day 1 (C2D1),at the first day of Cycle 1 (each cycle is 28 days)

  13. [Stage 1] PK parameters: time of the maximum concentration at steady state (Tss,max) of fulvestrant

    Defined as the time to reach maximum plasma concentration following drug administration of fulvestrant at steady-state

    Measured: Cycle 2 (28 days)

  14. [Stage 1 and Stage 2] PK parameters: the minimum concentration at steady-state (Css,min) of HS-10352

    Defines as the minimum plasma drug concentration of HS-10352 at steady-state

    Measured: Cycle 2 Day 1 (C2D1),at the first day of Cycle 1 (each cycle is 28 days)

  15. [Stage 1 and Stage 2] PK parameters: the minimum concentration at steady-state (Css,min) of fulvestrant

    Defines as the minimum plasma drug concentration of fulvestrant at steady-state

    Measured: Cycle 2 (28 days)

  16. [Stage 1] Efficacy of HS-10352 in combination with fulvestrant: ORR

    ORR is defined as the proportion of participants with BOR of confirmed CR or confirmed PR based on assessment per RECIST v1.1.

    Measured: From the date of first dose until the date of disease progression or withdrawal from study, approximately 3 years

  17. [Stage 1 and Stage 2] Efficacy of HS-10352 in combination with fulvestrant: disease control rate (DCR)

    The disease control was defined as the percentage of patients who have a best overall response (confirmed CR, PR, or stable disease for at least 6 weeks).

    Measured: From the date of first dose until the date of disease progression or withdrawal from study, approximately 3 years

  18. [Stage 1 and Stage 2] Efficacy of HS-10352 in combination with fulvestrant: duration of response (DoR)

    DOR only applies to participants whose best overall response is CR or PR based on assessment per RECIST v1.1. The start date is the date of first documented response of CR or PR (i.e. the start date of observed response, not the date when response was confirmed), and the end date is defined as the date of the first documented progression or death due to underlying cancer.

    Measured: From the date of CR, PR until the date of disease progression or withdrawal from study, approximately 3 years

  19. [Stage 1 and Stage 2] Efficacy of HS-10352 in combination with fulvestrant: progression free survival (PFS)

    PFS is defined as the time from the date of randomization or first dose (if randomization is not needed) to the date of the first documented progression or death due to any cause. PFS will be assessed per RECIST v1.1.

    Measured: From the date of randomization or first dose (if randomization is not needed) until the date of disease progression or withdrawal from study, approximately 3 years

  20. [Stage 2] Efficacy of HS-10352 in combination with fulvestrant: overall survival (OS)

    OS is defined as the time from the date of randomization or first dose (if randomization is not needed) to the date of death due to any cause. For each participant who is not known to have died as of the cutoff date for overall survival analysis, OS time was censored on the last date the participant is known to be alive.

    Measured: From the date of randomization or first dose (if randomization is not needed) until the documentation of death from any cause, approximately 6 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Aug 2022
  2. Study start12 Jan 2022
  3. Primary completion31 Jul 2023 (estimated)
  4. Study completion31 Dec 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
224 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05504213
Sponsor's protocol ID
HS-10352-102
Status last verified
May 2022
First submitted
17 May 2022
Last updated
17 Aug 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing HS-10352 combined with fulvestrant (Stage 1) and HS-10352 combined with fulvestrant (Stage 2) in people with Breast Cancer, run by Jiangsu Hansoh Pharmaceutical Co., Ltd. at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 17 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Xichun Hu, PhD (021-64175590, xchu2009@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

[Stage 1] Maximum tolerated dose (MTD) of HS-10352 in combination with fulvestrant (time frame: Cycle 1 (28 days)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Aug 2022.

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