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Advanced HR+/HER2- Breast CancerPhase 1/2NCT06726148

Study of ECI830 Single Agent or in Combination in Patients With Advanced HR+/HER2- Breast Cancer and in Patients With Other Advanced Solid Tumors

A Phase 1/2 study testing ECI830, ribociclib and fulvestrant in people with Advanced HR+/HER2- Breast Cancer and Advanced CCNE1-amplified Solid Tumors, run by Novartis Pharmaceuticals at 33 sites in 16 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Phase I: Characterize safety and tolerability of ECI830 as a single agent and in combination with ribociclib and fulvestrant. Identify dose range for optimization/recommended dose for future studies. Read more about this study

Who is it for?
Ages 18 to 100 years
What is being tested?
ECI830, ribociclib and fulvestrant
Could I receive a placebo?
No, everyone receives an active treatment
How many people
280 participants
Where
33 sitesin 16 countries
Study dates
3 Apr 2025to 25 Sep 2028
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years old.
  • Patients with one of the following indications:
  • Phase I:
  • HR+/HER2- aBC with disease progression on or following at least one line of hormone-based therapy in combination with a CDK4/6i and at least one additional line of systemic therapy for metastatic disease.
  • Histologically and/or cytologically confirmed diagnosis of locally advanced or metastatic cancer with a CCNE1 amplification. For dose expansion only: no more than 3 prior lines of therapy for advanced or metastatic disease.
  • Patients with ES-SCLC and disease progression on or after standard of care (SoC). For dose expansion only: no more than 2 prior lines of therapy for advanced or metastatic disease are allowed.
Show all 10Show fewer
  • Phase II:
  • HR+/HER2- aBC with disease progression on an aromatase inhibitor or tamoxifen in combination with a CDK4/6 inhibitor for unresectable/metastatic disease with no more than 2 lines of endocrine therapy.
  • Measurable disease as determined by RECIST v1.1.
  • BC only: If no measurable disease is present, then at least one predominantly lytic bone lesion must be present that can be accurately assessed at baseline and is suitable for repeated assessment.

Who cannot join

  • Previous treatment with a CDK2 inhibitor at any time.
  • Patients with inadequate bone marrow and/or organ functions with out-of-range laboratory values.
  • Clinically significant, uncontrolled heart disease and/or cardiac repolarization abnormality including MI, CABG, long QT syndrome, or risk factors for TdP.
  • Presence of symptomatic CNS metastases or CNS metastases that require local therapy or increasing doses of corticosteroids within 2 weeks prior to study entry.
  • For the combination treatment:
  • Patients with symptomatic visceral disease or any disease burden that makes the patient ineligible for endocrine-based therapy.
Show all 10Show fewer
  • Patients who could not tolerate the prescribed dose of ribociclib during a previous course of treatment, requiring dose reduction or permanent discontinuation due to adverse events.
  • For patients with BC: Patient is concurrently using hormone replacement therapy.
  • WOCBP who are unwilling to use highly effective contraception methods, pregnant or nursing women.
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

33 sites in 16 countries. Contact the study team or a site near you to ask about taking part.

Novartis Pharmaceuticals contact

1-888-669-6682

novartis.email@novartis.com

Novartis Pharmaceuticals contact

+41613241111

novartis.email@novartis.com

33 sites in 16 countries

United States8 sites, 8 recruiting
  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02115

    Leonid Syrkin, +1 617 632 5136, LEONID_SYRKIN@DFCI.HARVARD.EDU

    Antonio Giordano

    Recruiting
  • Florida Cancer Specialists

    Fort Myers, Florida, 33901

    Sarah Gwirtz, +1 941 377 9993, Sarah.Gwirtz@flcancer.com

    Manish Patel

    Recruiting
  • MD Anderson Cancer Center Uni of Te

    Houston, Texas, 77030

    Ileana Gutierrez, +1 713 792 2848, ilgutierrez@mdanderson.org

    Timothy Yap

    Recruiting
  • University of California LA

    Los Angeles, California, 90095

    Monica Rocha, +1 310 794 4376, mprocha@mednet.ucla.edu

    Saeed Sadeghi

    Recruiting
  • SCRI Oncology Partners

    Nashville, Tennessee, 37203

    Kristy Long, kristy.long@SCRI.com

    Erika Paige Hamilton

    Recruiting
  • Memorial Sloan Kettering

    New York, New York, 10017

    Sam Stefanik, stefanis@mskcc.org

    Komal Jhaveri

    Recruiting
  • Fred Hutch Cancer Research

    Seattle, Washington, 98109

    Ly Tieng Huot, +1 206288 1382, lhuot@fredhutch.org

    Sara Hurvitz

    Recruiting
  • WA Uni School Of Med

    St Louis, Missouri, 63110

    Mary Halim, +1 314 362 7249, maryh@wustl.edu

    Cynthia Ma

    Recruiting

Other trials in United States

Germany3 sites, 3 recruiting
  • Novartis Investigative Site

    Freiburg im Breisgau, Baden-Wurttemberg, 79106

    Recruiting
  • Novartis Investigative Site

    Heidelberg, 69120

    Recruiting
  • Novartis Investigative Site

    Ulm, 89081

    Recruiting

Other trials in Germany

Australia2 sites, 2 recruiting
  • Novartis Investigative Site

    Clayton, Victoria, 3168

    Recruiting
  • Novartis Investigative Site

    Melbourne, Victoria, 3004

    Recruiting

Other trials in Australia

Canada2 sites, 2 recruiting
  • Novartis Investigative Site

    Montreal, Quebec, H4A 3J1

    Recruiting
  • Novartis Investigative Site

    Toronto, Ontario, M5G 2M9

    Recruiting

Other trials in Canada

China2 sites, 2 recruiting
  • Novartis Investigative Site

    Nanjing, Jiangsu, 210029

    Recruiting
  • Novartis Investigative Site

    Xian, Shanxi, 710061

    Recruiting

Other trials in China

Denmark2 sites, 2 recruiting
  • Novartis Investigative Site

    Copenhagen, 2100

    Recruiting
  • Novartis Investigative Site

    Odense C, 5000

    Recruiting

Other trials in Denmark

France2 sites, 2 recruiting
  • Novartis Investigative Site

    Bordeaux, 33076

    Recruiting
  • Novartis Investigative Site

    Saint-Herblain, 44805

    Recruiting

Other trials in France

Israel2 sites, 2 recruiting
  • Novartis Investigative Site

    Haifa, 3109601

    Recruiting
  • Novartis Investigative Site

    Tel Aviv, 6423906

    Recruiting

Other trials in Israel

Italy2 sites, 2 recruiting
  • Novartis Investigative Site

    Milan, MI, 20141

    Recruiting
  • Novartis Investigative Site

    Modena, MO, 41124

    Recruiting

Other trials in Italy

Spain2 sites, 2 recruiting
  • Novartis Investigative Site

    Barcelona, 08035

    Recruiting
  • Novartis Investigative Site

    Barcelona, 08036

    Recruiting

Other trials in Spain

Czechia1 site, 1 recruiting
  • Novartis Investigative Site

    Brno, 656 53

    Recruiting

Other trials in Czechia

Japan1 site, 1 recruiting
  • Novartis Investigative Site

    Chuo Ku, Tokyo, 1040045

    Recruiting

Other trials in Japan

Singapore1 site, 1 recruiting
  • Novartis Investigative Site

    Singapore, 119074

    Recruiting

Other trials in Singapore

South Korea1 site, 1 recruiting
  • Novartis Investigative Site

    Seoul, Seoul, 03080

    Recruiting

Other trials in South Korea

Taiwan1 site, 1 recruiting
  • Novartis Investigative Site

    Tainan, 704

    Recruiting

Other trials in Taiwan

United Kingdom1 site, 1 recruiting
  • Novartis Investigative Site

    London, Oxford, OX3 7LE

    Recruiting

Other trials in United Kingdom

About this study

Official title: An Open-label, Multi-center, Phase I/II Study of ECI830 as a Single Agent and in Combination With Ribociclib and Endocrine Therapy in Patients With Advanced Hormone Receptor Positive, HER2-negative Breast Cancer and Advanced Solid Tumors

Phase I: Characterize safety and tolerability of ECI830 as a single agent and in combination with ribociclib and fulvestrant. Identify dose range for optimization/recommended dose for future studies.

Phase II: Assess the anti-tumor activity of ECI830 in combination with ribociclib and fulvestrant in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced breast cancer.

Read the detailed description

This is a first-in-human, open-label, phase I/II, multi-center study consisting of an ECI830 single agent treatment arm in patients with advanced HR+/HER2- breast cancer or other advanced solid tumors harboring CCNE1 amplification or extensive-stage small cell lung cancer (ES-SCLC), and a combination treatment arm of ECI830 with ribociclib and fulvestrant in patients with advanced breast cancer. Single agent escalation may be followed by an expansion part stratified by disease indication. The escalation of the combination arm may continue into a randomized, open label, Phase II with optional dose optimization in advanced breast cancer patients.

Being tested
ECI830, ribociclib, fulvestrant
Keywords
ECI830, Ribociclib, Fulvestrant, Breast cancer, CCNE1 amplification, Small cell lung cancer
Medical subject headings
Small Cell Lung Carcinoma, Breast Neoplasms

What participants receive

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

  • ECI830Drug

    Experimental

  • ribociclibDrug

    Also called Kisqali

    Approved medication

  • fulvestrantDrug

    Also called Faslodex

    Approved medication

Study groups in NCT06726148
Study groupRoleWhat they receive
ECI830 Single Agent (Arm A)ExperimentalPhase I
Receives: Drug: ECI830
Dose Escalation Combination ECI830 + ribociclib + fulvestrant (Arm B)ExperimentalPhase I
Receives: Drug: ECI830; Drug: ribociclib; Drug: fulvestrant
Ribociclib in combination with fulvestrant (Arm C)ExperimentalPhase II
Receives: Drug: ribociclib; Drug: fulvestrant
ECI830 in combination with fulvestrant (Arm D)ExperimentalPhase II
Receives: Drug: ECI830; Drug: fulvestrant
ECI830 in combination with ribociclib and fulvestrant (Arm E)ExperimentalPhase II
Receives: Drug: ECI830; Drug: ribociclib; Drug: fulvestrant
ECI830 in combination with ribociclib and fulvestrant (Arm F)ExperimentalPhase II

What is being measured

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

  1. Phase I: Incidence of dose-limiting toxicities (DLTs)

    A DLT is defined as an adverse event or abnormal laboratory value of Common Terminology Criteria for Adverse Events (CTCAE) grade ≥ 3 assessed as unrelated to disease, disease progression, inter-current illness or concomitant medications that occurs within the first 28 days of treatment. Other clinically significant toxicities may be considered to be DLTs, even if not CTCAE grade 3 or higher.

    Measured: 2 years

  2. Phase I: Incidence of adverse events (AEs) and serious adverse events (SAEs)

    Number of participants with AEs and SAEs by treatment group, including changes in vital signs, electrocardiograms (ECGs) and laboratory results qualifying and reported as AEs.

    Measured: 2 years

  3. Phase I: Number of participants with dose interruptions, reductions and discontinuations

    Assessment of tolerability. For patients who do not tolerate the protocol-specified dosing schedule, dose adjustments are permitted in order to allow patients to continue the study treatment.

    Measured: 2 years

  4. Phase II: PFS rate at 6 months per local response evaluation criteria in solid tumors (RECIST) v1.1

    Progression Free Survival (PFS) rate at 6 months is defined as the proportion of patients who are alive and progression-free per RECIST v1.1 at 6 months.

    Measured: 6 months

Secondary outcomes (11)
  1. Phase I and II: Area under the plasma concentration-time curve (AUC) of ECI830 and ribociclib

    Pharmacokinetic (PK) parameters calculated based on ECI830 and ribociclib plasma concentrations by using non-compartmental methods.

    Measured: From pre-dose up to 24 hours post-dose in Cycle 1. One cycle=28 days.

  2. Phase I and II: Maximum observed plasma concentration (Cmax) of ECI830 and ribociclib

    PK parameters calculated based on ECI830 and ribociclib plasma concentrations by using non-compartmental methods.

    Measured: From pre-dose up to 24 hours post-dose in Cycle 1. One cycle=28 days.

  3. Phase I and II: Best overall response (BOR) per RECIST v1.1

    BOR per RECIST v1.1 is defined as the best overall confirmed response recorded from the start of the treatment until progressive disease (PD), death, start of new therapy, withdrawal of consent or end of study, whatever comes first.

    Measured: 2 years

  4. Phase I and II: Overall response rate (ORR) per RECIST v1.1

    ORR per RECIST v1.1 is defined as the proportion of patients with a BOR of Complete response (CR) or Partial response (PR) according to RECIST v1.1 as per local review.

    Measured: 2 years

  5. Phase I and II: Disease control rate (DCR) per RECIST v1.1

    DCR per RECIST v1.1 is defined as the proportion of patients with a BOR of CR, PR, or Stable disease (SD) according to RECIST v1.1 as per local review.

    Measured: 2 years

  6. Phase I and II: Clinical benefit rate (CBR) per RECIST v1.1

    CBR per RECIST v1.1 is defined as the proportion of patients with a BOR of CR, PR, or an overall lesion response of SD or Non-CR/Non-PD which lasts for at least 24 weeks according to RECIST v1.1 as per local review.

    Measured: 2 years

  7. Phase I and II: Progression Free Survival (PFS) per RECIST v1.1

    PFS is defined as the time from the date randomization to the date of the first documented progression or death due to any cause.

    Measured: 2 years

  8. Phase II: Duration of Response (DOR) per RECIST v1.1

    DOR per RECIST v1.1 is the time between the first documented response (CR or PR) and the date of progression or death due to any cause.

    Measured: 2 years

  9. Phase II: Overall Survival (OS)

    OS is defined as the time between the date of randomization to the date of death due to any cause.

    Measured: 2 years

  10. Phase II: Incidence of adverse events (AEs) and serious adverse events (SAEs)

    Number of participants with AEs and SAEs by treatment group, including changes in vital signs, electrocardiograms (ECGs) and laboratory results qualifying and reported as AEs.

    Measured: 2 years

  11. Phase II: Number of participants with dose interruptions, reductions and discontinuations

    Assessment of tolerability. For patients who do not tolerate the protocol-specified dosing schedule, dose adjustments are permitted in order to allow patients to continue the study treatment.

    Measured: 2 years

Timeline

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

  1. First posted10 Dec 2024
  2. Study start3 Apr 2025
  3. Primary completion25 Sep 2028 (estimated)
  4. Study completion25 Sep 2028 (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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
280 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06726148
Sponsor's protocol ID
CECI830A12101
Other IDs
2024-517281-42
Status last verified
Aug 2026
First submitted
5 Dec 2024
Last updated
27 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.
Expanded access
Available

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing ECI830, ribociclib and fulvestrant in people with Advanced HR+/HER2- Breast Cancer and Advanced CCNE1-amplified Solid Tumors, run by Novartis Pharmaceuticals at 33 sites in 16 countries.

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 10 inclusion and 10 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: looking for participants now, as of the sponsor's last update on 27 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 sites in United States, Germany, Australia, Canada, China and 11 more countries. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Novartis Pharmaceuticals (1-888-669-6682, novartis.email@novartis.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase I: Incidence of dose-limiting toxicities (DLTs) (time frame: 2 years). The study lists 4 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 27 Aug 2026.

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