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NCT02448771

A Study of Palbociclib in Combination With Bazedoxifene in Hormone Receptor Positive Breast Cancer

Completed Phase 1, PHASE2 Results posted Last updated 24 October 2022
What this trial tests

Phase 1, PHASE2 trial testing Palbociclib in Breast Cancer Stage IV in 36 participants. Completed in 3 March 2021.

Timeline
9 July 2015
Primary endpoint
12 August 2019
3 March 2021

Quick facts

Lead sponsorDana-Farber Cancer Institute
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment36
Start date9 July 2015
Primary completion12 August 2019
Estimated completion3 March 2021
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Dana-Farber Cancer Institute

Who can join

18 and older, female only, with Breast Cancer Stage IV or Unresectable Locally Advanced Invasive Breast Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Clinical Benefit Rate Primary · Assessed for response for up to 34 months

Clinical Benefit Rate is the percentage of participants who achieve clinical benefit from the study treatment. Clinical benefit is defined as at least 24 weeks of confirmed Complete Response (CR), Partial Response (PR), or Stable Disease (SD). SD or better is achieved if the following are true: Target Lesions: -At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of a

GroupValue95% CI
Palbociclib in Combination With Bazedoxifene339.8 – 56.4
Clinical Benefit Rate by ESR1 Genotype Primary · Assessed for response for up to 34 months

Clinical Benefit Rate is the percentage of participants who achieve clinical benefit from the study treatment. Clinical benefit is defined as at least 24 weeks of confirmed CR, PR, SD. SD or better is achieved if the following are true: Target Lesions: -At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Non-target Lesions: * No progression. * No

Wild Type
GroupValue95% CI
Palbociclib in Combination With Bazedoxifene3111.0 – 58.67
Mutant
GroupValue95% CI
Palbociclib in Combination With Bazedoxifene439.9 – 81.6
Percent of Participants With All Grade Neutrophil Count Decrease Primary · Baseline, until resolution or for 30 days after the subject's last study visit, up to 43 months.

Assessed by Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 regardless of whether the event is related or unrelated to treatment. Neutrophil counts are evaluated using established methods.

GroupValue95% CI
Palbociclib in Combination With Bazedoxifene61.145 – 77
Number of Participants With All Grade Neutrophil Count Decrease Secondary · Baseline, until resolution or for 30 days after the subject's last study visit, up to 43 months.

Assessed by Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 regardless of whether the event is related or unrelated to treatment. Neutrophil counts are evaluated using established methods.

GroupValue95% CI
Palbociclib in Combination With Bazedoxifene22
Objective Response Rate Secondary · Assessed for response for up to 34 months

The objective response rate is the proportion of participants achieving complete response (CR) or partial response (PR) on treatment based on Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1) criteria. PR or better is achieved if the following are true: Target Lesions: -At least a 30% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Non-target

GroupValue95% CI
Palbociclib in Combination With Bazedoxifene11.13.1 – 26.4
Median Progression-Free Survival Secondary · Up to 42 months

Progression free survival (PFS) is defined as the time from start of treatment to disease progression or death from any cause as estimated by Kaplan Meier methods. Progression is measured using RECIST 1.1 criteria, defined as at least a 20% increase in size in target lesion and/or unequivocal progression of non-target lesions and/or appearance of new lesions. Patients who have not progressed and are alive are censored at the date the patient is known to be progression-free.

GroupValue95% CI
Palbociclib in Combination With Bazedoxifene3.581.97 – 7.24
Median Overall Survival Secondary · Up to 42 months

Overall Survival (OS) is defined as the time from randomization (or registration) to death due to any cause, or censored at date last known alive.

GroupValue95% CI
Palbociclib in Combination With Bazedoxifene26.51.5 – 41.5
Median Progression-Free Survival for Patients by ESR1 Genotype Secondary · Up to 24 months

Progression free survival (PFS) is defined as the time from start of treatment to disease progression or death from any cause as estimated by Kaplan Meier methods. Patients who have not progressed and are alive are censored at the date the patient is known to be progression-free. ESR1 genotype is determined using established methods. Progression is measured using RECIST 1.1 criteria, defined as at least a 20% increase in size in target lesion and/or unequivocal progression of non-target lesions and/or appearance of new lesions

Mutant
GroupValue95% CI
Palbociclib in Combination With Bazedoxifene2.01.5 – 9.3
Wild Type
GroupValue95% CI
Palbociclib in Combination With Bazedoxifene3.61.9 – 5.7
Overall Survival by ESR1 Genotype Secondary · Up to 42 months

Overall Survival (OS) is defined as the time from randomization (or registration) to death due to any cause, or censored at date last known alive. ESR1 genotype determined by established methods.

Wild Type
GroupValue95% CI
Palbociclib in Combination With Bazedoxifene21.113.2 – NA
Mutant
GroupValue95% CI
Palbociclib in Combination With Bazedoxifene26.51.5 – NA
Objective Response Rate by ESR1 Genotype Secondary · Up to 34 months

The objective response rate is the proportion of participants achieving complete response (CR) or partial response (PR) on treatment based on Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1) criteria. PR or better is achieved if the following are true: Target Lesions: -At least a 30% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Non-target

Wild Type
GroupValue95% CI
Palbociclib in Combination With Bazedoxifene0
Palbociclib in Combination With Bazedoxifene0
Palbociclib in Combination With Bazedoxifene13
Palbociclib in Combination With Bazedoxifene5
Mutant
GroupValue95% CI
Palbociclib in Combination With Bazedoxifene0
Palbociclib in Combination With Bazedoxifene0
Palbociclib in Combination With Bazedoxifene3
Palbociclib in Combination With Bazedoxifene5

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline, until resolution or for 30 days after the subject's last study visit, up to 43 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Palbociclib in Combination With Bazedoxifene
Serious: 17/36 (47%)
Deaths: 17/36

Serious adverse events (8 terms)

ReactionSystemPalbociclib in Combination…
Neutrophil count decreasedInvestigations
AnemiaBlood and lymphatic system disorders
Bladder infectionInfections and infestations
Bronchial infectionInfections and infestations
Platelet count decreasedInvestigations
White blood cell decreasedInvestigations
DyspneaRespiratory, thoracic and mediastinal disorders
Thromboembolic eventVascular disorders
Other adverse events (98 terms — click to expand)

ReactionSystemPalbociclib in Combination…
FatigueGeneral disorders
Neutrophil count decreasedInvestigations
NauseaGastrointestinal disorders
Platelet count decreasedInvestigations
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
Mucositis oralGastrointestinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
AlopeciaSkin and subcutaneous tissue disorders
AnemiaBlood and lymphatic system disorders
Hot flashesVascular disorders
VomitingGastrointestinal disorders
PainGeneral disorders
Aspartate aminotransferase increasedInvestigations
HeadacheNervous system disorders
Alanine aminotransferase increasedInvestigations
AnorexiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Upper respiratory infectionInfections and infestations
White blood cell decreasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
Urinary frequencyRenal and urinary disorders
Blurred visionEye disorders
AscitesGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
Edema limbsGeneral disorders
Papulopustular rashInfections and infestations
Rhinitis infectiveInfections and infestations
Lymphocyte count decreasedInvestigations
HyponatremiaMetabolism and nutrition disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Postnasal dripRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders

Most-reported serious reactions: Neutrophil count decreased, Anemia, Bladder infection, Bronchial infection, Platelet count decreased, White blood cell decreased, Dyspnea, Thromboembolic event.

Data from ClinicalTrials.gov NCT02448771 adverse events section.

Sponsor's own description

This research study is studying a drug called Palbociclib in combination with Bazedoxifene (a type of endocrine therapy, which prevents breast cancer cell growth by blocking estrogen stimulation) as a possible treatment for this diagnosis. The names of the study interventions involved in this study are: * Palbociclib * Bazedoxifene

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Overcoming Endocrine Resistance in Breast Cancer.
    Hanker AB, Sudhan DR, Arteaga CL. · · 2020 · cited 686× · PMID 32289273 · DOI 10.1016/j.ccell.2020.03.009
  2. Cyclin D1, cancer progression, and opportunities in cancer treatment.
    Qie S, Diehl JA. · · 2016 · cited 527× · PMID 27695879 · DOI 10.1007/s00109-016-1475-3
  3. CDK4 and CDK6 kinases: From basic science to cancer therapy.
    Fassl A, Geng Y, Sicinski P. · · 2022 · cited 351× · PMID 35025636 · DOI 10.1126/science.abc1495
  4. CDK4/6 Inhibitors: The Mechanism of Action May Not Be as Simple as Once Thought.
    Klein ME, Kovatcheva M, Davis LE, Tap WD, et al · · 2018 · cited 308× · PMID 29731395 · DOI 10.1016/j.ccell.2018.03.023
  5. ESR1 mutation as an emerging clinical biomarker in metastatic hormone receptor-positive breast cancer.
    Brett JO, Spring LM, Bardia A, Wander SA. · · 2021 · cited 266× · PMID 34392831 · DOI 10.1186/s13058-021-01462-3
  6. The Strange Case of CDK4/6 Inhibitors: Mechanisms, Resistance, and Combination Strategies.
    Knudsen ES, Witkiewicz AK. · · 2017 · cited 218× · PMID 28303264 · DOI 10.1016/j.trecan.2016.11.006
  7. ESR1 mutations and therapeutic resistance in metastatic breast cancer: progress and remaining challenges.
    Herzog SK, Fuqua SAW. · · 2022 · cited 117× · PMID 34621045 · DOI 10.1038/s41416-021-01564-x
  8. Investigational chemotherapy and novel pharmacokinetic mechanisms for the treatment of breast cancer brain metastases.
    Shah N, Mohammad AS, Saralkar P, Sprowls SA, et al · · 2018 · cited 102× · PMID 29604436 · DOI 10.1016/j.phrs.2018.03.021

Verify or expand the search:

Other trials of Palbociclib

Trials testing the same drug.

Other recruiting trials for Breast Cancer Stage IV

Currently open trials in the same condition.

Other Dana-Farber Cancer Institute trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02448771.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing