Phase 1b Study of OP-1250 (Palazestrant) in Combination With Ribociclib, Alpelisib, Everolimus, or Atirmociclib in ER+, HER2- Breast Cancer

Recruiting now · Phase 1

Conditions studied: Metastatic Breast Cancer, ER-positive Breast Cancer, HER2-negative Breast Cancer, Breast Cancer, Locally Advanced Breast Cancer

In brief

This is a Phase 1b open-label, 2-part study in 3 treatment groups. The 3 treatment groups are as follows: Treatment Group 1: Palazestrant (OP-1250) in combination with ribociclib (KISQALI®, Novartis Pharmaceuticals Corporation). Treatment Group 2: Palazestrant (OP-1250) in combination with alpelisib (PIQRAY®, Novartis Pharmaceuticals Corporation). Treatment Group 3: Palazestrant (OP-1250) in combination with everolimus. Treatment Group 4: Palazestrant (OP-1250) in combination with atirmociclib.

Key facts

Study ID: NCT05508906
Run by: Olema Pharmaceuticals, Inc.
People needed: 190
Starts: 2022-08-31
Expected to finish: 2028-01-31
Last updated by the study team: 2025-10-22

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Female or male aged >18 years.
Willing and able to participate and comply with all study requirements.
Histologically- or cytologically-confirmed advanced or metastatic Breast Cancer (mBC).
ER+/HER2- disease, as determined in the most recently obtained archival tumor tissue sample from a metastatic site, using locally accepted criteria by the local pathology report.
Evaluable disease with one of the following: Measurable disease, ie, at least 1 measurable lesion as per RECIST 1.1 (a lesion at a previously irradiated site may only be counted as a target lesion if there is clear sign of progression since the irradiation) OR patients with predominantly bone disease (with or without other non-measurable lesions) are allowed if it is possible to evaluate on radiological examinations (eg. bone scan, PET/CT, CT, MRI) even if lesions are non-measurable according to RECIST 1.1.
Life expectancy ≥6 months, as judged by the investigator.
Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1.
Has received no more than 1 prior hormonal regimen (Treatment Group 1). Has received no more than 2 prior hormonal regimens (Treatment Group 2 and Treatment Group 3) . Has received no more than 2 prior hormonal regimens for metastatic disease in Part 1 (Dose Escalation) and no more than 1 prior hormonal regimes in Part 2 (Dose Expansion) for metastatic disease, regardless of type of endocrine agent (Treatment Group 4) for advanced or metastatic disease. Prior hormonal regimens in combination with CDK4/6 inhibitors are allowed in all treatment groups. For subjects in Treatment Group 4, no prior chemotherapy for metastatic breast cancer is allowed.
Has received no more than 1 prior chemotherapy (which includes antibody drug conjugates) for locally advanced or metastatic breast cancer.

You may not qualify if…

Prior or concurrent malignancy whose natural history or treatment may interfere with the safety or efficacy assessment of the investigational regimen.
Clinically significant, uncontrolled heart disease and/or cardiac repolarization abnormality.
History of cerebral vascular disease within 6 months prior to the first administration of study drug dose.
History of a pulmonary embolism, or deep venous thrombosis within the last 6 months, or subject has an increased risk of thrombosis as determined by the investigator.
History of pneumonitis or interstitial lung disease.
Leptomeningeal disease or spinal cord compression.
Medical history or ongoing gastrointestinal disorders that could affect absorption of oral therapeutics.
Known human immunodeficiency virus infection.
Known clinically significant history of liver disease consistent with Child-Pugh Class B or C, including active viral or other hepatitis (eg, hepatitis B or hepatitis C virus), current alcohol abuse, or cirrhosis.
History of severe cutaneous reaction, such as Stevens-Johnson syndrome, erythema multiforme, toxic epidermal necrolysis, or drug reaction with eosinophilia and systemic symptoms.
Active infection or at a high risk of developing a serious infection (e.g. participants with immunodeficiencies, uncontrolled diabetes mellitus, uncontrolled heart disease, poor general health, poor nutritional status).
Has clinically significant co-morbidities, such as, psychiatric disease, or any other condition that could impact the ability of the subject to participate in this study or otherwise has the potential to confound the study results.
Have received prior treatment with OP-1250.
Have received prior treatment with approved or investigational PI3K inhibitor (Treatment Group 2) or mTOR inhibitor (Treatment Group 3).

Where it is running

Banner MD Anderson Cancer Center — Gilbert, Arizona, United States (enrolling)
University of California San Francisco Health — San Francisco, California, United States (enrolling)
University of Colorado Cancer Center — Aurora, Colorado, United States (enrolling)
Advent Health Hematology and Oncology — Orlando, Florida, United States (enrolling)
University of Iowa — Iowa City, Iowa, United States (enrolling)
Dana Farber Cancer Institute — Boston, Massachusetts, United States (enrolling)
Henry Ford Health — Detroit, Michigan, United States (enrolling)
Regents of the University of Minnesota — Minneapolis, Minnesota, United States (enrolling)
Washington University, School of Medicine — St Louis, Missouri, United States (enrolling)
Ichan School of Medicine at Mount Sinai — New York, New York, United States (enrolling)
Atrium Health Levine Cancer Institute — Charlotte, North Carolina, United States (enrolling)
Henry-Joyce Cancer Clinic, The Vanderbilt Clinic — Nashville, Tennessee, United States (enrolling)
MD Anderson Cancer Center — Houston, Texas, United States (enrolling)
Northwest Medical Specialties — Tacoma, Washington, United States (enrolling)
Macquarie Health — Sydney, New South Wales, Australia (enrolling)
Breast Cancer Research Center- Western Australia — Nedlands, Western Australia, Australia (enrolling)

Full record on ClinicalTrials.gov

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