A Study of GDC-0810 Versus Fulvestrant in Postmenopausal Women With Advanced or Metastatic Breast Cancer Resistant to Aromatase Inhibitor (AI) Therapy (HydranGea)
A Phase II, Open-Label, Randomized Study of GDC-0810 Versus Fulvestrant in Postmenopausal Women With Advanced or Metastatic ER+ /HER2- Breast Cancer Resistant to Aromatase Inhibitor Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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New South Wales
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Darlinghurst, New South Wales, Australia, 2010
- St Vincent's Hospital Sydney
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Port Macquarie, New South Wales, Australia, 2444
- Port Macquarie Base Hospital
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South Australia
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Kurralta Park, South Australia, Australia, 5037
- Adelaide Cancer Centre
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Tasmania
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Hobart, Tasmania, Australia, 7000
- Royal Hobart Hospital; Medical Oncology
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Victoria
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Footscray, Victoria, Australia, 3011
- Footscray Hospital
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Frankston, Victoria, Australia, 3199
- Peninsula and South Eastern Haematology and Oncology Group
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Richmond, Victoria, Australia, 3121
- Epworth HealthCare; Clinical Trials Centre
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Dresden, Germany, 01307
- Universitätsklinikum "Carl Gustav Carus" der Technischen Universität Dresden
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Hamburg, Germany, 20246
- Universitatsklinikum Hamburg-Eppendorf
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Koblenz, Germany, 56068
- Praxisklinik für Hämatologie und Onkologie Dres. Köppler/Heymans/Weide/Thomalla
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Krefeld, Germany, 47805
- HELIOS Klinikum Krefeld; Klinik für Frauenheilkunde und Geburtshilfe
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Muenchen, Germany, 80637
- Rotkreuzklinikum München; Frauenklinik
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Tuebingen, Germany, 72076
- Universitatsklinikum Tubingen
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Witten, Germany, 58452
- Marien Hospital Witten Gemeinnützige GmbH
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Daegu, Korea, Republic of, 41404
- Kyungpook National University Medical Center
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Goyang-si, Korea, Republic of, 10408
- National Cancer Center
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Seoul, Korea, Republic of, 03722
- Severance Hospital, Yonsei University Health System
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Seoul, Korea, Republic of, 08308
- Korea University Guro Hospital
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Seoul, Korea, Republic of, (0)6351
- Samsung Medical Center
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Ulsan, Korea, Republic of, 44033
- Ulsan University Hosiptal
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Barcelona, Spain, 08003
- Hospital del Mar
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Barcelona, Spain, 08035
- Hospital Universitari Vall d'Hebron
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Madrid, Spain, 28034
- Hospital Universitario Ramón y Cajal
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Madrid, Spain, 28041
- Hospital Universitario 12 de octubre
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Madrid, Spain, 28007
- Hospital General Universitario Gregorio Marañon
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Madrid, Spain, 28040
- Hosp. Clinico San Carlos
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Valencia, Spain, 46010
- Hospital Clinico Universitario de Valencia
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Cantabria
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Barcelona, Cantabria, Spain, 08036
- Hospital Clinic
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LA Coruña
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A Coruña, LA Coruña, Spain, 15006
- Complejo Hospitalario Universitario A Coruña; Servicio de Endocrinologia
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Lerida
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Lleida, Lerida, Spain, 25198
- Hospital Universitari Arnau de Vilanova
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Brighton, United Kingdom, BN2 5BE
- Royal Sussex County Hospital
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Edinburgh, United Kingdom, EH4 2XU
- Western General Hospital
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London, United Kingdom, W1G 6AD
- Sarah Cannon Research Institute
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London, United Kingdom, EC1A 7BE
- St Bartholomew'S Hospital
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London, United Kingdom, N7 9NH
- University College Hospital
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Macclesfield, United Kingdom, SK10 3BL
- Macclesfield District General Hospital
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Nottingham, United Kingdom, NG5 1PB
- Nottingham City Hospital
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Connecticut
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New Haven, Connecticut, United States, 06520
- Yale Cancer Center
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Florida
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Fort Myers, Florida, United States, 33908
- Florida Cancer Specialists-Broadway, Fort Myers
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Saint Petersburg, Florida, United States, 33705
- Florida Cancer Specialists (St. Petersburg - St. Anthony's Professional Building)
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Ohio
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Cincinnati, Ohio, United States, 45242
- Oncology Hematology Care Inc
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Tennessee
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Franklin, Tennessee, United States, 37067
- Tennessee Oncology PLLC
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Texas
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Fort Worth, Texas, United States, 76104
- The Center for Cancer and Blood Disorders - Fort Worth
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Houston, Texas, United States, 77030
- MD Anderson Cancer Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Postmenopausal women with histologically or cytologically confirmed invasive, ER+/HER- (defined by local guidelines) metastatic or inoperable, locally advance breast cancer
- Participants for whom endocrine therapy is recommended and treatment with cytotoxic chemotherapy is not indicated at time of entry into the study
- Participants must have measurable disease by RECIST v1.1 or non-measurable, evaluable disease with atleast one evaluable bone lesion by RECIST v1.1 based on radiologic scans within 28 days of Day 1 of Cycle 1
- Participants with radiologic/objective evidence of breast cancer recurrence or progression while on or within 6 months after the end of adjuvant treatment with an AI, or progression while on or within 1 month after the end of prior AI treatment for locally advanced or metastatic breast cancer
Exclusion Criteria:
- HER2-positive disease
- Prior treatment with fulvestrant
- Prior treatment with greater than (>) 1 cytotoxic chemotherapy regimen or >2 endocrine therapies for advanced or metastatic disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Active Comparator: Fulvestrant
Participants will receive 500 milligrams (mg) of fulvestrant as two intramuscular injections (250 mg each) on Day 1 and Day 15 of Cycle 1, and on Day 1 of each subsequent 28-day cycle until disease progression, unmanageable toxicity, withdrawal of consent, exhaustion of GDC-0810 drug supply, or termination of study by the Sponsor.
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Fulvestrant at a dose of 500 mg as two intramuscular injections will be administered on Day 1 and Day 15 of Cycle 1, and on Day 1 of each subsequent 28-day cycle.
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Experimental: GDC-0810
Participants will receive three 200 mg tablets (total dose = 600 mg) of GDC-0810 orally once daily until disease progression, unmanageable toxicity, withdrawal of consent, exhaustion of GDC-0810 drug supply, or termination of study by the Sponsor.
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GDC-0810 will be administered as tablets at a dose of 600 mg orally once daily.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Progression Free Survival (PFS) According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) in Intent-to-Treat (ITT) Population
Time Frame: From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 25 months)
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PFS was defined as the time from randomization to the first occurrence of disease progression, as determined by investigator review of tumor assessments using RECIST v1.1 or death on study from any cause.
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From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 25 months)
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PFS According to RECIST v1.1 in Participants With Estrogen Receptor (ESR)1 Mutations
Time Frame: From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 25 months)
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PFS was defined as the time from randomization to the first occurrence of disease progression, as determined by investigator review of tumor assessments using RECIST v1.1 or death on study from any cause.
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From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 25 months)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Overall Survival (OS)
Time Frame: From Day 1 to death from any cause, assessed up to end of study (up to approximately 25 months)
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OS is defined as the time from randomization to death from any cause.
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From Day 1 to death from any cause, assessed up to end of study (up to approximately 25 months)
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Percentage of Participants With Objective Response (Partial Response [PR] Plus Complete Response [CR]) According to RECIST v1.1
Time Frame: From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 25 months)
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Objective Response was defined as the percentage of participants who attained CR or PR.
CR: Disappearance of all target lesions and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm, PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters.
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From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 25 months)
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Duration of Response (DOR) Assessed Using RECIST v1.1
Time Frame: From objective response to PD or death from any cause, assessed up to end of study (up to approximately 25 months)
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DOR was defined as the time from first observation of an objective response until first observation of disease progression as assessed by the investigator according to RECIST v1.1 or death from any cause.
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From objective response to PD or death from any cause, assessed up to end of study (up to approximately 25 months)
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Percentage of Participants With Clinical Benefit (PR, CR, or Stable Disease, Lasting for At Least 24 Weeks) Assessed Using RECIST v1.1
Time Frame: From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 25 months)
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From Day 1 to PD or death from any cause, assessed up to end of study (up to approximately 25 months)
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Percentage of Participants With Adverse Events (AEs) and Serious AEs (SAEs)
Time Frame: From Day 1 to 28 days after last dose of study drug, assessed up to end of study (up to approximately 25 months)
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From Day 1 to 28 days after last dose of study drug, assessed up to end of study (up to approximately 25 months)
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GDC-0810 Plasma Concentrations by Visit
Time Frame: Predose (within 30 minutes of GDC-0810 administration) and 3 hours postdose on Day 1 of Cycles 1 and 3; Cycle length=28 days
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Concentration of GDC-0810 measured in plasma after a single dose (Cycle 1 Day 1) and at steady state (Cycle 3 Day 1)
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Predose (within 30 minutes of GDC-0810 administration) and 3 hours postdose on Day 1 of Cycles 1 and 3; Cycle length=28 days
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- GO29689
- 2015-000106-19 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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