- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06169371
Abemaciclib Dose Escalation to Maintain Intensity (ADE-MI) (BRE-09)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Dose escalation (DE) was shown to minimize the rates of Grade 3 diarrhea in the setting for HER2+ breast cancer. DE can improve tolerability for drugs such as abemaciclib. This is a post-marketing single arm, phase IV trial in which patients with high-risk early-stage HR+HER2- breast cancer will receive adjuvant abemaciclib in combination with endocrine therapy (ET) After study intervention, participants will remain on combination abemaciclib + ET at the discretion of their treating providers
In this study, the investigators we will test the hypothesis that gradual up-titration of abemaciclib dose over a course of 3-4 weeks will decrease the rate of G3 or worse diarrhea, permitting more patients to remain at the intended dose when evaluated at day 84
Study Type
Enrollment (Estimated)
Phase
- Phase 4
Contacts and Locations
Study Contact
- Name: VK Gadi, MD
- Phone Number: 312-4135309
- Email: vkgadi@uic.edu
Study Contact Backup
- Name: Mercedes Carrasquillo, MPH
- Phone Number: 312-413-1902
- Email: micarras@uic.edu
Study Locations
-
-
Illinois
-
Chicago, Illinois, United States, 60612
- Recruiting
- University of Illinois
-
Contact:
- Mercedes Carrasquillo, MPH
- Phone Number: 312-413-1902
- Email: micarras@uic.edu
-
Contact:
- VK Gadi, MD
- Phone Number: 3124135309
- Email: vkgadi@uic.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- ECOG 0-2
- Histologically confirmed early-stage HR+HER2- breast cancer documented by biopsy who are prescribed adjuvant abemaciclib
- Able to provide written informed consent and HIPAA authorization for release of personal health information, via an approved UIC Institutional Review Board (IRB) informed consent form and HIPAA authorization.
- Women of childbearing potential must not be pregnant or breast-feeding. A negative serum or urine pregnancy test is required per institutional practice guidelines.
- As determined at the discretion of the enrolling physician or protocol designee, ability of the subject to understand and comply with study procedures for the entire length of the study.
Exclusion Criteria:
- Chronic history of diarrhea
- Active infection requiring systemic therapy
- Uncontrolled HIV/AIDS or active viral hepatitis
- Pregnant or nursing
- Any prior or concurrent malignancy whose natural history or treatment has the potential to interfere with the safety or efficacy assessment of this investigational regimen, as determined by the treating medical oncologist.
- Other major comorbidity as determined by study PI
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Increase the proportion of subjects on FDA approved dose of Abemaciclib (150mg BID) at day 84
Time Frame: Day 84
|
Number of subjects that continue to receive Abemaciclib 150mg BID for 84 days
|
Day 84
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
How many days with Grade 2 or greater of diarrhea in the first month
Time Frame: 1 month
|
Number of days with Grade 2 or greater in the first month
|
1 month
|
Rate of Grade 3 or greater of diarrhea in the first 3 months
Time Frame: 3 months
|
Nuber of subjects who experienced Grade 3 or greater by the total number of subjects enrolled
|
3 months
|
Subject reported outcomes regarding adverse events
Time Frame: 5 years
|
Toxicity grade as defined by the NCI Common Terminology Criteria for Adverse Events (CTCAE) version 5.0
|
5 years
|
Disease Free Survival (DFS)
Time Frame: 1 year
|
Number of subjects that have DFS from D1 of treatment until the criteria for disease progression as defined by RECIST 1.1 or death
|
1 year
|
Disease Free Survival (DFS)
Time Frame: 2 years
|
Number of subjects that have DFS from D1 of treatment until the criteria for disease progression as defined by RECIST 1.1 or death
|
2 years
|
Overall Survival (OS)
Time Frame: 1 year
|
OS is defined as the time from D1 of treatment until death
|
1 year
|
Overall Survival (OS)
Time Frame: 2 years
|
OS is defined as the time from D1 of treatment until death
|
2 years
|
Overall Survival (OS)
Time Frame: 3 years
|
OS is defined as the time from D1 of treatment until death
|
3 years
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 2023-0433
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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