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Hormone Therapy

RLY-2608 + Fulvestrant for Breast Cancer

Phase 1
Recruiting
Research Sponsored by Relay Therapeutics, Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Had previous treatment for advanced or metastatic breast cancer with specified medications
Male or female with histologically or cytologically confirmed diagnosis of HR+, HER2- unresectable or metastatic breast cancer that is not amenable to curative therapy
Must not have
Type 1 or Type 2 diabetes requiring antihyperglycemic medication, or fasting plasma glucose ≥140 mg/dL and glycosylated hemoglobin (HbA1c) ≥7.0%
Familial history of prolonged QT syndrome
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights

Summary

This trial is designed to study the maximum tolerated dose, safety, and preliminary anti-cancer activity of RLY-2608 in patients with advanced solid tumors who have a PIK3CA mutation. The trial will have two parts: a dose escalation (Part 1) and a dose expansion (Part 2).

Who is the study for?
This trial is for adults with advanced solid tumors or breast cancer that can't be removed by surgery, have worsened despite standard treatments, or who cannot tolerate such treatments. Participants must have a specific gene mutation (PIK3CA), be in good physical condition (ECOG 0-1), and not have certain health issues like uncontrolled diabetes or heart disease.
What is being tested?
The study tests RLY-2608 alone and combined with fulvestrant, plus CDK4/6 inhibitors palbociclib or ribociclib in patients with hormone receptor-positive, HER2-negative advanced breast cancer. It aims to find the safest dose that works best (dose escalation) and then see how well it works at this dose (dose expansion).
What are the potential side effects?
Possible side effects include high blood sugar levels, skin reactions like rash, digestive problems such as diarrhea and mouth sores. Severe allergic reactions are also possible but rare. The combination of drugs could affect heart rhythm or cause lung issues.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have been treated for advanced breast cancer with specific drugs.
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I have breast cancer that cannot be surgically removed or cured, and it is hormone receptor positive and HER2 negative.
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I am fully active or can carry out light work.
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My condition hasn't improved with standard treatments, or I can't tolerate them.
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My cancer has a PIK3CA mutation.
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My cancer is confirmed to be advanced and cannot be removed by surgery.
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My cancer is advanced, cannot be surgically removed, and has a PIK3CA mutation.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have diabetes and take medication, or my blood sugar and HbA1c levels are high.
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My family has a history of prolonged QT syndrome.
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I have a history of abnormal heart rhythms.
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I have a serious heart condition that is not under control.
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My brain tumor is getting worse and affecting my nervous system.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 5 years for reporting.

Treatment Details

Trial Design

5Treatment groups
Experimental Treatment
Group I: RLY-2608+fulvestrant+ribociclib 600 mg for HR+ HER2- locally advanced or metastatic breast cancerExperimental Treatment3 Interventions
Oral dose of RLY-2608 in addition to fulvestrant and ribociclib 600mg as determined during Part 1 Dose Escalation.
Group II: RLY-2608+fulvestrant+ribociclib 400 mg for HR+ HER2- locally advanced or metastatic breast cancerExperimental Treatment3 Interventions
Oral dose of RLY-2608 in addition to fulvestrant and ribociclib 400mg as determined during Part 1 Dose Escalation.
Group III: RLY-2608+fulvestrant+palbociclib 125 mg for HR+ HER2- locally advanced or metastatic breast cancerExperimental Treatment3 Interventions
Oral dose of RLY-2608 in addition to fulvestrant and palbociclib 125mg as determined during Part 1 Dose Escalation.
Group IV: RLY-2608 for patients with unresectable or metastatic solid tumorsExperimental Treatment1 Intervention
Multiple doses of RLY-2608 for oral administration.
Group V: RLY-2608 + fulvestrant combination for HR+ HER2- locally advanced or metastatic breast cancerExperimental Treatment2 Interventions
Oral dose of RLY-2608 in addition to fulvestrant as determined during Part 1 Dose Escalation.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Fulvestrant
2011
Completed Phase 3
~3890
Palbociclib 125mg
2016
Completed Phase 4
~720

Find a Location

Who is running the clinical trial?

Relay Therapeutics, Inc.Lead Sponsor
2 Previous Clinical Trials
805 Total Patients Enrolled
1 Trials studying PIK3CA Mutation
265 Patients Enrolled for PIK3CA Mutation

Media Library

Fulvestrant (Hormone Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT05216432 — Phase 1
PIK3CA Mutation Research Study Groups: RLY-2608 for patients with unresectable or metastatic solid tumors, RLY-2608 + fulvestrant combination for HR+ HER2- locally advanced or metastatic breast cancer, RLY-2608+fulvestrant+ribociclib 400 mg for HR+ HER2- locally advanced or metastatic breast cancer, RLY-2608+fulvestrant+ribociclib 600 mg for HR+ HER2- locally advanced or metastatic breast cancer, RLY-2608+fulvestrant+palbociclib 125 mg for HR+ HER2- locally advanced or metastatic breast cancer
PIK3CA Mutation Clinical Trial 2023: Fulvestrant Highlights & Side Effects. Trial Name: NCT05216432 — Phase 1
Fulvestrant (Hormone Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05216432 — Phase 1
~125 spots leftby Dec 2025