Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT07137871

Clinical Trial of Avasopasem in Patients With Metastatic Hormone Receptor Positive Breast Cancer With Progression on a CDK 4/6 Inhibitor and Hormonal Therapy

Led by The University of Texas Health Science Center at San Antonio · Updated on 2025-10-31

35

Participants Needed

1

Research Sites

156 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study aims to evaluate the safety of avasopasem in combination with CDK 4/6 inhibitor and hormonal therapy in women with metastatic hormone receptor positive breast cancer, and to see if the addition of avasopasem improves the effectiveness of a CDK 4/6 inhibitor and hormonal therapy.

CONDITIONS

Official Title

Clinical Trial of Avasopasem in Patients With Metastatic Hormone Receptor Positive Breast Cancer With Progression on a CDK 4/6 Inhibitor and Hormonal Therapy

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically confirmed diagnosis of hormone receptor positive, HER2 negative metastatic breast cancer
  • Estrogen or progesterone receptor positivity defined as at least 10% tumor cell nuclei positive by immunohistochemistry
  • HER2 negative defined by IHC 0 or 1+, or non-gene amplified if IHC 2+
  • Progression on treatment with ribociclib or abemaciclib plus hormonal therapy
  • Previous use of palbociclib allowed if stable on ribociclib or abemaciclib for at least three months due to toxicity management
  • Hormonal therapy must be an aromatase inhibitor or fulvestrant; tamoxifen use excludes participation
  • Men and pre/perimenopausal women must be on ovarian suppression with an LHRH agonist
  • Measurable disease by RECIST 1.1 criteria
  • Females of child-bearing potential must agree to use adequate contraception during and after study participation
  • Age 18 years or older at consent
  • Estimated life expectancy of at least 12 weeks
  • ECOG performance status of 0 or 1
  • Adequate organ and bone marrow function as defined
  • Patients with treated brain metastases with no progression on imaging at least 6 weeks post-treatment
  • Sufficient samples available for specimen requirements
  • Cardiac function class 2B or better per NYHA classification
  • Ability and willingness to provide informed consent
Not Eligible

You will not qualify if you...

  • Receipt of any systemic therapy in the metastatic setting other than hormonal therapy plus a CDK 4/6 inhibitor
  • Untreated new or progressive brain metastases or leptomeningeal disease
  • Use of concomitant nitrates and PDE5 inhibitors
  • Use of potent CYP3A4 inhibitors or inducers that cannot be stopped two weeks before trial enrollment
  • Any illness or condition interfering with study compliance or safety, including uncontrolled HIV or hepatitis
  • Currently pregnant or breastfeeding
  • History of another invasive malignancy within 2 years except local skin cancers

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Mays Cancer Center, UT Health San Antonio

San Antonio, Texas, United States, 78229

Actively Recruiting

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Research Team

K

Kate Lathrop, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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