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ONO-4578-06:Phase I Study of ONO-4578 and Letrozole Plus CDK4 /6 Inhibitors in Breast Cancer

ONO-4578-06: Phase I , Open-label, Non-blind, First-line Endocrine Therapy With ONO-4578 and Standard Treatment Letrozole and CDK4/6 Inhibitors (Palbociclib or Abemaciclib) in Patients With Metastatic or Recurrent Postmenopausal Hormone Receptor-positive HER2-negative Breast Cancer

Status
Active, not recruiting
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06570031
Enrollment
46
Registered
2024-08-26
Start date
2021-11-09
Completion date
2026-04-30
Last updated
2025-07-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hormone Receptor-positive Breast Cancer, HER2-negative Breast Cancer, Metastatic Breast Cancer, Recurrent Breast Cancer

Keywords

Breast Cancer, Hormone Receptor-positive, HER2-negative, Metastatic, Recurrent

Brief summary

This is a multicenter, open-label, non-controlled, phase I study to investigate the tolerability and safety of ONO-4578 used in combination with standard-of-care letrozole and a CDK4/6 inhibitor (palbociclib or Abemaciclib) as first-line endocrine therapy in postmenopausal patients with metastatic or recurrent hormone receptor-positive, HER2-negative breast cancer.

Interventions

Specified dose on specified days

DRUGletrozole

Specified dose on specified days

DRUGPalbociclib

Specified dose on specified days

DRUGabemaciclib

Specified dose on specified days

Sponsors

Ono Pharmaceutical Co. Ltd
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Patients with postmenopausal metastatic or recurrent breast cancer 2. Patients with ECOG Performance Status 0 to 1 3. ER-positive, PgR-positive and HER2-negative patients

Exclusion criteria

1. Patients are unable to swallow oral medications 2. Patients with severe complication

Design outcomes

Primary

MeasureTime frame
Chest X-rayThrough study completion, an average of 4 year
12-lead electrocardiography (RR interval)Through study completion, an average of 4 year
12-lead electrocardiography (QRS width)Through study completion, an average of 4 year
Adverse eventsThrough study completion, an average of 4 year
Serious adverse eventsThrough study completion, an average of 4 year
Dose-limiting toxicity (Tolerability Confirmation part only)28 days
Laboratory abnormality profile of Drugs as measured by incidence and severity of clinical laboratory abnormalitiesThrough study completion, an average of 4 year
Body temperatureThrough study completion, an average of 4 year
Pulse rateThrough study completion, an average of 4 year
Systolic/diastolic blood pressureThrough study completion, an average of 4 year
Saturation of Percutaneous Oxygen (SpO2)Through study completion, an average of 4 year
WeightThrough study completion, an average of 4 year
Eastern Cooperative Oncology Group Performance StatusThrough study completion, an average of 4 year
12-lead electrocardiography (QT interval)Through study completion, an average of 4 year
CT scanThrough study completion, an average of 4 year
12-lead electrocardiography (Heart rate)Through study completion, an average of 4 year
12-lead electrocardiography (PR interval)Through study completion, an average of 4 year

Secondary

MeasureTime frame
Disease control rate (DCR)Through study completion, an average of 4 year
Clinical benefit rate (CBR)Through study completion, an average of 4 year
Overall survival (OS)Through study completion, an average of 4 year
Progression-free survival (PFS)Through study completion, an average of 4 year
Duration of response (DOR)Through study completion, an average of 4 year
Time to response (TTR)Through study completion, an average of 4 year
Best overall response (BOR)Through study completion, an average of 4 year
Percent change in the sum of diameters of target lesionsThrough study completion, an average of 4 year
Maximum percent change in the sum of diameters of target lesionsThrough study completion, an average of 4 year
Changes in tumor markersThrough study completion, an average of 4 year
Plasma ONO-4578 concentrationThrough study completion, an average of 4 year
Overall response rate (ORR)Through study completion, an average of 4 year

Countries

Japan

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026