AzTrials
AzTrials

Breast CancerPhase 1/2TRINITI-1NCT02732119

Study of Ribociclib With Everolimus + Exemestane in HR+ HER2- Locally Advanced/Metastatic Breast Cancer Post Progression on CDK 4/6 Inhibitor.

A Phase 1/2 study testing Ribociclib, Everolimus and Exemestane in people with Breast Cancer, run by Novartis Pharmaceuticals at 25 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is determine if the triplet combination of ribociclib, everolimus and exemastane is safe and effective in the treatment of locally advanced/metastatic breast cancer following treatment with a CDK 4/6 inhibitor Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Breast Cancer
What is being tested?
Ribociclib, Everolimus and Exemestane
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
104 participants
Where
25 sitesUnited States
Study dates
14 Jun 2016to 25 Feb 2020
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult men and women
  • Patient has a confirmed diagnosis of estrogen-receptor positive and/or progesterone receptor positive breast cancer by local laboratory and has HER2-negative breast cancer
  • Patient must have either measurable disease by RECIST 1.1 or bone lesions in absence of measurable disease.
  • ECOG Performance Status 0 - 1
  • Disease refractory to either, AI, tamoxifen or fulvestrant
  • Previously treated on any CDK 4/6 inhibitor.
  • Patient has adequate bone marrow and organ function.

Who cannot join

  • Patient with symptomatic visceral disease or any disease burden that makes the patient ineligible for endocrine therapy per the investigator's best judgment.
  • Patient has received more than one line of chemotherapy for advanced disease.
  • Previous treatment with mTOR inhibitors, or exemestane for advanced disease.
  • Progressed on more than one CDK 4/6 inhibitor
  • Patient with CNS involvement unless they are at least 4 weeks from prior therapy completion.
  • Clinically significant, uncontrolled heart disease and/or recent cardiac events.

Trial locations and contacts

25 sites in 1 country.

25 sites in 1 country

United States25 sites
  • Atlanta Cancer Center

    Atlanta, Georgia

  • Massachusetts General Hospital Mass Gen Hos Cancer Center

    Boston, Massachusetts, 02114

  • Ironwood Cancer and Research Centers Ironwood Cancer

    Chandler, Arizona, 85224

  • Florida Cancer Research Institute Dept of Oncology

    Davie, Florida, 33328

  • Henry Ford Health System

    Detroit, Michigan, 48202

  • Highlands Oncology Group

    Fayetteville, Arkansas, 72703

  • Florida Cancer Specialists FL Cancer Specialists

    Fort Myers, Florida, 33901

  • Penn State Hershey Cancer Institute

    Hershey, Pennsylvania, 17033

  • Oncology Consultants Oncology Consultants

    Houston, Texas, 77024

  • MD Anderson Cancer Center/University of Texas MDACC

    Houston, Texas, 77030

  • St. Luke's Cancer Institute Regulatory

    Kansas City, Missouri, 64111

  • Research Medical Center HCA Midwest Division

    Kansas City, Missouri, 64132

  • Saint Barnabas Medical Center

    Livingston, New Jersey, 07039

  • UCLA Department of Medicine UCLA Hematology/Oncology

    Los Angeles, California, 90095

  • Sarah Cannon Research Institute Sarah Cannon Research Insti

    Nashville, Tennessee, 37203

  • Yale University School of Medicine Smilow Cancer Hospital

    New Haven, Connecticut, 06511

  • UF Health Cancer Center at Orlando Health UF Health (4)

    Orlando, Florida, 32806

  • University of Pennsylvania Medical Center Abramson Cancer Ctr of the Uni

    Philadelphia, Pennsylvania, 19104

  • Huntsman Cancer Institute Huntsman Cancer Insti

    Salt Lake City, Utah, 84112

  • University of California San Francisco Comprehensive Cancer Center

    San Francisco, California, 94115

  • Central Coast Medical Oncology Corporation Onc Dept

    Santa Maria, California, 93454

  • Washington University School of Medicine Washington U School of Medicin

    St Louis, Missouri, 63110

  • Florida Cancer Specialists-North

    St. Petersburg, Florida, 33705

  • Northwest Medical Specialties Dept of Onc

    Tacoma, Washington, 98405

  • University of Kansas Cancer Center Univ of KS CC Medical Pavilion

    Westwood, Kansas, 66205

Other trials in United States

About this study

Official title: A Phase I/II, Single Arm, Open-label Study of Ribociclib in Combination With Everolimus + Exemestane in the Treatment of Men and Postmenopausal Women With HR+, HER2- Locally Advanced or Metastatic Breast Cancer Following Progression on a CDK 4/6 Inhibitor

The purpose of this study is determine if the triplet combination of ribociclib, everolimus and exemastane is safe and effective in the treatment of locally advanced/metastatic breast cancer following treatment with a CDK 4/6 inhibitor

Read the detailed description

This trial had two phases. The purpose of Phase I dose escalation and dose de-escalation was to determine the maximum tolerated doses (MTDs) and/or identify the recommended Phase II dose (RP2D) of the combination treatment of ribociclib+ everolimus + exemestane. The dosing was continuous in adult men and postmenopausal women with HR+ HER2-negative advanced breast cancer which was resistant to the non-steroidal aromatase inhibitors, fulvestrant or tamoxifen.

The purpose of the phase II portion of this trial was to evaluate the anti-tumor activity of exemestane, everolimus and ribociclib combination therapy following progression on a CDK 4/6 inhibitor.

The planned duration of the study was 30 months.

Conditions
Breast Cancer
Being tested
Ribociclib, Everolimus, Exemestane
Keywords
HR-positive, HER2-negative, Advanced breast cancer, LEE011, ribociclib, everolimus, Afinitor, exemestane, Aromasin, CDK, CDK4, CDK6, CDK4/6, CDK4/6 inhibitor, Phase I, Phase II, ER-positive, PR-positive, Postmenopausal, adult
Medical subject headings
Breast Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RibociclibDrug

    supplied in 50 mg, 200 mg capsules/tablets taken orally and dosed daily for 28 day cycle

  • EverolimusDrug

    supplied in 2.5 mg tablets taken orally, daily for 28 day cycle

  • ExemestaneDrug

    supplied in 25 mg tablets taken orally, daily for 28 day cycle

Study groups in NCT02732119
Study groupRoleWhat they receive
Cohort AExperimentalRibociclib (250 mg daily), everolimus (2.5 mg daily) and exemestane (25 mg daily) taken orally for 28 days. If no DLTs occurred, progressed to Cohort B
Receives: Drug: Ribociclib; Drug: Everolimus; Drug: Exemestane
Cohort BExperimentalRibociclib (300 mg daily), everolimus (2.5 mg daily) and exemestane (25 mg daily) taken orally
Receives: Drug: Ribociclib; Drug: Everolimus; Drug: Exemestane
Cohort CExperimentalRibociclib (200 mg daily), everolimus (5 mg daily) and exemestane (25 mg daily) taken orally
Receives: Drug: Ribociclib; Drug: Everolimus; Drug: Exemestane
Group 1ExperimentalRibociclib (300 mg daily), everolimus (2.5 mg daily) and exemestane (25 mg daily) taken orally
Receives: Drug: Ribociclib; Drug: Everolimus; Drug: Exemestane
Group 2ExperimentalRibociclib (200 mg daily), everolimus (5 mg daily) and exemestane (25 mg daily) taken orally
Receives: Drug: Ribociclib; Drug: Everolimus; Drug: Exemestane

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Participants With Dose Limiting Toxicities by Preferred Term in Cycle 1 (28 Days) - in Phase I

    A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value assessed as having a reasonably possible relationship to the study medication(s) and is unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first 28 days of treatment (cycle 1) and meets any of the criteria defined in the protocol. National Cancer Institute Common Terminology Criteria for Adverse events (NCI CTCAE) version 4.03 will be used for all grading.

    Measured: Baseline up to 28 days

  2. Clinical Benefit Rate as Per Central Review by Group- Phase II

    Clinical Benefit Rate (CBR) is defined as the percentage of participants with a complete response (CR) or partial response (PR) or with stable disease (SD) as per Response Evaluation Criteria in Solid Tumors (RECIST) V1.1 or Non-Complete Response or Non-Progressive Disease (NCRNPD) during first 24 weeks of first dose. CR=disappearance of all non-nodal target lesions, PR=at least a 30% decrease in the sum of diameter of all target lesions, SD=neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease (PD), PD=at least a 20% increase in the sum of diameter of all target lesions.

    The hypothesis was to be rejected if the lower limit of the 95% Confidence Interval for Clinical Benefit Rate (CBR) was greater than 10%.

    Measured: From baseline up to 24 weeks

  3. Best Overall Responses (BOR) Summary Table as Per Central Review by Group - Phase II

    Complete response (CR) or partial response (PR), or stable disease (SD) at 24 weeks as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or Non-CR Non-PD (NCRNPD) at Week 24.

    Measured: Baseline up to 24 weeks and at 24 weeks

Secondary outcomes (8)
  1. Everolimus Pharmacokinetic Plasma Concentrations by Cohort - Phase I

    Plasma concentrations; below limit of quantitation values set to zero

    Measured: Cycle 1,2: Day 1 and 15 - pre-dose, 2 and 4 hour post dose, Cycle 3 , Day 1 - pre-dose

  2. Best Overall Responses (BOR) Summary Table as Per Central Review by Cohort - Phase I

    Complete response (CR) or partial response (PR), or stable disease (SD)as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or Non-CR Non-PD (NCRNPD)

    Measured: From baseline up to 24 weeks

  3. Clinical Benefit Rate as Per Central Review by Dose Cohort - Phase I

    Clinical Benefit Rate (CBR) is defined as the percentage of patients with a complete response (CR) or partial response (PR) or with stable disease (SD) at 24 weeks as per Response Evaluation Criteria in Solid Tumors (RECIST) V1.1 or Non-Complete Response Non-Progressive Disease (NCRNPD) up to Week 24 and at Week 24.

    Measured: Baseline up to 24 weeks and at week 24

  4. Summary of Progression-free Survival (PFS) (Months), as Per Central Review by Group - Phase II

    Progression is defined as <= 12 weeks after randomization/ start of treatment (and not qualifying for CR, PR or SD).

    Measured: Baseline up to approximately 32 months

  5. Overall Survival (OS) by Group - Phase II

    Overall survival is the time from date of first treatment to the date of death due to any cause. If a patient is not known to have died, survival will be censored at the last date of contact.

    Measured: Baseline up to approximately 32 months

  6. Duration of Overall Response (DOR) by Group - Phase II

    Patients whose best response is complete response (CR) or partial response (PR). The start date is the date of first documented response (CR or PR) and the end date is the date of first documented progression or death due to underlying cancer.

    Measured: Baseline up to approximately 16 months

  7. Time to Definitive Deterioration of ECOG Performance Status in One Category of the Score by Group - Phase II

    Time to definitive deterioration of ECOG performance status in one category of score is defined as the time from the date of randomization to the date of event, which is defined as at least one score lower than the baseline.

    Measured: Baseline up to approximately 8 months

  8. Everolimus Pharmacokinetic Plasma Concentrations - Phase II

    Plasma concentrations; below limit of quantitation values set to zero

    Measured: Cycle 1,2: Day 1 and 15 - pre-dose, 2 and 4 hour post dose, Cycle 3 , Day 1 - pre-dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Apr 2016 (estimated)
  2. Study start14 Jun 2016
  3. Primary completion25 Feb 2020
  4. Study completion25 Feb 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
104 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02732119
Sponsor's protocol ID
CLEE011XUS29
Acronym
TRINITI-1
Status last verified
Apr 2021
First submitted
4 Apr 2016
Last updated
5 May 2021
Data monitoring committee
Yes
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. his trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Ribociclib, Everolimus and Exemestane in people with Breast Cancer, run by Novartis Pharmaceuticals at 25 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 May 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 May 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Participants With Dose Limiting Toxicities by Preferred Term in Cycle 1 (28 Days) - in Phase I (time frame: Baseline up to 28 days). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 May 2021; AzTrials last refreshed its copy on 8 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in