Phase 2
N=181
A Study of ZN-c5 in Subjects With Breast Cancer
Breast Cancer
Bottom Line
View on ClinicalTrials.gov: NCT03560531 ↗Enrolled (actual)
181
Serious AEs
13.8%
Results posted
Aug 2024
Primary outcome: Primary: Clinical Benefit Rate (CBR) for ZN-c5 as a Monotherapy — 7; 0; 1; 1 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- ZN-c5 (Drug); Palbociclib (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Zeno Alpha Inc.
- Primary completion
- Apr 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Clinical Benefit Rate (CBR) for ZN-c5 as a Monotherapy |
7; 0; 1; 1; 4; 1 | — |
| PRIMARY Best Overall Response (BOR) for ZN-c5 as a Monotherapy |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Monotherapy Only: Percentage of Participants With Progression-Free Survival (PFS) at 2 Months |
87.1; 66.7; 33.3; 100.0; 73.3; 100.0 | — |
| SECONDARY Monotherapy Only: Percentage of Participants With Progression-Free Survival at 4 Months |
73.7; 33.3; 33.3; 50.3; 100.0; 62.5 | — |
| SECONDARY Monotherapy Only: Percentage of Participants With Progression-Free Survival at 6 Months |
64.5; 33.3; 16.7; 33.5; 66.7; 50.0 | — |
| SECONDARY Monotherapy Only: Percentage of Participants With Progression-Free Survival at 8 Months |
64.5; 0.0; 16.7; 16.8; 66.7; 37.5 | — |
| SECONDARY Monotherapy Only: Percentage of Participants With Progression-Free Survival at 10 Months |
55.2; 0.0; 16.7; 16.8; 0.0; 12.5 | — |
| SECONDARY Monotherapy Only: Percentage of Participants With Progression-Free Survival at 12 Months |
27.6; 0.0; 16.7; 16.8; 0.0; 12.5 | — |
| SECONDARY Monotherapy Only: Percentage of Participants With Overall Survival (OS) at 2 Months |
100.0; 100.0; 100.0; 100.0; 100.0; 100.0 | — |
| SECONDARY Monotherapy Only: Percentage of Participants With Overall Survival at 4 Months |
100.0; 100.0; 100.0; 100.0; 100.0; 100.0 | — |
| SECONDARY Monotherapy Only: Percentage of Participants With Overall Survival at 6 Months |
100.0; 100.0; 100.0; 100.0; 100.0; 100.0 | — |
| SECONDARY Monotherapy Only: Percentage of Participants With Overall Survival at 8 Months |
100.0; 100.0; 100.0; 100.0; 100.0; 100.0 | — |
| SECONDARY Monotherapy Only: Percentage of Participants With Overall Survival at 10 Months |
100.0; 100.0; 100.0; 83.3; 100.0; 100.0 | — |
| SECONDARY Monotherapy Only: Percentage of Participants With Overall Survival at 12 Months |
100.0; 100.0; 100.0; 83.3; 100.0; 100.0 | — |
| SECONDARY Objective Response Rate (ORR) for ZN-c5 as a Monotherapy |
0; 0; 0; 0; 1; 0 | — |
Summary
This is a Phase 1/2, open-label, multicenter, dose-escalation and expansion study to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of ZN-c5 administered orally in subjects with advanced estrogen receptor positive, human epidermal growth factor receptor 2 negative (ER+/HER2-) breast cancer. ZN-c5 will be evaluated both as monotherapy and in combination with palbociclib (IBRANCE®).
Eligibility Criteria
Inclusion Criteria
- Age ≥ 18 years of age
- Women can be postmenopausal, as defined by at least one of the following:
- Age ≥ 60 years;
- Age 6 months
- Evaluable or measurable disease by RECIST v1.1. Tumor lesions previously irradiated or subjected to other locoregional therapy will only be deemed measurable if progression at the treated site after completion of therapy is clearly documented.
Exclusion Criteria
- Prior anticancer or investigational drugs for the treatment of ER+/HER2 negative advanced breast cancer within the following windows:
- Tamoxifen, aromatase inhibitor, fulvestrant, or other anti-cancer endocrine therapy < 14 days before first dose of study treatment
- Any chemotherapy < 28 days before first dose of study, except for Phase 2 monotherapy which requires no prior chemotherapy treatment.
- Any investigational drug therapy < 28 days or 5 half-lives (whichever is shorter) prior to first dose of study treatment
- Unexplained symptomatic endometrial disorders (including, but not limited to endometrial hyperplasia, dysfunctional uterine bleeding, or cysts)
Data sourced from ClinicalTrials.gov (NCT03560531). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.