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Platinum-based compound
Trilaciclib + Chemotherapy for Breast Cancer (PRESERVE 2 Trial)
Phase 3
Waitlist Available
Research Sponsored by G1 Therapeutics, Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Age >/= 18 years of age with evaluable locally advanced unresectable or metastatic TNBC
For Cohort 1: No prior systemic therapy in the locally advanced unresectable/metastatic setting including chemotherapy, targeted therapy, immunotherapy, or investigational agents
Must not have
Prior hematopoietic stem cell or bone marrow transplantation
Presence of central nervous system (CNS) metastases and/or leptomeningeal disease requiring immediate treatment with radiation therapy or steroids
Timeline
Screening 3 weeks
Treatment Varies
Follow Up cohort 2: from date of randomization up to 28 months
Awards & highlights
Pivotal Trial
Summary
This trial is testing a new drug to see if it is safe and effective in treating patients with a certain type of breast cancer.
Who is the study for?
This trial is for adults with advanced or metastatic triple-negative breast cancer who haven't had certain prior treatments, including PD-1/PD-L1 inhibitors and gemcitabine. They should be relatively healthy (ECOG 0 or 1) and have tumor tissue available for study. Pregnant women, those with known hypersensitivity to the drugs used, or recent chemotherapy recipients are excluded.
What is being tested?
The trial is testing Trilaciclib, a CDK 4/6 inhibitor, given before standard chemo drugs Gemcitabine and Carboplatin versus a placebo. It's designed to see if Trilaciclib improves outcomes in first- or second-line treatment of metastatic triple-negative breast cancer.
What are the potential side effects?
Trilaciclib may cause side effects like fatigue, nausea, low blood cell counts increasing infection risk, liver issues, and potential harm to an unborn baby; hence it's not for pregnant women. Standard chemo side effects include hair loss, nausea/vomiting.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am 18 or older with advanced triple-negative breast cancer that cannot be surgically removed.
Select...
I have not had any treatment for my advanced cancer.
Select...
I am 18 or older with advanced triple-negative breast cancer that cannot be surgically removed.
Select...
I have never been treated with PD-1/PD-L1 inhibitors.
Select...
I am fully active or restricted in physically strenuous activity but can do light work.
Select...
My breast cancer is triple negative.
Select...
It has been 6 months or more since my last curative treatment and the first sign of cancer spreading.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have had a bone marrow or stem cell transplant.
Select...
I need urgent treatment for cancer spread to my brain or spinal cord.
Select...
I have been treated with gemcitabine before.
Select...
I have been treated with carboplatin for advanced cancer that cannot be surgically removed.
Select...
I haven't had chemotherapy in the last 14 days.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ cohort 2: from date of randomization up to 28 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~cohort 2: from date of randomization up to 28 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Effect on Overall Survival (OS)
Secondary study objectives
Myeloprotective Effects
Progression Free Survival
Quality of life/Effects On Chemotherapy-Induced Fatigue
Awards & Highlights
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Trial Design
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Trilaciclib + gemcitabine + carboplatinExperimental Treatment3 Interventions
Trilaciclib (240mg/m2) + gemcitabine (1000 mg/m2) and carboplatin (AUC 2)
Group II: Placebo + gemcitabine + carboplatinPlacebo Group3 Interventions
The subjects in the placebo arm will follow the same schedule as the trilaciclib arm, but will receive placebo instead of trilaciclib.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Gemcitabine
2017
Completed Phase 3
~1920
Trilaciclib
2015
Completed Phase 4
~210
Carboplatin
2014
Completed Phase 3
~6120
Find a Location
Who is running the clinical trial?
G1 Therapeutics, Inc.Lead Sponsor
21 Previous Clinical Trials
3,097 Total Patients Enrolled
4 Trials studying Breast Cancer
335 Patients Enrolled for Breast Cancer
Clinical ContactStudy DirectorG1 Therapeutics, Inc.
10 Previous Clinical Trials
1,121 Total Patients Enrolled
3 Trials studying Breast Cancer
311 Patients Enrolled for Breast Cancer
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have had a bone marrow or stem cell transplant.Your heart's electrical activity, called the QTcF interval, is longer than normal. If you have a pacemaker in your heart, your QTcF interval is even longer than that.I need urgent treatment for cancer spread to my brain or spinal cord.I am 18 or older with advanced triple-negative breast cancer that cannot be surgically removed.I have not had any treatment for my advanced cancer.You are allergic to carboplatin, other platinum-containing compounds, or mannitol.I have been treated with gemcitabine before.I have been treated with carboplatin for advanced cancer that cannot be surgically removed.I have not received PD-1/PD-L1 inhibitors before, and it's been over 6 months since my last curative treatment.I haven't had chemotherapy in the last 14 days.I am 18 or older with advanced triple-negative breast cancer that cannot be surgically removed.For Cohort 2: You have been treated with a specific type of medication for at least 4 months, have a certain level of performance status, and your organs are working normally according to lab tests.I have never been treated with PD-1/PD-L1 inhibitors.I am fully active or restricted in physically strenuous activity but can do light work.I can provide samples of my tumor for the study.My breast cancer is triple negative.It has been 6 months or more since my last curative treatment and the first sign of cancer spreading.I have had radiation for cancer that has spread, and I've recovered from its effects.
Research Study Groups:
This trial has the following groups:- Group 1: Trilaciclib + gemcitabine + carboplatin
- Group 2: Placebo + gemcitabine + carboplatin
Awards:
This trial has 1 awards, including:- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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