About this trial
The researchers are doing this study to find out whether the study drug, SDX-7320, when combined with the standard chemotherapy eribulin, is an effective treatment for people with TNBC and metabolic dysfunction. The researchers will also look at whether the study treatment (SDX-7320 combined with eribulin) is safe and causes few or mild side effects in participants. The researchers will compare this treatment approach to eribulin alone.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female with histologically and/or cytologically confirmed diagnosis of triple-negative metastatic breast cancer defined as estrogen and progesterone receptor staining ≤10%; and HER2-negative defined as IHC 0 to 1+ at enrolling institution (note: if IHC is equivocal, non-amplified status by FISH is acceptable)
Advanced (local regionally recurrent, not amenable to curative therapy or surgery) or metastatic stage with up to 2 prior lines of therapy in the advanced or metastatic setting
Received prior anthracycline and taxane chemotherapy in the neoadjuvant, adjuvant, or metastatic settings and considered appropriate for treatment with single agent eribulin OR was otherwise ineligible to receive anthracycline and/or taxane per treating physician OR patients with de novo metastatic disease.
Evidence of metabolic dysfunction defined as HbA1c > 5.5 and/or BMI ≥ 30 kg/m²
Disqualifiers
Three or greater prior lines of therapy for metastatic TNBC
Known primary brain malignancy, brain metastases or active CNS pathology, any of which as determined by the treating Investigator
Currently participating in a study of an investigational agent
Body mass index < 18.5 kg/m2
Trial design
Sequential
Treatments tested in this trial
Eribulin
DrugEribulin 1.4 mg/m2 IV on days 1 and 8 of an every 21 day cycle.
SDX-7320
DrugSDX-7320 at the dose of 49 mg/m2 SC on a Q14D basis
Placebo
Other interventionPlacebo
Treatment groups
Trial outcomes
Primary outcomes
change in insulin resistance scores (HOMA-IR)
The Homeostasis Model Assessment of Insulin Resistance (HOMA-IR) is a validated tool for the assessment of insulin resistance.87 HOMA-IR is calculated as follows: fasting serum insulin (μU/mL) × fasting plasma glucose (mmol L -1 )/22.5).
Secondary outcomes
Type, frequency and severity of treatment-emergent adverse events
(TEAEs) and laboratory toxicities per the NCI CTCAE version 5.0.
Overall response rate
Response rate will be assessed by RECIST v1.1
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Memorial Sloan Kettering Cancer Center
Lead sponsor
SynDevRx, Inc.
Collaborator