Recruiting
Study of GVV858 as a Single Agent or in Combination With Endocrine Therapy in Patients With HR+/HER2- Breast Cancer and Other Advanced Solid Tumors
Phase I: Characterize safety and tolerability of GVV858 as a single agent and in combination with fulvestrant or letrozole. Identify dose range for optimization/recommended dose for further clinical evaluation.
Phase II: Further characterize the safety and tolerability of GVV858 in combination with fulvestrant in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced breast cancer.
ClinicalTrials.gov IDNCT07288359
PhasePHASE1, PHASE2
Enrollment205
SponsorNovartis Pharmaceuticals
Age18 Years
SexALL
Conditions studied
Advanced HR+/HER2- Breast Cancer, Advanced CCNE1-amplified Solid Tumors, Metastatic Castration-resistant Prostate Cancer
About this study
Phase I: Characterize safety and tolerability of GVV858 as a single agent and in combination with fulvestrant or letrozole. Identify dose range for optimization/recommended dose for further clinical evaluation.
Phase II: Further characterize the safety and tolerability of GVV858 in combination with fulvestrant in patients with hormone receptor-positive/human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced breast cancer.
Interventions
- Drug: GVV858 — Experimental
- Drug: Fulvestrant — Approved medication
- Drug: Letrozole — Approved medication
Primary outcomes
- Phase I: Incidence and severity of dose-limiting toxicities (DLTs) (28 days)
- Phase I and phase II: Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) (Up to approximately 2 years)
- Phase I and phase II: Frequency of dose interruptions, reductions and discontinuations (Up to approximately 2 years)
- Phase I and phase II: Dose intensity (Up to approximately 2 years)
Eligibility information
Inclusion Criteria:
* Age ≥ 18 years old.
* Patients with one of the following histologically or cytologically confirmed advanced cancers:
Phase I (patients with one of the following cancers, from whom no standard therapy is available or appropriate in the judgment of the investigator):
* HR+/HER2- advanced breast cancer (aBC) with disease progression on or following at least one line of hormone-based therapy in combination with a CDK4/6i and at least one additional line of systemic therapy for metastatic disease.
* Locally advanced or metastatic cancer with a CCNE1 amplification. For dose expansion only: no more than 3 prior lines of therapy for advanced or metastatic disease.
* Metastatic castration-resistant prostate adenocarcinoma, with no documented neuroendocrine component, castrate level of testosterone, and no more than 3 prior lines of systemic therapy for metastatic disease.
Phase II:
* HR+/HER2- aBC with disease progression on or after an endocrine therapy in combination, with a CDK4/6 inhibitor for advanced disease with no more than 2 lines of endocrine therapy and no prior cytotoxic chemotherapy or antibody-drug-conjugate for advanced disease.
\- Measurable disease as determined by RECIST v1.1.
* BC only: If no measurable disease is present, then at least one predominantly lytic bone lesion must be present that can be accurately assessed at baseline and is suitable for repeated assessment.
* metastatic Castration-Resistant Prostate Cancer (mCRPC) only: If no measurable disease is present per PCWG3 modified RECIST, then at least 1 metastatic lesion must be present on bone scan imaging.
Exclusion Criteria:
* Patients with inadequate bone marrow and/or organ functions with out-of-range laboratory values.
* Clinically significant, uncontrolled heart disease and/or cardiac repolarization abnormality including myocardial infarction (MI), coronary artery bypass graft (CABG), long QT syndrome, or risk factors for Torsades de Pointes (TdP).
* Presence of symptomatic central nervous system (CNS) metastases or CNS metastases that require local therapy or increasing doses of corticosteroids within 2 weeks prior to study entry.
* Patients with symptomatic visceral disease, including visceral crisis.
* For patients with BC: Patient is concurrently using hormone replacement therapy.
* Women of childbearing potential who are unwilling to use highly effective contraception methods, pregnant or nursing women.
Other protocol-defined inclusion/exclusion criteria may apply.
Study locations
- Emory University, Atlanta, Georgia 30322 United States
- Tennessee Oncology PLLC, Nashville, Tennessee 37203 United States
- START, San Antonio, Texas 78229 United States
- Novartis Investigative Site, Olomouc, 779 00 Czechia
- Novartis Investigative Site, Odense C, 5000 Denmark
- Novartis Investigative Site, Pierre-Bénite, 69495 France
- Novartis Investigative Site, Jena, Thuringia 07740 Germany
- Novartis Investigative Site, Essen, 45147 Germany
- Novartis Investigative Site, Milan, MI 20141 Italy
- Novartis Investigative Site, Milan, MI 20162 Italy
Showing 10 of 15 reported sites. See the official listing for all locations.
Before you participate: Varda Clinical is an independent discovery tool, not the study sponsor or a medical provider. Eligibility can only be determined by the official study team. Discuss potential risks and benefits with a qualified healthcare professional.
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.