Recruiting
Study of IEV407 as Single Agent or in Combination in Patients With Advanced HR+/HER2- Breast Cancer
The purpose of this study is to evaluate the safety, tolerability and preliminary activity of IEV407 as a single agent and in combination with endocrine therapy (fulvestrant or letrozole) in patients with advanced hormone receptor positive (HR+), human epidermal growth factor receptor 2 negative (HER2-negative) breast cancer.
ClinicalTrials.gov IDNCT07604571
PhasePHASE1
Enrollment194
SponsorNovartis Pharmaceuticals
Age18 Years
SexALL
Conditions studied
Advanced HR+/HER2- Breast Cancer
About this study
The purpose of this study is to evaluate the safety, tolerability and preliminary activity of IEV407 as a single agent and in combination with endocrine therapy (fulvestrant or letrozole) in patients with advanced hormone receptor positive (HR+), human epidermal growth factor receptor 2 negative (HER2-negative) breast cancer.
Interventions
- Drug: IEV407 — Oral administration
- Drug: Fulvestrant — Intramuscular injection. Approved medication.
- Drug: Letrozole — Oral administration. Approved medication.
Primary outcomes
- Incidence and severity of dose-limiting toxicities (DLTs) (28 days)
- Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs) (Up to approximately 2 years)
- Frequency of dose interruptions, reductions and discontinuations (Up to approximately 2 years)
- Dose intensity (Up to approximately 2 years)
Eligibility information
Inclusion Criteria:
* Age ≥ 18 years old
* Patients with one of the following indications:
* Dose escalation (IEV407 single agent and in combination with fulvestrant or letrozole):
HR+/HER2- aBC with disease progression on or following, or have been intolerant to, at least one line of endocrine-based therapy in combination with a CDK4/6 inhibitor and at least one additional line of systemic therapy in the unresectable/metastatic setting and not be a candidate for any available standard therapy, in the investigator's judgement.
\- Dose expansion of IEV407 in combination with fulvestrant: HR+/HER2- aBC with disease progression on or following, or have been intolerant to, endocrine-based therapy in combination with a CDK4/6 inhibitor. They must not have received more than two prior lines of endocrine-based therapy in the unresectable/metastatic setting. Prior cytotoxic chemotherapy and/or antibody-drug conjugate therapies in the unresectable/metastatic setting are not allowed.
Exclusion Criteria:
* Patients with inadequate bone marrow and/or organ functions with out-of-range laboratory values.
* Impaired cardiac function or clinically significant cardiac disease.
* Concurrent use of hormone replacement therapy.
* Women of childbearing potential who are unwilling to use highly effective contraception methods, pregnant or nursing women.
* For the combination treatment of IEV407 with fulvestrant or letrozole: Patients with symptomatic visceral disease or any disease burden that makes the patient ineligible for endocrine-based therapy.
Other protocol-defined inclusion/exclusion criteria may apply.
Study locations
- Yale New Haven Hospital, New Haven, Connecticut 06520 United States
- Mary Crowley Cancer Research, Dallas, Texas 75251 United States
- Novartis Investigative Site, Toronto, Ontario M5G 2M9 Canada
- Novartis Investigative Site, Hirakata, Osaka 5731191 Japan
- Novartis Investigative Site, Singapore, 119074 Singapore
- Novartis Investigative Site, Seoul, Seoul 06351 South Korea
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.