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 and older
SexALL
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.