Can an oral drug replace injections for advanced breast cancer?
NCT ID NCT03455270
First seen Sep 21, 2026 · Last updated Sep 21, 2026
Summary
Researchers are testing a new oral drug called rintodestrant (G1T48) in women with advanced breast cancer that is estrogen receptor-positive and HER2-negative. The trial gives the drug alone or with palbociclib, a standard breast cancer medicine. The main goals are to find a safe dose and see how the body processes the drug. The study also looks at whether tumors respond.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- rintodestrant (G1T48), an oral selective estrogen receptor degrader, alone and with palbociclib
- What this could lead to
- If it works, this could offer an oral alternative to injected SERDs for advanced breast cancer and a new combination strategy with palbociclib.
- What could go wrong
- This is a small phase 1 trial, so the main goal is to find a safe dose. The drug may not shrink tumors, and combining it with palbociclib could add side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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107 people
The number who actually took part.
- Started
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May 2018
- Finished
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Sep 2022
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * For Part 1, postmenopausal women only * For Parts 2 and 3, any menopausal status * Confirmed diagnosis of ER-positive, HER2-negative advanced breast cancer, not amenable to curative therapy * For Part 1, prior treatment with less than 4 prior lines of chemotherapy * For Part 2, prior treatment with less than 2 prior line of chemotherapy * For Part 3, prior treatment with no more than 1 prior line of chemotherapy * For Parts 1 and 2, prior treatment with less than 4 prior endocrine therapies for metastatic breast cancer * For Part 3, prior treatment with no more than 1 prior line of endocrine therapies for metastatic breast cancer * For Parts 1 and 2, patients must satisfy 1 of the following criteria for prior therapy: * Progressed during treatment or within 12 months of completion of adjuvant therapy with an aromatase inhibitor * Progressed after the end of prior aromatase inhibitor therapy for advanced/metastatic breast cancer * For Part 3, patients must satisfy 1 of the following criteria for prior therapy: * Received ≥ 24 months of endocrine therapy in the adjuvant setting prior to recurrence or progression * Received ≥ 6 months of endocrine therapy in the advanced/metastatic setting prior to progression * For Part 1, evaluable or measurable disease * For Parts 2 and 3, evaluable (approximately 25%) or measurable disease (approximately 75%) as defined by RECIST, Version 1.1 including bone-only disease * ECOG performance status 0 to 1 * Adequate organ function Exclusion Criteria: * For Part 3, prior treatment with CDK4/6 inhibitor, investigational oral SERDs or SERCAs in any setting * Active uncontrolled/symptomatic CNS metastases, carcinomatous meningitis, or leptomeningeal disease * Anticancer therapy within 14 days of first G1T48 dose or within 28 days for antibody-based therapy * Concurrent radiotherapy, radiotherapy within 14 days of first G1T48 dose, previous radiotherapy to the target lesion sites, or prior radiotherapy to \> 25% of bone marrow * Prior hematopoietic stem cell or bone marrow transplantation
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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ARENSIA Exploratory Medicine LLC
Tbilisi, 0112, Georgia
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ARENSIA Exploratory Medicine Phase I Unit, The Institute of Oncology
Chisinau, 2025, Moldova
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Beverly Hills Cancer Center
Beverly Hills, California, 90211, United States
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Erasmus Medical Center
Rotterdam, 3015 GD, Netherlands
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Institut Jules Bordet
Brussels, 1000, Belgium
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MHAT for Womens Health - Nadezhda OOD
Sofia, 1330, Bulgaria
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Northwestern University - Feinberg School of Medicine
Chicago, Illinois, 60611, United States
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Sarah Cannon Research Institute at Tennessee Oncology
Nashville, Tennessee, 37203, United States
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Spizhenko Clinic
Kiev, 08112, Ukraine
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Stanford Women Cancer Center
Stanford, California, 94305, United States
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Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104, United States
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UZ Leuven
Leuven, 3000, Belgium
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University Medical Center Groningen
Groningen, 9713 GZ, Netherlands
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University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599-7305, United States
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VU University Medical Center
Amsterdam, 1081 HV, Netherlands
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