New pill AND019 takes on tough breast cancer in first human test
NCT ID NCT05187832
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-phase trial tests a new oral drug called AND019 in 61 postmenopausal women with advanced or metastatic ER+/HER2- breast cancer who have not responded to standard treatments. The main goals are to check safety, find the right dose, and see early signs of tumor shrinkage. It is a first-in-human study, so results are very preliminary.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AND019 (oral capsule)
- What this could lead to
- If it works, this could point toward a new treatment option for people with advanced ER+/HER2- breast cancer who have run out of standard therapies.
- What could go wrong
- This is a very early (Phase 1) and small (61 people) trial focused on safety, so it is far from proving effectiveness. The drug may cause side effects or fail to shrink tumors.
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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About 61 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2022
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- 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.
Key Inclusion Criteria: 1. Postmenopausal women defined as NCCN guideline at the time of informed consent. 2. Histological or cytological confirmation of advanced or metastatic ER+/HER2- breast cancer women who failed standard therapy or for which no standard therapy exists. 3. Prior therapy: 1. No more than 1 line of chemotherapy for advanced breast cancer 2. Recurrence or progression on at least one line of endocrine therapy in the advanced or metastatic disease setting and derived a clinical benefit from the endocrine therapy: Recurred or progressed while being treated with adjuvant endocrine therapy for a duration of at least 24 months, or progressed under endocrine therapy for more than 6 months in the advanced or metastatic setting 4. ECOG score 0-1. 5. Minimum life expectancy of a least 3 months as determined by the Investigator. 6. Evaluable disease per RECIST 1.1; for patients consent to tissue biopsy, disease suitable for tumor biopsy. 7. Sufficient bone marrow reserve and organ function. Key Exclusion Criteria: 1. Previous treatment with any SERDs. 2. Patient any central nervous system metastasis. 3. Prior antitumor therapies: 1. Received chemotherapies within 3 weeks before the first dose. 2. Received systemic radiotherapy within 3 weeks before the first dose, or local radiotherapy within 7 days before the first dose 3. Received other anti-tumor therapy such as endocrine therapy, immunotherapy, and target therapy within 3 weeks or 5 half-lives of the drug before the first dose of the study drug 4. For bone metastasis, bisphosphonates and local remission therapy are allowed (7 days washout for local radiation therapy). 4. Patient who has participated in any other clinical trials for drugs or treatments within 5 half-lives for a prior investigational drug or 2 weeks from use of an investigational device prior to the first dose of study drug. 5. Patient who had major surgery or significant trauma within 4 weeks prior to the first dose of study drug (excluding needle biopsy), or has scheduled surgery during the study period. 6. Patient with serous unhealable wounds/ulcers/fractures within 4 weeks prior to the first dose of study drug. 7. Patient with adverse reactions to previous anti-tumor treatments who have not yet recovered to grade ≤1 according to CTCAE v5.0. (except for toxicities without safety risks as judged by Investigator, such as alopecia, grade 2 peripheral neuropathy etc.) 8. Patient who has used strong inhibitors or strong inducers of CYP3A, or grapefruit or grapefruit juice within 4 weeks prior to the first dose of study drug. 9. Patient unable to be administered oral medications or any condition that seriously affect digestion in the gastrointestinal tract at the judgement of the Investigator. 10. Patient with active infection within 1 week prior to the first dose of study drug, and currently need systemic anti-infective treatment. 11. Patient has a known history of the following: HIV infection without effective antiretroviral therapy (ART) or acceptable immune function, or syphilis infection, or HBsAg positive HBV or needs prophylaxis therapy or suppressive antiviral therapy before dosing, or has an HCV infection that hasn't completed curative antiviral treatment or with unacceptable viral load. 12. Patient has active cardiac disease or a history cardiac dysfunction. 13. Patient with third spacing that cannot be controlled clinically and is not suitable for the study by the Investigator's judgment. 14. Patient with known history of drug abuse. 15. Patient with mental disorder that, in the opinion of the Investigator, could lead to poor compliance with required study procedures. 16. Patient that cannot tolerate venous blood sampling. 17. Known to have other malignancy within the past 5 years, and is progressing or requires active treatment (except skin basal cell carcinoma, squamous cell carcinoma, or cervical carcinoma in situ who have received potentially radical treatment)
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Sarah Cannon Research Institute
RECRUITINGNashville, Tennessee, 37203, United States
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