New drug combo shows promise for tough breast cancer
NCT ID NCT05963997
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new two-drug combination (samuraciclib and elacestrant) in 49 adults with a common type of advanced breast cancer (HR+/HER2-). The goal was to find a safe dose and see if it can slow the cancer's growth. Participants had already tried other treatments and their cancer had gotten worse.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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49 people
The number who actually took part.
- Started
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Oct 2023
- Finished
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Mar 2026
- 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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Anyone
- 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: * Histologically confirmed diagnosis of ER-positive, HER2-negative locally advanced or metastatic breast cancer. * Documented objective disease progression while on or within 6 months after the end of the most recent therapy. * Received prior AI in combination with a CDK4/6i as the last therapy * Known TP53 and ESR1 mutation status. * Participants must have measurable disease or bone only disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. * Pre/peri-menopausal participants must have commenced treatment with a luteinizing hormone-releasing hormone (LHRH) agonist at least 4 weeks prior to first dose of study intervention. * Eastern Cooperative Oncology Group (ECOG) performance status ≤1 with no deterioration over the past 2 weeks. * Expected life expectancy of \>12 weeks in the judgement of the treating investigator. Exclusion Criteria: * Inflammatory breast cancer. * Participants with any other active malignancy within 3 years prior to enrollment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the cervix. * More than 1 line of endocrine treatment for locally advanced or metastatic disease treatment. * Inadequate hepatic, renal, and bone marrow function. * Clinically significant cardiovascular disease. * Any current or prior central nervous system metastases, carcinomatous meningitis, or leptomeningeal disease. * Pregnant or breastfeeding women.
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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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Site 12 - Belfast City Hospital
Belfast, United Kingdom
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Site 2 - Oxford University Hospitals NHS Trust - Churchill Hospital
Oxford, OX3 7LE, United Kingdom
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Site 32 - Swedish Medical Center, Swedish Cancer Institute (SCI),Cherry Hill Campus
Seattle, Washington, 98122, United States
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Site 35 - Cleveland Clinic, Taussig Cancer Institute
Cleveland, Ohio, 44106, United States
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Site 38 - Northwestern University, Feinberg School of Medicine, Northwestern University
Chicago, Illinois, 60611, United States
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Site 4 - The Christie NHS Foundation Trust
Manchester, United Kingdom
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Site 41 - The START Center for Cancer Care, South Texas Oncology and Hematology
San Antonio, Texas, 78229, United States
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Site 42 - Dana-Farber Cancer Institute, EDDC
Boston, Massachusetts, 02215, United States
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Site 60 - NEXT Oncology EU Hospital Universitario Quiron Salud Madrid
Pozuelo de Alarcón, Spain
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Site 61 - Institut Catala d'Oncologia (ICO), Hospital Duran i Reynals Location
L'Hospitalet de Llobregat, Spain
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Site 62 - Universidad de Navarra, Clinica Universidad de Navarra (CUN)
Madrid, Spain
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Site 63 - South Texas Accelerated Research Therapeutics, CIOCC, Hospital Madrid Norte-Sanchinarro
Madrid, Spain
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Site 64 - Hospital Clinic de Barcelona (Hospital Clinic i Provincial)
Barcelona, Spain
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Site 65 - Complexo Hospitalario Universitario A Coruña
A Coruña, Spain
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Site 66 - Hospital Clinico San Carlos
Madrid, Spain
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Site 67 - Universidad de Sevilla, Hospital Universitario Virgen Macarena
Seville, Spain
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Site 68 -Hospital Universitario Vall d'Hebron
Barcelona, Spain
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Site 69 - Universidad de Navarra - Clinica Universidad de Navarra (CUN)
Pamplona, Spain
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Site 80 - Centre Jean Bernard, Clinique Victor Hugo
Le Mans, France
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Site 81 - Bergonie unicancer, Nouvelle-Aquitaine, L'Institut Bergonie
Bordeaux, France
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Site 82 - Institut de Cancerologie de Ouest (ICO)
Saint-Herblain, France
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Site 83 - Institut Paoli Calmettes (IPC)
Marseille, France
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Site 85 - Institut Curie
Paris, France
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