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BIIB021

Phase 2

Breast Cancer | Small molecule | Oncology |Biogen Inc.|Trials Updated: Dec 29, 2016

BIIB021 development status

Highest phase Phase 2
Registered trials 5 across 1 sponsor since Jun 2006

BIIB021 target and mechanism

Molecular targetHSP90AA1, HSP90AB1
Target classInhibitor
ModalitySmall molecule

Also known as CNF2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDBiomarker
Total Trials6
Total Enrollment266

FDA Designations

No designations recorded

BIIB021 clinical trials

BIIB021 · 6 trials · 5 indications

Phase 2 2Phase 1 4
NCT01004081Hormone Receptor Positive Metastatic Breast Cancer (HR+ mBC) BIIB021 Plus Aromasin Schedule FindingBreast Cancer
COMPLETED54 Analytics
NCT00618319An Open-Label, 18FDG-PET Pharmacodynamic Assessment of the Effect of BIIB021 in Subjects With Gastrointestinal Stromal Tumors (GIST)GIST
COMPLETED20 Analytics
PHASE2COMPLETED
Hormone Receptor Positive Metastatic Breast Cancer (HR+ mBC) BIIB021 Plus Aromasin Schedule Finding
Breast CancerUnlock trial analytics
PHASE2COMPLETED
An Open-Label, 18FDG-PET Pharmacodynamic Assessment of the Effect of BIIB021 in Subjects With Gastrointestinal Stromal Tumors (GIST)
GISTUnlock trial analytics

Study Endpoints

Primary Endpoints

The primary objective of this study is to assess the efficacy of 2 dosing regimens of BIIB021 in combination with exemestane in women whose HR+ breast cancer had progressed following treatment with a nonsteroidal AI.
As specified in protocol
Changes in FDG-PET imaging
28 days
The primary objective of the study is to assess the pharmacokinetics of BIIB021 taken under fed conditions compared to BIIB021 taken under fasting conditions in subjects with advanced solid tumors.
Cycle 1, Day 3
Safety and tolerability of BIIB021
As specified in protocol
Clinical and laboratory safety assessments
30 days after discontinuation of CNF2024 or until drug-related toxicites have returned to less than Grade 1
To determine the maximum tolerated dose (MTD)
Dose escalation will proceed according to the predetermined scheme until the stopping dose (dose > MTD) is reached due to dose limiting toxicities (DLT) occurring during the first 4-week course of treatment.
To determine the safety profile
Study duration
pharmacokinetic profile
Dosing period
effect on pharmacodynamic biomarkers
Dosing period
antitumor activity
At screening and after every 2 courses

Secondary Endpoints

The secondary objective of this study is to evaluate the safety and tolerability of BIIB021 in combination with exemestane in this study population.
As specified in protocol
Characterize the safety profile of BIIB021
Duration of study
To assess the pharmacokinetics of BIIB021 taken with an antacid (ranitidine) compared to BIIB021 taken with no antacid, both under fasting conditions
Cycle 1, Day 8 and Day 10
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BIIB021 BID + exemestaneEXPERIMENTALBIIB021 100 mg BID + exemestane 25 mg QD
BIIB021 TIW + exemestaneEXPERIMENTALBIIB021 450 mg TIW + exemestane 25 mg QD
1EXPERIMENTALBIIB021
BIIB021 and FoodEXPERIMENTALThe food phase will assess the effect of a high fat meal on the pharmacokinetics of BIIB021.
BIIB021 and AntacidEXPERIMENTALAntacid phase will assess the effect of an antacid on the pharmacokinetics of BIIB021.
2EXPERIMENTALSubjects in Schedule B will take BIIB021 in the morning at approximately 0800 with at least 6 ounces of water following an overnight fast (beginning at midnight). The second dose will be taken, following at least a 2-hour fast, 12 hours (+/- 2 hours) after the first dose, except on Day 1 of Cycle 1 and Day 1 of Cycle 2.
AEXPERIMENTALPatients with HER2- Breast Cancer
BEXPERIMENTALPatients with HER2+ Breast Cancer
Dosing Schedule 1OTHERStarting dose of 25 mg, with dosing twice a week for 3 weeks out of a 4-week course (Schedule 1). Dosing for schedule 1 is currently closed.
Dosing Schedule 2OTHERStarting dose of 600 mg, with dosing twice a week for 4 weeks out of a 4-week course (without drug holidays; Schedule 2).

Interventions

NameTypeDescription
BIIB021DRUGBID orally for 28 days
exemestane (Aromasin)DRUGDaily in tablet form for 28 days
BIIB021 and FoodDRUGAssessing the effect of food use on BIIB021
BIIB0121 and AntacidDRUGAssessing the effect of antacid use on BIIB021
CNF2024DRUGOral doses of CNF2024 as specified in the protocol.
CNF2024 + trastuzumabDRUGOral doses of CNF2024 as specified in the protocol Intravenous doses of trastuzumab as specified in the package insert.
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites34

Inclusion Criteria: * Age 18 years of age * Must have histologically or cytologically confirmed estrogen receptor- positive or progesterone receptor-positive, incurable, locally advanced, or metastatic breast cancer. * Must have disease progression during treatment with a nonsteroidal AI for locall...

Countries:United StatesAustraliaBelgiumRussiaUnited Kingdom
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Competitive Landscape -Breast Cancer 609 trials

Frequently asked questions about BIIB021

What is BIIB021?

BIIB021 is an investigational small molecule developed by Biogen Inc. (ticker BIIB) for oncology. It has been studied in advanced solid tumors, breast cancer, and gastrointestinal stromal tumors (GIST). It is a Phase 1 asset and has not been approved by the FDA; all listed trials are completed.

What is BIIB021 used for?

BIIB021 has been studied in advanced solid tumors, hormone receptor positive metastatic breast cancer, and gastrointestinal stromal tumors (GIST). It is an investigational agent and is not approved for any indication. All clinical trials of BIIB021 listed to date have been completed.

What does BIIB021 target?

BIIB021 targets HSP90AA1 and HSP90AB1. It is an inhibitor of these heat shock protein 90 isoforms. By binding HSP90, BIIB021 interferes with the chaperone function that supports stability of client oncoproteins, which is the proposed basis for its evaluation in advanced solid tumors, breast cancer, and GIST.

Who makes BIIB021?

BIIB021 is developed by Biogen Inc., which trades under the ticker BIIB. Biogen sponsored the clinical trials of BIIB021 in advanced solid tumors, hormone receptor positive metastatic breast cancer, and gastrointestinal stromal tumors (GIST).

What phase is BIIB021 in?

BIIB021 is in Phase 1 development. It is investigational and has not been approved by the FDA. Its clinical program includes Phase 1 and Phase 2 trials, all of which are completed, with no active trials currently listed. The studies enrolled a total of 88 participants.

What clinical trials is BIIB021 in?

BIIB021 has been evaluated in completed trials including NCT01017198, which studied the effect of food and antacid in advanced solid tumors; NCT01004081, a Phase 2 study in hormone receptor positive metastatic breast cancer with Aromasin; NCT00618735, a Phase 1 once or twice daily dosing study in advanced solid tumors; and NCT00618319, a Phase 2 PET assessment in GIST.