Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
ARV-471 · 7 trials · 3 indications
PFS assessed by BICR was defined as the time from the date of randomization to the date of the first documentation of objective progression of disease (PD) per RECIST v1.1, or death due to any cause, whichever occurred first. PD as per RECIST v1.1 was defined as at least a 20% increase in the sum of diameters of target measurable lesions above nadir (smallest sum observed considering baseline and all assessments prior to the timepoint under evaluation), with a minimum absolute increase of 5 millimeters (mm) relative to nadir or unequivocal progression of existing non-target lesions or the presence of new lesions. PFS was censored on the date of last adequate disease assessment for those who did not have a PFS event, discontinued the study treatment due to withdrawal of consent prior to an event, started a new anticancer therapy prior to an event, had an event after a gap of 2 or more missing disease assessments, or lost to follow-up. Kaplan-Meier method was used.
PFS assessed by BICR was defined as the time from the date of randomization to the date of the first documentation of objective PD per RECIST v1.1, or death due to any cause, whichever occurred first. PD as per RECIST v1.1 was defined as at least a 20% increase in the sum of diameters of target measurable lesions above nadir (smallest sum observed considering baseline and all assessments prior to the timepoint under evaluation), with a minimum absolute increase of 5 mm relative to nadir or unequivocal progression of existing non-target lesions or the presence of new lesions. PFS was censored on the date of last adequate disease assessment for those who did not have a PFS event, discontinued the study treatment due to withdrawal of consent prior to an event, started a new anticancer therapy prior to an event, had an event after a gap of 2 or more missing disease assessments, or lost to follow-up. Kaplan-Meier method was used.
Dose Limiting Toxicities rate for ARV-471 in combination with Ribociclib, estimated based on data from DLT-evaluable participants during the DLT observation period (Cycle 1 \[28 days\]).
Objective response (OR) refers to confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumor (RECIST) version 1.1. as determined by investigator assessment.
Exposure (AUCtau) of ribociclib with and without co-administration of ARV-471
Concentration (Cmax) of ribociclib with and without co-administration of ARV-471
Maximum plasma concentration
Area under the concentration-time profile from time zero to time tau (τ), the dosing interval, where tau = 24 hours (QD dosing)
Maximum Observed Plasma Concentration (Cmax)
Area under the concentration curve from time 0 to end of dosing interval (AUCtau), where dosing interval was 24 hours.
Cmax was defined as maximum observed plasma concentration. Cmax for total dabigatran was observed directly from data.
AUCinf was defined as area under the concentration-time curve from time 0 extrapolated to infinity. AUCinf was calculated by AUClast + (Clast/kel), where Clast was the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis and kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration time curve; AUClast was defined as area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration.
Cmax was defined as maximum plasma concentration. Cmax of rosuvastatin was observed directly from data.
AUClast was defined as area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration. AUClast of rosuvastatin was determined using Linear/Log trapezoidal method.
| Arm | Type | Description |
|---|---|---|
| ARV-471 | EXPERIMENTAL | - |
| Fulvestrant | ACTIVE_COMPARATOR | - |
| [phenyl-14C]ARV-471 | EXPERIMENTAL | \[phenyl-14C\]ARV-471 is administered as a single dose |
| [oxoisoindolin-14C]ARV-471 | EXPERIMENTAL | \[oxoisoindolin-14C\]ARV-471 is administered as a single dose |
| ARV-471 in combination with Ribociclib | EXPERIMENTAL | ARV-471 administered orally QD continuously and Ribociclib administered orally QD consecutively for 21 days followed by 7 days off treatment on 28-day cycles |
| ARV-471 in combination with Abemaciclib | EXPERIMENTAL | ARV-471 administered orally once daily (QD) and Abemaciclib orally twice daily (BID) on 28-day cycle |
| Dabigatran etexilate with and without ARV-471 | EXPERIMENTAL | Dabigatran etexilate administered as a single dose in Period 1 and Period 2. ARV-471 administered as a single dose in Period 2. |
| Rosuvastatin with/without ARV-471 | EXPERIMENTAL | Rosuvastatin administered as a single dose in Period 1 and Period 2. ARV-471 administered as a single dose in Period 2. |
| Name | Type | Description |
|---|---|---|
| ARV-471 | DRUG | orally, once daily on a 28-day continuous dosing schedule |
| Fulvestrant | DRUG | intramuscularly on Days 1 and 15 of Cycle 1 and then on Day 1 of each cycle starting from C2D1 (28-day cycle) |
| [phenyl-14C]ARV-471 | DRUG | Participants will receive a single dose of \[phenyl-14C\]ARV-471 by mouth |
| [oxoisoindolin-14C]ARV-471 | DRUG | Participants will receive a single dose of \[oxoisoindolin-14C\]ARV-471 by mouth |
| Ribociclib | DRUG | Daily oral dosages of ribociclib consecutively for 21 days followed by 7 days off treatment, cycles lasting 28 days |
| Abemaciclib | DRUG | Daily oral dosages of Abemaciclib continuously, cycles lasting 28 days |
| Dabigatran etexilate | DRUG | Probe substrate |
| Rosuvastatin | DRUG | Probe substrate |
Inclusion Criteria: * Adult participants with loco-regional recurrent or metastatic breast disease not amenable to surgical resection or radiation therapy * Confirmed diagnosis of ER+/HER2- breast cancer * Prior therapies for locoregional recurrent or metastatic disease must fulfill all the followi...
Top 20 of 97 competitors